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Mobile SimVan Making paediatric simulation based learning accessible to rural and remote Victoria
Denielle BeardmoreRN. MaEd, Grad Dip Ed & T, Grad Dip Adv Clinical Nursing Oncology Palliative Care,
B.Health Sci, Dip Project M’Ment, Cert IV TAADirector of Nursing – Education and Practice
DevelopmentBallarat Health Services
Project Lead for Grampians SLE
Peter TimmsRN, BaNsing, Grad Cert T.Ed, Grad Cert Paeds,
Cert IV TAA, Paediatric/ Simulation Nurse Educator
Ballarat Health Services
Duncan McNeilBSc Hon
Director Cartesian Creative
Background Context - Features of the Grampians Region
The Context of Our Regional Workforce• 3,500 Nurses, 410 Medical Practitioners, 756 Allied and Oral health professionals employed in the region• Majority work in the public health system• Average age of an RN is 47 y.o• Average of a Midwife is 52 y.o• Nursing placement days from our two major universities in the region in 2010=17,762 projected in 2013= 31,807 • A 79.1% growth, 43.9% of this growth will occur in Ballarat, 56% in the rest of the region
3
Regional Paediatric Context Ballarat Health Services (BHS) is the sole paediatric referral
centre servicing the Grampians Region BHS’s Paediatric and Adolescent Unit is a general, acute
care unit comprising 14 inpatient and 6 day procedure beds
The Unit admits approx 220 pts per month (2640 annually)The closest tertiary service is 1 hour and 15 minutes away
Average length of stay is approx 3 days Approximately 30% of these admissions originate from
regional referrals
4
Methods/Design• Taking simulation to the people• Benchmark prior experience/design: Flinders
University/NHS Scotland• On-board vehicle simlab vs local environment
simlab• Ensure equality of accessibility, online booking
system• Simulation education for regional based
clinical educators. “First Steps”
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SimVan.org.auSimulation can afford opportunities of exposure to paediatric clinical situations
Encourage high standard of accountability
Performance consistent with values
Repeat and rehearse in a safe environment
Safeguard patient / client safety
Requires alignment of national developments with regulation
Build capability in staff
Innovation in delivery modality demands innovative use of technology
ResultsWhy develop “Control Room”
• Mobile simulation demands mobile A/V capture/playback
• Current technology is designed primarily for fixed/embedded applications
• Adapting currently available A/V technology to a mobile environment is problematic
• A clean sheet approach was adopted to solve these inherent problems
Results Advantages of “Control Room”
• Simplicity and portability• Uses unique, bespoke software• Secure WiFi communication• Allows for Multi camera, real time editing• Snapshot & note taking facility• Enables rapid record/playback
Limitations• 30000 square mile region serviced by one
SimVan• Bookings outstripping availability• Inherent with the style of delivery comes
time spent travelling• “Control room” prototype continues to be
developed/refined. Production version not yet available
ConclusionsSimulation based learning can work effectively in a mobile environment
SimVan brings a new learning experience to rural/remote clinicians which was previously inaccessible to them
All key components of immersive Sim learning can be packaged in a mobile format
There is a need to expand this type of service
A questions for group
Question 1 In taking simulation out of the controlled environment of the Simlab and skewing its delivery to best suit the context of the participants, is it inevitable that some of the integrity of simulation learning philosophy is lost?
References
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• Flinders University, 2012. Personal conversations, notation taken.
• Department of Health, 2013. Grampians statics for early childhood and population, Melbourne. (website accessed 12/3/2013).
• NHS Education for Scotland, 2011. Scottish Simulation Centre, Clinical Skills Managed Educational Network, UK. (Accessed February 2012).