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Participant Briefing

Trauma Course Scenarios

 

  • Setting

You will be asked to care for patients within a small Emergency Department / Clinic or in the community. You will be working in your usual role and can ask for clarification of situations or call for assistance if you feel it is appropriate.

Medical assistance may be requested by phoning the operator and asking for an ambulance or other medical help or by activating the emergency bell in the room.

To the best of our ability, the situations will reflect real practice situations and no intentional traps will be engineered to mislead you.

 

  • Interdisciplinary Teams

Each scenario may have other healthcare staff present who are also actively involved in the learning experience. They will interact with you as they would in real life and are not intending to mislead or thwart you. Staff will assist you if you are looking for equipment, drugs or to send or get items like bandages, stretchers etc.

 

  • Contract of Simulation

You are asked to enter into a contract of simulation during the cases: we will try to create a relevant and realistic scenario and we ask you to behave as you would in your usual role in these situations. There are accepted limitations to the simulated situations but include these as part of the environment. Try to treat the patient as you would a real patient, and interact with the team as if this were a real situation. Don’t do anything or omit anything because this is a simulation.

 

  • Orientation

You will be given an opportunity to orientate to the areas and to ask questions. Again,  the Emergency Department, Clinic and community areas are designed to provide a fully functioning working environment. The defibrillator is ‘live’. You will be orientated to this and other equipment during the introduction period.

 

  • Medication Administration

A wide range of medications will be available in the clinical areas. Additional medications are in the Pharmacy and can be sent for if requested. There are IV Fluids, IV giving sets, infusion pumps, fluid warming systems and pressure bags.

 

  • Vascular Access

The patient may have a working IV line in situ when you arrive. Any lines (intravenous, arterial or central) that you feel appropriate can be inserted. They must be inserted in a simulated manner, including the appropriate preparation, insertion and securing – please do not take short cuts.

 

  • Blood Samples

Venous or arterial blood samples may be taken in the usual manner. These can be sent to the Laboratory for analysis upon request.

 

  • Fluid Administration

Any fluid you wish to give must be actually administered in the appropriate volume and time. Pressure bags will be available to increase infusion rates.

 

  • Extra Equipment

You may request any additional equipment. We may not always be able to supply this, but you should not make this assumption. Ask anyway.

 

  • Debriefing

Following each scenario, you will be able to discuss it with an experienced instructor. During these debriefings all participants including observers will be expected to participate actively in discussions.

 

  • Confidentiality

A two-way confidentiality agreement must be signed prior to your participation in the cases, ensuring that no information about the case details, or about your own actions in the cases, will go outside the group.

 

 

Dr Jane Torrie FANZCA

Director, Simulation Centre for Patient Safety

University of Auckland

 


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