• Located at Hartford Hospital in Hartford, CT
• 20,000sqft facility• 5 Patient Simulation rooms
• Labor and Delivery• Resuscitation• ICU• ED/Trauma• OR
• Skills Lab• Surgical Simulation• Airway Task Training• Ultrasound Task Training
• Robotics Lab• DaVinci Robot Simulation
Description
When implemented correctly, technology can help improve the efficiency within our programs.
Technologies to improve asset and inventory management and file storage can reduce
administration time, allowing more time with learners.
Learning Objectives
1.Discuss asset and inventory management.
2.Demonstrate how to create simulation check lists.
3.Understand file storage structures and techniques to prevent data loss.
Technical Challenges
-Keep the curriculum experts focused on the action– Simplicity & Ease of use – No setup or breakdown for instructors– Remove the technology as a barrier– Consistent and reliable– Flexible Scheduling, including off-hour courses– Sim techs whom know the equipment– Having all the equipment for the course– Provide “recording studio” style services
File saving and Universal Naming Conventions
Standardized how you save your debriefs!Filing and Archiving : Universal Naming Convention for all simulators and debrief files
Networking: These files are centralized and accessible anywhere on your LANCan be accessed by PC, or MAC
Have a complete backup as redundancy in the event of a disaster or hardware failure
Saving and finding debrief video files easily
UNC = Course name > Director > Date > file extension
Example: Code Team Training Dr.Pozner-4/11/2012.sbr
Server location: \\storage1\Debriefs
5TB Space
NAS
• A large file storage device that can be accessed from any computer on the network
• Easily to install, connect to and expand
• Can be physically located anywhere with network access
• Handles many connections simultaneously
• Models with RAID support create real-time backups automatically
Simple Networking
•Centralized Playback •Files are identified by the UNC•Files are backed up from NAS1 to NAS2•Expandable/scalable storage space•Plug and play to your LAN
PC
PC
PC
NAS2
NAS1
Backup your dataBackup methods use client software like time machine and windows backupSet your hardware devices to backup on a pre determined automated scheduleHave your devices located away form one another in the event of a fire ,flood, or other form of Unexpected disaster that may result in loss of your data
PrimaryBackup copy
Checklists√ Checklists√ Checklists√
• Manikin specific checklist• Listing all features and Functions• All associated and critical components• Cables , connectors , hoses, compressors • Accessories, probes, cuffs, IV’s • Check fluids & Receptacle bags • Appropriate drugs for today’s scenario• Imaging ,labs, charts
SimMan Checklist √
SIMMAN CHECKLIST
COMMENTS
SERIAL # _38SM263000_________________________________________________________
ACTION TAKEN _______________________________________________________________
______________________________________________________________________________
PROBLEM NOTED IN REPAIR LOG: YES NO
REGULATOR Tubing Connected □Y □N APNEA □Y □N Valve Open □Y □N BREATHING RATE LINKBOX Down □Y □N Power Connected □Y □N Up □Y □N Manikin Connected □Y □N Pulse Ox Connected □Y □N CAN’T INTUBATE -- Can Ventilate □Y □N Remote Connected □Y □N CAN’T INTUBATE PC Connected □Y □N -- Can’t Ventilate □Y □N Monitor Connected □Y □N RESET □Y □N REMOTES Wired □Y □N Bluetooth □Y □N MONITOR □Y □N BP CUFF □Y □N TRISMUS □Y □N TONGUE EDEMA □Y □N BREATHING BLADDER □Y □N LARYNGO SPASM □Y □N PHARYNGEAL OB. □Y □N DEFIB LUNG COMPLIANCE □Y □N Pads □Y □N PNEUMOTHORAX □Y □N Paddles □Y □N STOMACH DECOMPRESSION □Y □N CERV. RANGE □Y □N CRIC MEMBRANE □Y □N PULSES Carotid □Y □N Brachial □Y □N Radial □Y □N Femoral □Y □N Pedal □Y □N Date: ________ Checked By: ____________ Checked By: ____________
SimBaby Checklist √
SimBaby CHECKLIST
COMMENTS
SERIAL # _____________________________________________________________________
ACTION TAKEN _______________________________________________________________
______________________________________________________________________________
PROBLEM NOTED IN REPAIR LOG: YES NO
REGULATOR PULSE OX Tubing Connected □Y □N 100% □Y □N Valve Open □Y □N Down □Y □N Up □Y □N LINKBOX APNEA □Y □N Power Connected □Y □N Manikin Connected □Y □N BREATHING RATE □Y □N Pulse Ox Connected □Y □N Down □Y □N Remote Connected □Y □N Up □Y □N PC Connected(SM) □Y □N Monitor Connected(SM) □Y □N CAN’T INTUBATE -- Can Ventilate □Y □N REMOTES Wired □Y □N CAN’T INTUBATE Bluetooth □Y □N -- Can’t Ventilate □Y □N MONITOR □Y □N RESET □Y □N BP CUFF □Y □N TONGUE EDEMA □Y □N BREATHING BLADDER □Y □N LARYNGO SPASM □Y □N PHARYNGEAL OB. □Y □N DEFIB LUNG COMPLIANCE □Y □N Pads □Y □N PNEUMOTHORAX □Y □N Paddles □Y □N STOMACH DECOMPRESSION □Y □N CRIC MEMBRANE □Y □N See-Saw Breathing □Y □N Subcostal Retractions □Y □N Unilateral Breathing □Y □N PULSES Brachial □Y □N Radial □Y □N Femoral □Y □N Date: ________ Checked By: ____________ Checked By: ____________
SimNewB Checklist √SimNewB CHECKLIST
COMMENTS
SERIAL NUMBER # ____________________________________________________________
ACTION TAKEN _______________________________________________________________
______________________________________________________________________________
PROBLEM NOTED IN REPAIR LOG: YES NO
REGULATOR Tubing Connected □Y □N Valve Open □Y □N LINKBOX APNEA (blue light) □Y □N Power Connected □Y □N Manikin Connected □Y □N BREATHING RATE □Y □N Down □Y □N Up □Y □N REMOTES Wireless □Y □N Cyanosis □Y □N Lung Resistance □Y □N MONITOR □Y □N PULSES
Umbilical □Y □N Brachial Pulse □Y □N BREATHING BLADDER □Y □N Date: ________ Checked By: ____________ Checked By: ____________
Mega Code ACLS √ Mega Code / ACLS CHECKLIST
COMMENTS
Tag # _____________________________________
ACTION TAKEN _______________________________________________________________
______________________________________________________________________________
PROBLEM NOTED IN REPAIR LOG: YES NO
LINKBOX Manikin Connected □Y □N TONGUE EDEMA (by bulb) □Y □N Scenarios Loaded □Y □N PNEUMOTHORAX (by bulb) □Y □N Remote Connected □Y □N Power Connected □Y □N PULSES Carotid □Y □N
Brachial □Y □N REMOTES Radial □Y □N Tethered □Y □N Wireless □Y □N DEFIB Pads □Y □N Paddles □Y □N BREATHING (ACLS Only) Respirations □Y □N Down □Y □N Up □Y □N Date: ________ Checked By: ____________ Checked By: ____________
• Inventory Management is a system designed to track the use of equipment and supplies. Effective systems can also generate valuable statistics based on the captured data.
• Commonly Captured Information• Current supply inventory• Equipment location• Supply costs per course• Equipment depreciation• Reorder schedule• Maintenance schedule
• Depends on staff to locate, retrieve and track the use of consumables and equipment
• Benefits• Compliance: Employees
are trained in the system and use it frequently• Low Waste: Students
given a fixed number of supplies, no direct access to refills• Security: Expensive
Equipment is kept under lock and key• Centralized: Supplies
easy to inventory and maintain• Low Cost
• Challenges• Staffing: Available staff
member is needed to retrieve supplies as needed• After Hours: Classes
cannot access supplies after hours• Proximity: Centralized
storage requires additional transportation time in large centers
WASP • Easily track valuable organizational assets with Wasp
Mobile Asset. Mobile Asset allows you to capture important information about each asset, including location, check-in and check-out, maintenance schedules and cost, warranty contracts, and depreciation. Generate business management reports quickly and effectively.
• Mobile Asset takes asset management to a higher level,
giving you the ability to save time and money, end asset loss, improve equipment maintenance, and more accurately compute taxes based on depreciation schedules.
What assets can you track?• WASP barcode • Mobile Asset is for managing assets within your center
Commonly tracked assets include:• Company property, furniture and fixed assets • IT Assets, including laptops, PDAs and servers • Medical equipment, simulators, trainers,• Tools and Biomedical devices• Scopes, instruments, etc…• Track off-site or loaned out equipment
•Print barcode labels•Track asset specific locations•Check assets in or out of your center•Track regular maintenance•Picture of the asset•Depreciation schedule•Associate all documents/manuals to an asset
• Depends on students to retrieve supplies and equipment directly through the use of a “vending” type machine
• Benefits• Automated: Staff is only
required to stock supplies as depleted• Fast: Instant delivery of
supplies as needed• After Hours: Students
can access supplies at any time• Proximity: Machines
located in each room for easy access
• Challenges• Security: Relies on
students to return expensive reusable equipment• Size: Large equipment is
difficult to dispense• Waste: Students more
likely to use additional supplies• Restocking: Staff needs
to restock multiple devices in different locations• Expensive
• Some EMS programs have started using vending machines to restock supplies
• Checks ID badge before dispensing• Software generates invoice and notifies on low
stock or expired products
www.vendweb.com
• Work-In-Progress• Automated vending
system for surgical skills lab
• Low cost• Flexible container size• Individual user filters
and usage tracking• RFID badge or biometric
verification• Security video recording
• Imperative to pre-class preparation• Ensure equipment and supply availability• Record number and discipline of attendees • Calculate course costs and appropriate charge• Organize course contact information• Generate utilization reports by
department/company• Track valuable statistics such as:• Number of Courses Offered• Total Learners Trained• Total Learner-Hours Trained
• Traditional• Instructors contact simulation staff to request a timeslot• Staff list available slots and schedule the class
• Online Viewing• Instructors can view available slots online then contact staff with
request• Staff schedule the class if possible
• Online Requesting• Instructors login to view available timeslots online and submit a
request• Staff reviews the request and approves or denies it into the
schedule
• Online Scheduling• Instructors login to view available timeslots and schedule classes• Staff rarely intervene
• A system to keep track of the individual users in a class. Also capable of administering pre and post tests as well as a course evaluation.
• Keep track of class attendance for instructors• Determine course effectiveness through pre and
post-tests • Collect evaluations of center facilities & staff• Generate training reports for users• Award skills module completion certificates• Store user contact information• Potential for CME/CEU’s
• Students browse a list of available courses and register for a specific timeslot
• Works well for institutions that have educators on staff or a few key department educators
• Difficulties arise when each class has its own educator from another department• Instructors need to schedule class with center staff• Each educator needs to send registration instructions to
students• Need to verify that all students pre-registered• Educators need to make sure students filled out post-test• Potential for varying delay between class and post-test• Provide technical support for users
Learning Management System
The LMS allows us to account for whom attended what course , when and which Department/s the participant is from.We are able to report center utilization of our center to BWH leadership by primarily by department.Our users have a individual profiles that track courses they attended at STRATUS, which they can access course materials pre & post. including post course quizzes, surveys and evaluations for that course.The system also has a library DB which provides course specific instructional videos, reading materials for a course.With an anticipated attendance list for an upcoming course We assign participants to a course and the LMS will automate reminders2 weeks,1 week and 1 day prior .Attendance is captured the day of a course for accurate reporting
Course summary Reporting
• By Department• Total # of courses• Course length• # of students in attendance per course• Total user hours• # of instructors & facilitators per course
• Students sign-in to their class at kiosks upon arrival• Works well in institutions that serve many different
departments with their own educators• Potential for integration into inventory management
systems • Requires additional time before classes• Need to have enough kiosks to avoid long line
formation in large classes• Staff and instructors need to remind students to sign-
in and out• Limited length of pre and post evaluations to avoid
lines
• Custom system developed in-house
• Touchscreen kiosks in every simulation room
• Quick and easy animated process
• Course specific pre and post tests
• RFID badge reader capable