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February 2, 2017
Director's Corner
Neurology InterprofessionalSimulation PilotAnnouncements
CVAT Training
Task Assistance InterprofessionalSimulationsSociety for Simulation inHealthcare Research SummitSPOONS Training Sims
SimConnect Journal Club &Lecture SeriesGardendale Multispecialty ClinicMock Exam RoomFriday Night in the E.R.SimulationsCut Suit Simulator
OIPS Team Member Highlight
Director's CornerMarjorie Lee White, MD, MPPM,MA
PAST -- PRESENT -- FUTURE
I've been reflecting on the past keeping inmind that the past is often reflective of thepresent and may be predictive of the future.We've made so much progress in ourmission -- and we've lots more to do.Please see our annual report for details ofour most recent past. I'd particularly pointout our thank you list!
NeurologyInterprofessionalSimulation PilotJohn Rinker, MD, Wolfgang Muhlhofer, MD& Amy Amara, MD
We've turned to the present and hit theground running at OIPS with recordnumbers of current and future partnersattending facilitator development courses,multiple new requests for new courses andpartnerships throughout the UABenterprise. Please reach out if you'd like tobe part of this effort.
Your OIPS team is committed to stayingup-to-date with best practices for integratingsimulation across the healthcare spectrum.With that in mind, our team recentlyattended the Society for Simulation inHealthcare's International Meeting onSimulation in Healthcare (IMSH) January28-February 1. We represented UAB bypresenting posters, workshops, panels andinnovation sessions, and we brought backkey lessons learned. You'll hear more aboutthis next month.
We are also doing planning for the future.We've identified top priorities as we movetowards integrating simulation intoeverything we do. Please let us know howwe can collaborate with you.
Medical students rotating through their third-yearneurology clerkship month will soon have theopportunity to participate in simulation modules toapply their neurologic examination, communication,and clinical reasoning skills. On January 9th, theDepartment of Neurology partnered with OIPS andsenior student volunteers from the School of Nursing topilot a new simulation module. Amy Amara, MD, PhDand Wolfgang Muhlhofer, MD are the neurology facultywho have collaborated with OIPS educators to developthis simulation experience. In addition to fosteringcommunication skills between physicians and nurses,the exercise aims to focus students' attention on animportant aspect of neurological care: recognizing andreacting to an abrupt change in neurological function.Students who participated appreciated the 'live patient'interaction, and students and module leaders bothlearned from this introduction of simulation to theneurology clerkship. Plans are now in place to refineand expand the neurology-focused modules andincorporate them into the clerkship curriculum on aregular basis.
Announcements
Congratulations to Charlie Prince! Charlie has beenelected to serve on the Alabama Modeling and SimulationCouncil's Board of Directors.
We would also like to congratulate April Belle, JessicaEllison, Jessica Cisco, Elizabeth Norris, Andres Viles,
Emily Vance, Angela Shapshak, and Marjorie Lee White for being a runner up in the InpatientQuality Education section of National Healthcare Quality Week this past November (2016).
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Comprehensive Vascular Access Team (CVAT)Training
Heather Jones, RN & Brittany Lindsey, MPA, LSSGB
The newly formed Comprehensive Vascular Access Team (CVAT) iscollaborating with the OIPS procedural simulation team to create on-boarding andmaintenance training for specialized vascular access procedures at UAB. Thistraining program will be implemented starting in early February and will includeinterprofessional learners and facilitators. More information about the CVAT teamand their role at UAB is coming soon. Thank you to Brittany Lindsey, Dr. KierstinKennedy, Heather Jones, Nancy West, Denise Ennis, and Lisa Bagby forcontributing your time and expertise.
Task Assistance Interprofessional SimulationsTodd Peterson, MD
On January 23 and 24, the School of Medicine andSchool of Nursing partnered with OIPS to hold asimulation experience at the Volker Hall SimulationSandbox. The Task Assistance simulations consisted ofover 250 medical and nursing students. Learnersparticipated in scenarios that allowed them to practice theTeamSTEPPS principal of "task assistance" in orderto assess, diagnose, and treat the simulated patient.Each simulation experience lasted an hour and allowedparticipants to focus on clinical principles of cardiacdysrhythmia management while practicing "taskassistance." Both nursing and medical students had rave
reviews for the experience. Comments included, "I really liked working with the nursing students;""This was a great opportunity to apply what we're learning in the cardiac module to a real lifesituation;" "I really liked the focus of the entire team working together to take care of the patient." Wewould like to say thank you to the following faculty members who helped to lead this successfulevent: Harish Doppalapudi, Adam Robinett, Joanna Joly, Chris Roth, Rayan Saab, Greg Payne,April Belle, Tracie White, Kelley Catron, Melanie Hallman, Andres Viles, Penni Watts, DanaMitchell, and Lacey Wise.
Society of Simulation in Healthcare ResearchSummitShilpa Register, OD, PhD, MS
Marjorie Lee White and Shilpa J. Register attended the 2nd Annual SSH Research Summit inOrlando, which kicked off with a keynote speech focusing on the role of patients and patientperspectives in the planning, development, and implementation of effective simulations.Then, weentered into 10 panel presentations and discussions on various aspects of research. Of note, therewere two panels focused on assessment that highlighted (1) the importance of rater training andscore validity, and (2) protocol development and assessment design based on research goals. Otherpanels discussed the impact of simulation research in patient safety, QI, technology utilization, andkey performance and business indicators. UAB/Children's of Alabama's contributions with INSPIREand the SimRegistry were highlighted as part of the importance of interprofessional collaborations anddata archiving to reduce silos. We enjoyed networking with renowned researchers and leaders insimulation and learned of potential opportunities while sharing UAB's continued impact on simulation.
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SPOONS Training SimsDavid James, DNP, RN-BC, CCNS & Andres Viles, MSN, RN
We all know the value of a healthy diet. In addition, good, nutritional meals provide an invaluable socializingopportunity. Just think about how many of your greatestmemories with friends and family involve a shared meal.However, for some hospitalized patients, meals often aremissed or go unfinished. Patients with dementia orphysical handicaps may take 2-3 times longer to finish ameal. In order to help busy staff address this need, UABhas implemented a feeding assistance program -SPOONS. The SPOONS program is a volunteerprogram that aims to ensure vulnerable hospitalizedpatients enjoy all the benefits of a meal. These volunteersprovide socialization, cognitive stimulation, and feeding assistance for at risk patients. Thesevolunteers are able to spend the extra time needed to coach patients into taking that "next bite" orfinishing off that bowl of soup. Traditionally, SPOONS volunteers were trained on the unit. However, it is often difficult to coordinateschedules to ensure volunteers are validated feeding actual patients. To address this challenge,SPOONS coordinators partnered with OIPS to provide simulation training for our SPOONSvolunteers. After reviewing a brief presentation and discussing key points of the feeding assistanceprotocol, volunteers were able to simulate feeding a patient. Meal trays were provided by dietary,and volunteers were able to demonstrate key aspects of the protocol such as hand hygiene, AIDET,and meal coaching. Plus/delta debriefing highlighted key lessons learned for their next patientencounter. The pilot session took place on January 26, 2017 and included student volunteers fromthe UAB School of Health Professions, College of Arts and Sciences, and a Virginia College nursingstudent. Adult volunteers from the UAB community also participated in the training. The program wasa great success and will serve as a model for future volunteer training sessions. If you knowsomeone who would be interested in being involved with this program please reach out [email protected] or [email protected].
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SimConnect Journal Club & Lecture SeriesShilpa Register, OD, PhD, MS
To finish off 2016 and ring in 2017, we decided torestructure our SimConnect series to model thetranslational science progression from bench to bedside.Utlizing McGaghie's article, "Medical EducationResearch as Translational Science," we have adopted atiered structure for each module of SimConnect. Our hopeis to follow quality research through this progression in theworld of simulation. Every 3-4 months, SimConnect willhave a specific theme based on the types of medicalsimulation education interventions with a culminatingkeynote speaker or event. T1 focuses on interventionscompleted in the simulation lab; T2 focuses on
interventions in clinic and bedside; and T3 focuses on interventions in clinic and the community.February-April 2017 will focus on T2 simulation interventions and feature Kelley Catron, LaurelHitchcock and Shawn Galin with a SimConnect reception hosting special guest, Dr. Eduardo Salason May 24. Please save these dates on your calendar to learn, share and network with simulationfriends and family. For SimConnect dates and more information, please visit our SimConnectwebsite.
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Gardendale Multispecialty Clinic Mock ExamRoom
Brad Bertke
On December 20, the Office of InterprofessionalSimulation hosted a mock exam room open house for thenew multispecialty clinic space coming to Gardendalelater this year. The purpose of this project was to gatherfeedback from various specialty providers and patientson the configuration/size/layout of an exam room todetermine if the room will be appropriate for multi-specialty use. In addition to feedback on the layout of theroom, we also gathered information on potential equipmentor supplies that would be necessary for certainspecialties to operate. The exam room mock-up featuredcabinetry, a mobile supply cart,a patient bed providedby MidMark, and a mobile workstation provided byLogiquip. Participants from varying professions and specialties attended the open house to givefeedback, including three standardized patients and two members of the UAB Patient and FamilyAdvisory Council to give special insight from a patient's perspective. Specialties involved includecardiology, neurology, GI, OB/GYN, and orthopedics. Valuable information regarding patient-providerinteraction, the logistics involved in rotating several specialties, and equipment preferences werecollected and will be considered in the construction and planning of the new Medical Office Buildingfor Gardendale.
Learning Through "Friday Night in the ER"Randa Hall, MBA, MSHA
During the spring semester, students enrolled in theMaster of Science in Health Administration (MSHA)Program participated in the "Friday Night in the ER"simulation as the first component of their OperationsManagement and Process Improvement course. Theinstructors, Randa Hall and Dr. Nancy Dunlap, hoped byparticipating in this simulation that the students wouldgain a better understanding of the complexities of runninga hospital and to understand how systems thinking playsa role in the operations of every healthcareorganization. Read more...
For more information about using "Friday Night in the ER" please email [email protected].
Human Worn Partial Task Surgical Simulator - Cut SuitBen Whitaker, Clinical Simulation Specialist
Recently, our Clinical Simulation Specialists had theopportunity to participate in a two-day training for theHuman Worn Partial Task Surgical Simulator. i.e., the CutSuit. A representative from our vendor, StrategicOperations, provided the training on how to use thesimulator. The suit is designed to safely allow medicalproviders the opportunity to perform simulated emergencyprocedures while interacting with a standardized patientwearing the suit. The 35 lb suit fits most adults andallows the actor to walk, run, jump, climb, and drivevehicles. One interesting fact about the suit is that it was created with military applications in mind. It
enables the user to do things like wear uniforms, body armor, and even manipulate firearms.
Beneath the silicone skin, the cut suit's interchangeable organs allow the operator or subject matterexpert to create custom wounds. The suit is equipped with a blood pumping system and bloodpacks to provide realism to scenarios such as an arterial hemorrhage or when inserting a chest tube.A few other examples of the cut suit's procedural capabilities include:
Surgical airway ricothyroidotomyNeedle decompression thoracentesisOrgan hemorrhage controlIntra-thoracic and intra-abdominal explorationLaparotomy
One of the greatest benefits of the cut suit is that all the components are repairable. Any cuts madeto the tissues can be fixed and restored for future events. Having the ability to restore and reuse thetissues is advantageous as it allows for the conservation of both money and resources. If you areinterested in learning more about the potential use of the Surgical Cut Suit in your simulationcurriculum, please contact us at [email protected].
OIPS Team Member Highlight - Ambiir GrayAmbiir Gray is an Office Services Specialist with theOffice of Interprofessional Simulation. She is originallyfrom Montgomery, Alabama, and she recently graduatedfrom the University of Alabama at Birmingham witha Bachelor of Science in Public Health with aconcentration in Public Health PreparednessManagement and a Bachelor of Arts in African AmericanStudies. Ambiir is also a Certified BACCHUS PeerEducator, and she is currently applying to graduateschools to start working toward her Master's in PublicHealth in hopes to one day own a consulting firm and anon-profit. She enjoys sewing, collecting music, movies,
cooking/baking, reading, and traveling, and her favorite food is Mexican. The last book she readwas "The Coming Plague: Newly Emerging Diseases in a World Out of Balance" by Laurie Garrett,and she is looking forward to starting "Between the World and Me" by Ta-Nehisi Coates. Ambiir'snext vacation will be to New Orleans with her family, including one sister who is currently attendingUAB. She can be found on LinkedIn and Facebook.
Important Dates for Simulation Community and/or Facilitator Development
February 6, 2017 SimShare
February 16, 2017 Sim 2
February 22, 2017 SimConnect
March 2, 2017 Sim 1
March 4, 2017 MOCA Course
March 7, 2017 DASH© Series
March 22, 2017 Advanced Debriefing
March 23, 2017 Sim 2
March 29, 2017 SimConnect
For Facilitator Development Opportunities visithttps://www.uab.edu/simulation/development-opportunities
Top Rows (left to right): Andres Viles (Simulation Coordinator Senior), Brandon Smith (ClinicalSimulation Specialist), Lisa Bagby (Director of Procedural Simulations), Ben Whitaker (Clinical
Simulation Specialist), April Belle (Director of In Situ Simulations), Kelly Markham (AdministrativeAssociate), Betty Farley (Program Director III), Brian Mezzell (Program Administrator II), Brad Bertke(Program Coordinator I), David Mathews (Clinical Simulation Equipment Technician), Erin Blanchard
(Simulation Educator Senior), Marjorie Lee White (Director)
Seated (left to right): Tyler Burks (Manager - Clinical Simulation Operations - Audio Visual), AmandaGargus (Clinical Simulation Specialist), Shilpa Register (Director of Research), Dawn TaylorPeterson (Director, Faculty Development & Training), Charlie Prince (Director of Operations)
For more information, please visit us on the web
at http://www.uab.edu/simulation
