What We Changed

RN Residency Program Mock Codes: Within the RN resident program for newly licensed registered nurses, we enhanced simulation to teach reflective communication skills. These enable clinicians to disseminate information for learning opportunities and professional team development, and to decompress after stressful events. Teaching through simulation with the Plus Delta techniques, nurses are asked to reflect about “What went well?”  “What is one thing you would change/incorporate next time?” to assist with the communication process. This empowers the nurses to take a proactive approach to support and learn from each other. As one participant said: “I like the idea of being able to take a few minutes to talk my thoughts out, so I do not worry if I did the right thing for the patient.”

 

Yearly Mass Casualty Drill:

The high volume of visitors and phone calls to the hospital after the Pulse tragedy showed us we needed more support and guidelines in place within our waiting rooms and triage protocols to support family, friends and phone calls in the immediate aftermath of the event. 

During the mass casualty drill, Orlando Health Orlando Regional Medical Center (ORMC) was assigned a minimum of 20 standardized participants to portray anxious family members seeking their loved ones. They entered ORMC similar to the family members during the Pulse event. This gave the support teams an opportunity to practice.

 

Medical Surgical Course:

Simulation has been added to this curriculum and includes teaching the use of software downtime paperwork and interactions with the patient’s family members. These interactions include when and how to ask the patient for permission to talk about their health care in the presence of others. 

 

Life Support Services:

Incorporated mid-fidelity simulators into the advanced life-support courses. The team developed a “Foundations to Simulation” workshop specifically for the instructors teaching the advanced adult and pediatric life support courses. 

 

Weekly ED mock trauma alerts as well as monthly simulation with our local EMS partners now have increased respect and participation. There is notable compliance with and enhanced positive attitude toward these drills, and an increased awareness of learning through simulation versus the use of a standard manikin.