Simulation Exchange Volume 9, Issue 1

simulation exchange - your source for v h a simulation news

2018 VOLUME 9, ISSUE 1

In This Issue:


Training Catalog 

The VHA SimLEARN National Simulation Center has a variety of courses available throughout the year. Please check often for any upcoming courses on the SimLEARN course catalog

For more information, visit www.simlearn.va.gov or send us an e-mail.

u s department of veterans affairs veterans health administration

SimLEARN dedicates innovation room in memory of past VHA leader

Jesse

(Left to right) Mary Fakes, Dr. Janice Jesse, Mary Peterson, Dr. Haru Okuda, and Dr. Lygia Arcaro stand in front of the plaque for the Dr. Robert L. Jesse Innovation Room in the lobby of the VHA SimLEARN National Simulation Center. (VA photo by J.D. Johnson)

By Gerald Sonnenberg
EES Marketing and Communication

ORLANDO, Fla. – On Feb. 21, staff at the VHA SimLEARN National Simulation Center held a special room dedication ceremony in honor of the late Principal Deputy Under Secretary for Health Dr. Robert L. Jesse, who passed away Sept. 2, 2017. Dr. Jesse was an advocate for the development of a national simulation-based training program and the building of the National Simulation Center. In attendance for the Dr. Robert L. Jesse Innovation Room ceremony was his wife Dr. Janice Jesse, and Dr. Jesse’s sister Mary Peterson, as well as leaders from the Orlando VA Medical Center (OVAMC).  

Dr. Haru Okuda, SimLEARN national medical director and Patient Care Services acting deputy chief patient care services officer, opened the event, and Dr. Carolyn Clancy, VHA executive in charge, offered her remembrances via teleconference of Dr. Jesse’s long and distinctive career with VA as a physician and advocate for America’s Veterans.  

The room was then dedicated and a plaque unveiled by Dr. Okuda; Dr. Lygia Arcaro, SimLEARN nursing program director, Office of Nursing Services; and Mary Fakes, acting deputy chief learning officer, Employee Education System. This was followed by a benediction by Chaplain Marvin Luckie, OVAMC supervisory chaplain, and special remarks by Mary Fakes, which closed the ceremony.  

The plaque reads in part, “Dr. Robert L. Jesse, M.D., Ph.D., was a visionary leader within VHA. One of his greatest legacies as a leader was his ability to encourage others to reach their potential. He ensured others were recognized and received credit for their efforts, though he never sought accolades … Upon appointment to the position of VA Principal Deputy Under Secretary for Health on July 4, 2010, he continued to advocate and support the SimLEARN National Simulation Program. The 51,000 sq. ft. National Simulation Center was completed in September 2016. The Robert L. Jesse Innovation Room is dedicated to Dr. Jesse in memory of his passion, vision, leadership and dedication to our Nation’s Veterans.”

A full image of the plaque is available here.

SimLEARN fiscal year in review; A look back

OOORAM

By Gerald Sonnenberg
EES Marketing and Communication

ORLANDO, Fla. – The VHA SimLEARN National Simulation Center (NSC) officially opened its new facility next to the Orlando VA Medical Center (VAMC) in September 2016 with the overall purpose of improving the care of our Veterans by providing top notch training to VA providers and clinicians. By the end of fiscal year 2017, staff at the 51,000-square-foot, high-technology advance training center provided training and simulation orientation to more than 3,400 learners and visitors. Staff also conducted more than 60 immersive, simulation-based training courses.

SimLEARN’s influence reached beyond its walls to VAMCs around the country resulting in an increase of 17 VHA SimLEARN Certified Simulation Centers; including 2 advanced, 7 intermediate, and 8 basic simulation centers. Staff at these facilities are able to provide simulation training to their local staff once they have obtained the necessary training from the NSC. In addition, Resuscitation Education Initiative (REdI) staff in Orlando implemented Resuscitation Quality Improvement training at 41 VAMCs to support maintenance of competence of advanced cardiovascular life support (ACLS) and basic life support (BLS) skills. REdI staff also provided HeartCode BLS and voice assisted mannequin (VAM) training to 107,972 providers and staff throughout the nation, as well as ACLS and VAM training to another 21,418 VHA providers.

For the rest of the story, click here.


Seats available for training courses in 2018

SimLEARN surgery

By Gerald Sonnenberg
EES Marketing and Communication

ORLANDO, Fla. – A variety of simulation training courses at the VHA SimLEARN National Simulation Center (NSC) are now available. These courses include:

Introduction to Clinical Simulation Instructor

The available dates for this two-day course are June 12, July 10 and Aug. 7. 

Simulation, Technology, Operations, Maintenance, and Practices (STOMP)

The available dates for this three-day course are June 19, July 17 and Aug. 28.

Musculoskeletal (MSK) Clinician Training

The available dates for this two-day course are April 24, July 24, Aug. 21 and Sept. 5.

Fundamental Critical Care Support (FCCS) Training

The available dates for this two-and-a-half day course are April 3 and 17, May 8, June 5, July 17 and 31, and Aug. 14.

Simulations for Clinical Excellence in Nursing Services (SCENS)

The available dates for this four-day course are May 21, June 18, July 23, and Aug. 13 and 27. 

Trauma Nursing Core Course (TNCC)

The available dates for this two-and-a-half-day course are June 12, July 10, and Aug. 7. 

For details about the courses and how to register, click here.


Simulation used to prepare staff for autonomic dysreflexia

Dysreflexia

By Yvonne Lin-Chen, RN, MN 
and Anisa Young, BSN, MN, MS, AGCNS-BC, CNRN, CRRN
Nurse Educators/Simulation Lab
VA Puget Sound Health Care System

SEATTLE - Autonomic dysreflexia (AD) is a syndrome that affects an individual with spinal cord injuries at the sixth thoracic (T6) vertebral level or higher. Most AD cases can be treated and prevented if the individual or caregiving team is aware of this syndrome, recognizes the symptoms, understands the causes and implements a treatment algorithm in a timely manner. If untreated, it can become a life-threatening medical emergency with uncontrolled hypertension, as well as lead to severe complications such as seizures, myocardial infarction, cerebral hemorrhage and death.

The Spinal Cord Injury (SCI) unit at the VA Puget Sound Health Care System hosts an annual AD competency fair. In 2017, the unit incorporated simulation into the AD competency fair to achieve the following goals: promptly promote nursing driven AD protocol; orient new hire nurses, which includes new graduate nurses, as well as non-SCI experienced nurses to SCI specific AD management; and create a venue to promote teamwork among new hires and existing staff.

For the rest of the story, click here.

In this image, the “patient” is experiencing an autonomic dysreflexia episode. The caregiving team recognized it and carried out a nursing driven AD protocol such as sitting the patient upright, checking the bladder and bowel and removing restricted clothing. (Pictured left to right) Zenit Kebede, nursing assistant; and registered nurses Dhanwant Kaur, Yasmiene Shemdin and Kouassi Assie. (VA photo by Yvonne Lin-Chen)


Poverty simulation designed to help staff better understand everyday struggles

homeless

By Laura Conklin, MSN, RN, CHSE
VA Connecticut Healthcare System

WEST HAVEN, Conn. Recently, the VA Connecticut Healthcare System hosted its third annual poverty simulation, “A Day in the Boots of a Hero.” This interactive, inter-professional simulation was a collaborative education endeavor between VA Connecticut and Fairfield University with the objective to increase awareness and sensitivity for our Veteran population living in poverty. 

According to the United States Census Bureau (2014), the official poverty rate was 14.8 percent; more than 46 million people are living in poverty. Living in poverty can affect not only access to health care, it can also create barriers to making health care a priority. As Majerol (2017), stated, “Cost can pose a barrier to factors that allow people to live a healthy lifestyle such as accessing health care and healthy food. Moreover, people with low socioeconomic status are more likely to live in areas with higher concentrations of air pollution. Poverty can cause cumulative disadvantages that can negatively impact health.”

For the rest of the story, click here.


How lessons learned as violinist helped SimLEARN medical director develop simulation-based training for clinicians

Okuda

By Bill Outlaw
Communications Manager
VHA Office of Patient Care Services

ORLANDO, Fla. – As a child growing up in the Alexandria, Virginia area, Haru Okuda, MD, loved playing the violin. Starting at age seven with the Suzuki Method, he learned early that practice makes perfect. As he developed skills as a violinist, eventually becoming Concertmaster for the Brown University Orchestra, Dr. Okuda realized a concurrent passion in the field of medicine. 

His interest in medicine was sparked early in high school, while attending the Thomas Jefferson High School of Science and Technology. Coming from a long family history of physicians, Dr. Okuda knew one day he would have to decide between music and a career in medicine. He chose the medical career path, but realized early on in medical school and his residency that something was wrong with the traditional paradigm of how physicians and health care teams were trained.

For the rest of the story, click here.  


VHA nurses make presentations at international conference

presentations

By Debra A. Bartoshevich, MSN, RN, CEN
Simulation Center Director
Audie L. Murphy VA Hospital

LOS ANGELES – Nurses Bonnie Haupt, DNP, CHSE, CNL, RN , and Debra Bartoshevich, MSN, RN, CEN, from the Audie L. Murphy Memorial VA Hospital in San Antonio presented at the International Meeting for Simulation in Healthcare (IMSH) 2018. IMSH is the world's largest conference for health care simulation educators, researchers and practitioners and was held Jan. 13-17 in Los Angeles. The Audie L. Murphy Memorial VA Hospital is part of the South Texas Veterans Health Care System.

Both of the submitted abstracts, “Infection Prevention using TeamSTEPPS,” and “Where’s the Brief?; Designing IPE Simulation with the TeamSTEPPS Frameworks,” were accepted for presentation at the Rapid-Fire sessions Jan. 15.

For the rest of the story, click here.  

(Left to right) Bonnie Haupt, DNP, CHSE, CNL, RN, and Debra Bartoshevich, MSN, RN, CEN, pose for a selfie at IMSH. (VA courtesy photo)


SimLEARN staff welcome visitors

visitors

ORLANDO, Fla. -  On Jan. 6, the Orlando VA Medical Center hosted U.S. Congressional Representative Stephanie Murphy, from Florida district 7, and Michigan District 1 Representative Jack Bergman. Part of their visit involved a tour and demonstration at the VHA SimLEARN National Simulation Center.

Bergman is a retired U.S. Marine Corps lieutenant general, and he is on the House Veterans Affairs Committee (HVAC). Murphy is a freshman representative on the Defense and National Security committees. 

SimLEARN staff provided presentations and a simulation exercise.

In this image, Representative Murphy (front left) and Representative Bergman (far right) are provided a demonstration of some of the capabilities of simulation by Dr. Haru Okuda (center), SimLEARN national medical director, while Mary Fakes, (back left) EES acting deputy chief learning officer, looks on. (VA photo by Michael Strickler)