@SocraticEM now discussing "Looking in the mirror - COVID19 and change for healthcare simulation" at #NZASH2020

#NZASH2020

We need to turn the mirror back on ourselves - debrief on where we have been, and how we go forward as a simulation community @SocraticEM #NZASH2020

@SocraticEM discusses their simulated emergency department and 'identifying and transmitting culture' #NZASH2020

What has the pandemic said about us, as a simulation community? 1. We are vigorous problem solvers - we have stepped up and tried to solve the #COVID19 systems issues

Socially-distanced debriefs and simulated PPE were used in #COVID19 scenarios @SocraticEM #NZASH2020

The importance of evaluation of new innovations is emphasised by @SocraticEM - such as using in-situ sim to trial the 'intubation box' proposed to decrease aerosols during intubation #NZASH2020

2. Simulationists are connected and responsive to our healthcare needs - we need to work together, avoid silos, gather all our learnings together so that all simulated information can inform clinical practice @SocraticEM #NZASH2020

This was the time for translation simulation to shine!
Sim to explore
Sim to test
Sim to embed
Testing new guidelines - not just work as imagined, but work as done
@SocraticEM #NZASH2020

We also need to sit back and reflect - we need to ensure that we simulate the simple logistics, such as moving #COVID19 patients around the hospital, the so-called 'boring' simulations, not just cardiac arrests and intubations @SocraticEM #NZASH2020

3. The simulation community are good at cross-discipline collaboration. We can step out of our silos/our tribes - and involve multiple experts from multiple fields - infection control particularly important through #COVID19 @SocraticEM #NZASH2020

A great talk from @SocraticEM "Timing, Tribes and STEMIs" at https://intensivecarenetwork.com/brazil-victoria-timing-tribes-and-stemis/

Excellent thoughts on how we portray our colleagues in simulation - important to ensure that we respect and not create caricatures of different specialities @SocraticEM #NZASH2020

Psychological and cultural safety remain paramount - we must set the tone through the cultural messages that we deliver as simulation faculty - who we invite into a simulation matters @SocraticEM #NZASH2020

4. The simulation community is prepared to try stuff - we have found that we can do certain things during #COVID19 online/asynchronously - to maximise our time in-person @SocraticEM #NZASH2020

5. Our reflective habits extend beyond simulation - we can take our simulation debriefing skills and apply them to clinical debriefing. @SocraticEM #NZASH2020

6. We value our team - the pandemic has made us reflect on who we are, the ethics of our practice, how we see and respect each other roles @SocraticEM #NZASH2020

7. We like to share - webinars and online sessions have made the world a whole lot smaller, so that we can maintain and develop our community of practice, without the need for travel @SocraticEM #NZASH2020

Where to from here? We need to pause and reflect - the simulation community has gone from being defined by the 'how' - the technology - and we have now translated this to 'why' we do things. What is the purpose of simulation? @SocraticEM #NZASH2020

Thoughts about how we engage healthcare consumers in simulation - not only 'protecting' them when they observe simulation in the clinical environment, but also ensuring that we understand their experiences as the end-users of healthcare @InSituSteph @SocraticEM #NZASH2020

@SocraticEM discusses @j_stokesparish work on eye-tracking to measure engagement - technology is rapidly advancing in this field #NZASH2020

@InSituSteph @SocraticEM link to managing healthcare consumer engagement during in-situ simulation #NZASH2020 https://icenetblog.royalcollege.ca/2020/06/30/4-tips-to-safely-manage-healthcare-consumer-engagement-during-insitu-simulation/

Do not underestimate the amount of #COVID19 anxiety people bring to simulation - we must set the right tone as faculty - remain calm and provide support - "walk the walk" @SocraticEM #NZASH2020

Personal and psychological safety highly linked during #COVID19 simulation - we must ensure that we allow people to speak up in a psychologically safe debrief, to discuss risk to personal safety (such as PPE breaches) #NZASH2020

As in-situ simulation continues to develop we must recognize that teams bring their psychological safety (or lack-of) with them to the session. @SocraticEM #NZASH2020