Poster Discussion Abstracts
Aims & Objectives:
Acute events in critical care are high risk, low frequency incidents requiring technical proficiency, non-technical skills and coordination of individuals, teams and systems to optimize outcomes and minimize preventable harm. Our objective was to establish a sustainable, in-situ, team training program, creating a safe practice environment improve acute event management.
Initial efforts focused on neutralizing previous failure modes for in-situ simulation, proof of concept and return on investment. Untapped resources were identified and the rebranded program’s (Immersive Reality-IR) vision and mission were aligned with departmental priorities. A cadre of inter-professional, unit-based staff received simulation training through the SickKids Learning Institute. IR sessions (3 hours, 1–2 scenarios) were developed and debriefed by our facilitators. All processes and systems required in real life are utilized within the simulations. Key learning points are widely disseminated monthly in a SWOT framework. (Figure 1)
Since March 2017, 23 unit-based facilitators have run IR sessions. Thirty-nine unique scenarios were tested, ranging from patient evacuation due to fire, to ECPR including air entrainment, to inter-hospital transport of a critically ill neonate. Participants have included 124 nurses, 28 RTs, 29 ICU fellows and 10 staff ICU physicians in addition to patient support, surgical, transport and emergency services. Evaluations confirm a high degree of satisfaction, engagement and learning amongst participants. (Table 1)
By allowing real teams ICU providers to practice within their everyday roles, spaces and systems, IR provides a realistic, safe environment to master skills, refine critical decision making, identify latent safety threats and assess equipment and systems.