AFTER SIMULATION DAY & SETTING-UP A FOLLOW-UP...
The simulation day is over but the relationship is just blossoming. Keep in mind that the site will be eager to get a response from your team as soon as possible. Once the simulation sessions are over please upload the data (data collection sheets, CTS tool, EMSC pedsready.org survey PDF, sign-in sheet, notes, videos) on our data collecting platform at: https://yalesurvey.ca1.qualtrics.com/jfe/form/SV_d6UTmoppphESYG9 within two days of the simulation session. You can expect a detailed report in a Power-Point presentation form within 2 weeks. This report will include performance spider-grams, site metrics, action plans, report on teamwork and communication, and a comparison of the site with 30 different hospitals. Please plan for an in-person or teleconference follow-up meeting 2 weeks after the simulation day and include (cc Marc Auerbach, Ambika Bhatnagar and Caitlin McVaney) our team in the chain of emails. Ask for department leadership, pediatric champion, and the medical director to be present at the meeting.
Two weeks after the simulation session is the post-session report-out meeting. This meeting should last about 60 minutes. This is a very exciting time for a discussion of the hospital performance and action items for the department with the goal to improve knowledge, staff awareness, and pediatric outcomes. During this meeting the detailed Powerpoint of the site report-out is to be reviewed. This should take about 30-45 minutes. Please allow for the remaining time to answer questions, along with discussing specific methods to improve the siteʼs overall case scores. For example, one site scored poorly on fluid administration during the sepsis case. Staff placed the fluid on a pump running at 999ml/hr with only 160-200cc ever reaching the patient by the end of the case. As an action item, we suggested a staff competency on the push-pull method using a 3-way stopcock and 60cc syringe. In the meeting we discussed ways to employ this action item, so all staff gets trained on the proper way to deliver fluids in critical situations. Another example included difficulty with medication calculations and delivery. As an action item we suggested a creation of a pediatric medication code book that provides appropriate weight based doses in milligrams and milliliters, to reduce any calculations and medication errors. Additional outgoing communications (from HUB to community ED) will be scheduled at 2 months and 4 months using conference call or on-site visit. The discussions will include updates on implementation of action items, any difficulties encountered or educational needs identified. Finally, at 6 months after the simulation, a follow-up in person meeting should be scheduled during which the pediatric readiness survey will be repeated. (Community Liaison that helped in completing the PRS at time 0 should be the same person that will help in completing PRS at 6 months)