Crozer-Keystone Launches Institute for Clinical Education, Innovation and Safety
The “old way” of teaching medical and surgical skills was to “see one, do one, teach one” on actual patients. Now, providing hands-on training via simulation in a safe, educational environment is considered to be the best way to learn the high-risk and sometimes low-frequency skills that physicians, nurses, paramedics and other healthcare providers perform.
The new Institute for Clinical Education, Simulation, Innovation and Safety (ICESIS) at Crozer-Chester Medical Center allows Crozer professionals to provide education with state-of-the-art, interactive equipment, including patient simulator mannequins that can help users learn about a variety of patient care scenarios.
ICESIS, which is located in the 1 East wing at Crozer, consists of several classrooms and work areas. Physicians, nurses, paramedics, respiratory therapists, patient care technicians and a number of other healthcare professionals can practice real-life clinical scenarios with the help the patient simulator mannequins - Sim Man, Sim Baby and TraumaMan.
“Medical simulation is dramatically transforming the way medicine, especially medical procedures, are taught and it is clearly displacing the long held paradigm of learning on the patient,” says Christopher Stenberg, M.B. Ch.B., FAAP, chair of Pediatrics and ICESIS.
Stenberg continues that medicine has come late to simulation. Airlines have used simulation for decades to teach, to train, to test and to certify competency. A pilot is not allowed into the cockpit until he or she demonstrates competency in the simulator including dealing with various unexpected and uncommon emergencies. In medicine, the military saw the value of simulation first for training medics, young individuals usually just out of high school who needed to be competent when faced with battlefield causalities. With simulation they could learn and practice inserting an airway, an IV, a chest tube or other procedures. And they could be tested after learning to be sure that they were effective. As a result of their initiative simulation has become the standard in teaching hospitals.
“We have designed the lab to resemble a small-scale hospital setting. We have areas for lecture, individual skills training, and breakout rooms that will mimic rooms on med/surg, pediatrics, emergency department, operating room and other clinical settings,” says Fran Hildwine, administrative director of Crozer EMSTI and ICESIS.
Sim Man is a high-fidelity, computer-controlled mannequin designed to simulate virtually any type of clinical experience. Sim Man is used for advanced life support (ALS) courses and has a pulse at all the usual pulse points (carotid, radial and femoral). He has blood pressures and respirations, Electrocardiography (ECG) waves and can take a live defibrillator shock. The Sim Man has an IV arm for venous canulation and an anatomically correct airway for endotracheal intubation. When a user asks Sim Man what’s wrong, he is equipped with a variety of vocal responses to provide information to determine what needs to be done.
Sim Baby replicates a several month old infant and is used in pediatric advanced life support courses (PALS). Trauma Man is used to teach advanced trauma life support (ATLS) to physicians, allowing the physician or resident to practice trauma surgical procedures such as tube thoracostomy, Cricothyrotomy, pericardial centesis and diagnostic peritoneal lavage (DPL).
ICESIS is made up of members from anesthesia, emergency department, EMS, medicine, nursing, OB/GYN, pediatrics, surgery and trauma and will be the new location for CPR, ACLS, PALS, PHTLS, ATLS, TEAM and Childbirth Education.
In addition to the ATLS, Ultrasound and DMEP courses held this year, Jankowski has incorporated the Trauma Evaluation and Management (TEAM) course into the educational curriculum of all incoming house staff that will ultimately rotate on the trauma service. This course serves as an introduction to trauma patient assessment and management for multidisciplinary team members and all of our graduate medical education residency programs and medical students.
“The goal of establishing ICESIS here at Crozer is to provide a rich clinical educational experience to not only our staff, but the staff of the entire Crozer –Keystone system and any outside medical personnel. Through simulation we hope to eliminate the low frequency, high risk and problem prone situations and improve the care and the ultimate outcome of our patients. In addition to providing many educational courses, we will soon be able to simulate unforeseen situations in the operating room, perform mock trauma resuscitations, and provide our house staff the hands-on opportunity to practice surgical procedures before doing it on a real patient,” says Marcin A. Jankowski, D.O., FACOS, trauma surgeon at Crozer and co-chair of ICESIS.
“The use of simulation has enormous impact upon the safe delivery of medical care for patients. The old adage “see one, do one, teach one” has been replaced with “see one, do many,” Stenberg says.
To learn more about these courses or to register, visit the ICESIS website on www.crozerkeystone.org.