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Table 2 Method, objective, and examples of intake requests

From: COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada

Method

Objective(s)

Sample of intake requests

Table top exercises

• Surge planning

• Bed capacity allocation

• Assess a hospital’s emergency response operational plan related to current bed capacity and pandemic surge planning phases 1 through 4.

• Align organizational pandemic policies with current local current state resources to bridge expectations of front line staff and pandemic policy makers.

Process walk-through/environmental scan with debriefing

• Identify LSTs, new workflows, new processes, using a systems approach to debriefing

• Determine new processes for a COVID stroke patient from CT (computed tomography) scan to emergency intubation to angiography.

• Determine workflow process from the emergency room triage through to an isolation room for a team COVID-19 intubation process.

• Determine the environmental layout and associated workflows, including LSTs when ventilating two patients in one Intensive Care Unit room (new processes, staffing ratios), testing of IT-related issues and central alarm bank.

• Determining new and unique processes and educational needs within indigenous health centers and communities to ensure safety of vulnerable populations and ensuring preparedness.

Rapid cycle simulation and debriefing

• Training small groups of interprofessional teams in rapid cycle simulation training and debriefing (once processes are established). Most often 20-min simulations followed by 20-min debriefings.

• Apply new processes of patient flow from triage to isolation room including intubation, safe PPE processes for all emergency departments in Calgary over 2 days (4 adult sites).a

• Apply COVID-19 medical management to a complex medical scenario.

  1. aApproximately 250 interprofessional team members per site (including physicians, nurses, respiratory therapists, infection prevention and control (IPAC) staff, environmental services, clinical leaders, and other non-clinical team members such as protective services)