Participants in this course join a growing community of practice in health care that applies debriefing and/or simulation effectively to promote learning, teamwork, and patient safety

Learning Objectives: 

• Design, conduct, and debrief an Interprofessional simulation
• Contrast effective use and measurement of simulation versus didactic methods
• Analyze health care teamwork skills in critical situations
• Utilize communication styles of members of ad-hoc teams
• Deliver effective educational feedback in a manner that promotes reflection
• Describe how a "culture of inquiry" promotes resilience in teams and organizations.

Course Topics and Activities (depending on instructor availability):

• Learn DISC communication styles
• Participate in simulations and teamwork activities
• Work with experts to design simulations
• Engage in discussions about how people think and learn
• Network with others who are interested in simulation-based learning
• Practice debriefing, difficult conversations, and advocacy/inquiry activities

Handoff Communication Simulation

Goal: To practice and improve team communication during admission, code blue and high-risk low resource situations. Three section simulation: 1. Ideal handoff 2. Response to coding patient on arrival and 3. Team response when equipment is missing/broken/unavailable.  

Learning Objectives: At the end of this simulation the participants will: 

• Perform all elements of an ideal hand off
• Establish a team leader
• Establishes clear roles and responsibilities prior to patient arrival and at the time the code blue is identified
• Creates an environment where team members can speak up
• Demonstrate close loop communication
• Demonstrate appropriate team problem solving and deployment of resources in a shortage of staff and equipment

Clinical Research Vaccine Reaction

Goal: To practice and improve assessment and response to in clinic vaccination reactions, recognize differences between vasovagal reaction, anaphylaxis, and other reactions.  

Learning Objectives: At the end of this simulation the participants will: 

• Perform all elements of an ideal vaccine administration and post administration assessment
• Demonstrate appropriate response to a reaction based on clinical protocol
• Demonstrate proper patient positioning during a suspected reaction: chair to bed, bathroom to bed, waiting room to treatment area. 
• Demonstrate appropriate response: identify supplies, verbalize where supplies are located, verbalize protocol of informing clinical team.
• Demonstrate process for collaborative communication with patients, families, and team members.

Code Hemorrhage Simulation

Goal: To practice and improve assessment, communication and response to a Code Hemorrhage in the Operating Room following the Code Hemorrhage Protocol.  

Learning Objectives: At the end of this simulation the participants will: 

• Perform all elements of an ideal response to a Code Hemorrhage based on clinical protocol including assessment, diagnosis, communication, role identification and team adherence to the protocol.
• Demonstrate assessment and diagnosis of arterial bleed vs venous bleed.
• Verbalize understanding of the steps included in the protocol and when escalation due to hemodynamic instability is appropriate.  
• Demonstrate appropriate response: identify supplies, verbalize where supplies are located, verbalize protocol for blood products and other supplies.
• Demonstrate process for collaborative communication with team members.

Difficult Airway Human Factors Simulation

Goal: To practice and improve assessment, communication, and response to a difficult intubation in the Operating Room following the UIHC Anesthesia Failed Airway Protocol.  

Learning Objectives: At the end of this simulation the participants will: 

• Demonstrate assessment and diagnosis of a difficult to intubate airway and appropriate steps in the Failed Airway Protocol.
• Verbalize understanding of the steps included in the protocol and key early team communication steps in the process including preprocedural team huddle, emergency team role assignment and process for escalation. 
• Communicate appropriately with other health care team members in a timely, organized, patient specific manner.

Code Blue Human Factors Simulation

Goal: To practice and improve assessment, communication, and response to a Code Blue.  

Learning Objectives: At the end of this simulation the participants will: 

• Demonstrate assessment and diagnosis of a code blue and appropriate steps ACLS.
• Verbalize understanding of the steps included in ACLS and key early team communication steps in the process. 
• Communicate appropriately with other health care team members in a timely, organized, patient specific manner.
• Demonstrate appropriate debriefing and patient recovery processes.

Liver Transplant Veno-Veno Bypass Simulation

Goal: To practice and improve team communication when it has been determined that a liver transplant patient will need to have veno-veno bypass and to prepare proper equipment for perfusionist.

Learning Objectives: At the end of this simulation the participants will: 

• Perform communication components of veno-veno bypass for liver transplant
• Complete process flow for veno-veno bypass procedural steps
• Create an environment where team members can speak up.
• Demonstrate team closed loop communication.

Pediatric Trauma Alert to Activation Simulation

Goal: To practice and improve team communication during a pediatric trauma Emergency Room admission following the UIHC policy and best practice.

Learning Objectives: At the end of this simulation the participants will: 

• Perform appropriate and clear, closed loop communication during the trauma admission process to facilitate role identification, assessment, clinical plan of care and process for escalation.
• Demonstrate pre arrival team huddle.
• Verbalize assessment, diagnosis, and treatment steps to optimize teamwork and utilize the skills of the entire team to maximize efficiency and quality of clinical care.  
• Demonstrate team implementation of trauma alert to trauma activation.  

Introduction to Team-based Simulation Design and Debrief

Goal: To gain an introduction to simulation design, types of simulation educational experiences and facilitating a debrief that supports a culture of inquiry, genuine curiosity and feedback and resilience focused safety practices.  

Learning Objectives: At the end of this simulation the participants will: 

• Discuss components of a simulation and practice simulation design.
• Discuss the relationships of simulation, safety, and culture.
• Understand effective feedback and practice debriefing.
• Work with a team to promote learning, teamwork, and patient safety.

Procedural Skills Training for Advance Practice Providers Simulation

Goal: To provide hands on training for 13 procedural skills essential for advanced practice providers in the outpatient clinic setting.

Learning Objectives: At the end of this simulation the participants will: 

• Demonstrate completion and mastery of didactic educational materials prior to skills station simulation.
• Demonstrate proficiency in a hands-on procedure performed during an instructor led skills station simulation.
• Skills stations: Cerumen impaction removal, foreign body removal and suturing of skin, ear and nose, corneal abrasion assessment and diagnosis, trepanation of sublingual hematoma, application of Dermabond, staple application and removal, abscess incision and drainage, wound irrigation and debridement and vaginal exam and specimen collection.  
• Completion of pre and post evaluation of confidence in procedural skills.

Introduction to Simulation for Law Students

Goal: To gain an introduction to simulation design, types of simulation educational experiences that supports a culture of teamwork and patient safety.  

Learning Objectives: At the end of this simulation the participants will: 

• Discuss components of a simulation.
• Practice task trainer, virtual reality, surgical knot tying, Fundamentals of Laparoscopic Surgery simulation and ultrasound simulation.
• Discuss the relationships of simulation, safety, and culture.