SIMULATION SURVEY RESULTS

“Simulation at Nationwide Children’s Hospital exists to promote safety and quality on the Journey to Best Outcomes by creating learning curricula and safe learning environments for staff to test new processes and enhance skills, including communication skills, amongst interdisciplinary teams and outside of touching patients. The impact of simulations with this team directly contributed to the safe start-up of two premier services at Nationwide Children’s in 2022, the Fetal Medicine Program and the Total Pancreatectomy with Islet Auto Transplantation) TPIAT program. Use of simulation during the planning stages for both programs, including use of a new Labor & Delivery Patient Simulator, definitively helped the clinical teams identify processes and communication pathways before Nationwide Children’s did our first cases. Nationwide Children’s is fortunate to have the expertise and dedication of our SIM team staff, under the leadership of director, Cheryl Camacho, and medical directors Tensing

Janet Berry

The simulation center and simulation team at Nationwide Children’s are invaluable resources for teaching our trainees. From hands-on skills training for procedures to simulation curricula in the center focusing on (for example) deteriorating patients, communication skills, and breaking bad news to in-situ simulations to practice acute resuscitation skills, the simulation center offers a wide breadth of simulation resources. I feel privileged to work with this group of engaged, enthusiastic, organized and innovative people! I come to them every few months with an idea for a new session or curriculum and they “hit the ground running” with planning and coordination without batting an eye.

The Simulation Center is vital to our multi-disciplinary clinical team’s ability to learn, prepare and practice in a realistic and safe setting. In preparation for a recent fetal intervention, the entire fetal team from anesthesia to surgeons, to obstetricians to the front-line nursing staff were able to simulate anticipated processes and procedures as well as experience unexpected situations using high-fidelity equipment. Simulation in clinical teams results in more effective communication and coordination among the members of the team, which is key to ensuring safe and reliable outcomes for our patients in high-risk situations.

Claire Stewart

MD, Pediatric Intensivist, Associate Program Director, Pediatric Critical Care Fellowship Program

Lee Ann Wallace

MBA, BSN, RN, NEA-BC, Senior Vice President Patient Care Services and Chief Nursing Officer

for Clinical Excellence

The Fetal Center expansion at Nationwide Children’s Hospital introduced adult obstetric inpatients to a pediatric facility. To successfully add fetal intervention and Cesarean Section services for pregnant patients with complex babies, hands-on experience was crucial. Over five months, we conducted 27 interdisciplinary simulations with team members from various units, involving a total of 420 learners. In-situ simulation provided necessary training and process development. Based on debriefings, the team made changes to equipment, space design, communication, processes and medical management. The collaboration between the Fetal Unit and Simulation Program continues, focusing on maintaining clinical skills, developing new procedures and promoting teamwork.

Micky Johnson

MHA, RNMS, RN, C-EFM Director, Fetal Services