Table 1 Area-specific simulations
Opening date | Area | Theme of scenarios | Number of scenarios completed/participants |
|---|---|---|---|
August 2012 | Clinical support services (FM&E, housekeeping, supply, administration, lab, clinical engineering, protection services) | First simulations were done incorporating those outside clinical services using an advanced first responder/Code Blue event. No clinical support 911 response required. Most departments had limited first aide responders only | 7 days/14 sessions 124 participants |
September 2012 May 2013 | Emergency disaster management | Code Green (evacuation), Code Red (fire)/loss of power, Code White (aggressive patient), Code Yellow (missing Marvin Site response) | 1 session—65 participants 1 session—59 participants 1session—44 participants 1 session—68 participants |
|  | Diagnostic imaging Magnetic resonance imaging | Anaphylaxis due to contrast injection Code Blue events in MRI and CT area requiring a 911 response to site Way finding becomes a major issue - collaborations for EMS crews with protection services as a key player | 3 days—6 Sessions 42 participants 1session—34 participants |
|  | Neuro outpatient clinics/rehab | Seizure | 5 days—10 sessions 68 participants |
January 2013 | Emergency department | Trauma, acute coronary syndrome requiring transfer to catheterization lab at another hospital, precipitous birth, pediatric asthma attack | 3 days multiple concurrent sessions—48 sessions 240 participants |
February 2013 | Intensive care unit (ICU) | Code Blue response all units, Code 66 – medical emergency team, anaphylaxis in a public area, transfer to operating room | Multiple days concurrent with orientation—24 sessions 96 participants |
April 2013 | Medical inpatient units and outpatient clinics | Code Blue | Multiple days concurrent with orientation—138 sessions 690 participants |
|  | Operating rooms (OR) Post-anesthetic care | Code Blue, malignant hyperthermia, trauma, transfer from ED to OR to ICU | 4 days—12 sessions 144 participants 2 days—6 sessions 19 participants |
July 2103 | Pediatric outpatient clinics | Seizure, asthma | 2 sessions—28 participants |
September 2103 | Family maternal practice (FMP) Neonatal intensive care unit (NICU) Women’s Clinic | Vaginal birth with vacuum/forceps, cord prolapse with transfer to OR, post-partum hemorrhage, neonatal resuscitation, maternal code | 12 days—multiple concurrent sessions— 108 sessions 282 participants |
July 2014 | Cardiac intensive care unit (CICU) | Acute coronary syndrome, Code Blue, extreme bradycardia requiring pacing, synchronized cardioversion | 1 day—4 sessions/16 participants |