February 21, 2019

Nursing Simulation Workshop Success

Multidisciplinary collaboration for increased patient safety and improved outcomes. VGH emergency and intensive care units are on the leading edge of patient care in the province, requiring nurses from these areas to be skilled clinicians to work in an unpredictable and complex environment. Providing optimal patient care requires continuous learning and mastering new technology as well as how to work well in dynamic team environments. REOBA (resuscitative endovascular balloon occlusion of the aorta) and targeted spinal cord perfusion pressures in acute traumatic spinal cord injuries are examples of the latest research and technology available to patients. REBOA is a balloon-tipped catheter device to save the “sickest of the sick” patients who are at risk of bleeding to death following

car accidents, stabbings and other injuries such as gunshot wounds (Retrieved 2019, Vancouver Sun). Spinal cord injuries (SCI) are devastating and increased mean arterial pressure goals are utilized to prevent further injury and to promote healing. These advancements in medicine and technology require these specialized nurses to be at the forefront of nursing. At the Canadian Critical Care Conference (CCCC) in Whistler on February 4th VGH educators from the ED and ICU, along with the VCH Simulation Program leads, facilitated an innovative workshop specifically designed for nurses, focused on crisis resource management (CRM) and principles of trauma care. The CCCC promotes excellence and addresses the challenge of providing appropriate care in the most effective and efficient manner to the critically ill patient. In a simulated environment, participants were split into small groups for first-hand experience with a trauma patient who they follow from his initial presentation in the emergency department to the icu following surgery. Emergency, trauma, and critical care concepts such as use of the REBOA, management of an acute traumatic spinal cord injury, and safety of intra-hospital transfers were discussed in debriefing sessions with multidisciplinary facilitators. The session closed with an expert panel discussion on establishing simulation programs; challenges, barriers, successes, future, and how to improve culture to be part of education practices. It provided practical and educational direction to help others get involved in a sustainable simulation program at their own sites and carry the principles of CRM into their work places.