
What is it?
Practicing critical care resuscitations in our usual work environment, with our usual equipment, with our usual team. This helps us improve our Crisis Resource Management skills, identifies latent safety threats and helps problem solve system issues.
Through In-Situ Simulation, we
“Learn by doing, Reflect on the experience & Implement in the future”
Experiential learning is more effective in imprinting than didactic or online learning. The learner interacts with the environment, and basically does the action rather than the teacher. This doing is just the first part of the learning process. Next, reflecting on what happened helps to identify key learning points and encourages experimentation in the future to apply what we’ve learned. All of this sharpens our reflection skills to implement on-the-go.

Why do sim? What are we trying to accomplish?
Just like professional athletes need to practice, the simulation sessions will serve that purpose for us
- Improve our collective performance in all kinds of challenging resuscitations,
- Help our staff become more comfortable with the environment they work in and the staff they work with,
- Gain exposure to rare but critical scenarios that require extraordinary effort from the whole team
- Train staff to enhance their skills in Crisis Resource Management
- Leadership, communication, situational awareness, resource utilization, problem solving
- Discover Quality Improvement needs and implement solutions in 3 domains:
1. Healthcare team
2. Equipment
3. System
- To practice fundamental principles and reaffirm lessons from quality of care & critical incident review meetings.
- In other words, a safe place where we learn from our mistakes, near misses and poor outcomes.
- SIM SAVES LIVES (Josey et al. Resucitation, Sept 2018)
How we do Sim ?
We lead monthly in-situ simulation sessions at the Peel Memorial Urgent Care Centre on the 2nd Wednesday of each month from 0730 to 1100.
Participants are asked to sign up for their preferred dates.
Each Sim Session has:
1 RT
3 RNs
2 MDs
In each sim session we got through 2 cases, each is followed by a video debrief session. The video debrief has been a valuable source of feedback for many practitioners.
Each session is facilitated by a Simulation Instructor / Debriefer that has been certified by the OslerSim Program.
