SimPad Operations for Advanced Cardiac Life Support

Category: Education

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SimPad Operations:

SimPad Operations J.M. Pollock Training Specialist / Simulation Technician

Starting the Simulation::

Starting the Simulation: Turn on the Sim Pad: Press button on top right of device Options: Manual mode Automatic mode Log viewer Simstore System settings Select “Automatic m ode” Manual Manual Automatic

Connecting to Link Box::

Connecting to Link Box: Select Link Box: Can connect to multiple link boxes W ill only operate one Link Box at a time Defaults automatically if linked to a previous Link Box Automatically connects if default Link Box within range Select desired Link Box for operation of ALS Manikin Run without Link Box: Utilized for SimPad training Select “Run without Link Box”

Automatic Mode Starting::

Automatic Mode Starting: Appears after: Automatic Mode selected Grey status bar indicates progress “Manual Mode Starting” will appear if Manual M ode selected

Selecting Scenario Category::

Selecting Scenario Category: LS = Learning Station Categories: AHA MegaCode Bradycardia PEA & Asystole Tachycardia VF& Pulseless VT (PVT) Putting it all Together (not pictured) Selection of a general category will expand for training scenario selection Last scenario used will display at bottom of screen Select scenario c ategory

Selecting Training Scenario::

Selecting Training Scenario: Naming convention: Page ( Pg ) in AHA Instructor manual Condition Scenario location: IH – In Hospital OOH – Out of Hospital Number of scenarios on AHA instructor manual page: 1 – top of page 2 – bottom of page

Training Scenario Instructional Flow::

Training Scenario Instructional Flow: Categories: Scenario Outline Learner Brief Learning Objectives Equipment Checklist Mandatory fields for review: Scenario Outline Learner Brief Optional fields for review: Learning Objectives Equipment Checklist Review prior to starting event Individually select category

Scenario Outline: Instructor Information:

Scenario Outline: Instructor Information Describes the scenario: Background information Additional information Brief description of the patient physiology changes through scenario Scroll down for more information in this field

Scenario Outline: Algorithm Review & Learning Objective Questions:

Scenario Outline: Algorithm Review & Learning Objective Questions Review algorithm for learning station Standard questions based on scenario learning objectives Answers to questions provided Multiple learning stations have the same questions: Instructor responsible for asking the questions prior to commencing scenario Select Learner Brief

Learner Brief::

Learner Brief: Read to student prior to commencing scenario Two Options: Select “Learning Objectives” to review Select “Start” to begin scenario

Learning Objectives::

Learning Objectives: Individual objectives per scenario Included in Algorithm Review & Learning Objective Questions “Equipment Checklist” fields empty Select “Start”

Session Information::

Session Information: Fields of information: Name session (auto filled) Instructor Participant 1 - ? Input the instructor name: Touch the empty space next to “Instructor”

Add Instructor::

Add Instructor: Onscreen keyboard will appear Input name: “OK” will illuminate when text entered Select “OK”

Add participant::

Add participant: Input the Participants name: Touch the empty space next to “Participants” Onscreen keyboard will appear Input name: “OK” will illuminate when text entered Select “OK” Repeat for total number of participants

Start Scenario::

Start Scenario: After Instructor and Participants are entered. Select “OK"

Display Fields::

Display Fields: Header Bar and Physiology Scenario P rogression Tabs Learner Actions/Interventions Log Annotations

Header Bar & Physiology::

Header Bar & Physiology: Header: Menu button Wifi indicator Manikin power (if connected) SimPad Power Current Physiology: Rhythm Vital Signs Text: Name of programmed field Information for Instructor W/O Manikin W/ Manikin

Scenario Progression Tabs::

Scenario Progression Tabs: Read Left to right with scenario progression Indicate the general physiology or steps in the identification and management: Brady / Atropine / TCP Asystole / H&T / ROSC Consistent with AHA guidance Last three Tabs in all scenarios are: Team Leader Skills Physiology Review Doses & Details

Learner Actions/Interventions::

Learner Actions/Interventions: Learner Actions/Interventions: Steps in identification and management process May be selected in a chronologic or non-chronologic sequence Selected action disappears from screen and is recorded in event log Exceptions: Physiology Review Doses & Details Action / Intervention Selected

Log Annotations::

Log Annotations: Indicates recorded events: Learner actions selected Automatic events detected by ALS Manikin Time calculated from start of current scenario Selecting the keyboard icon allows manual input of time stamped notes Viewable in scenario log

Physiology Changes::

Physiology Changes: Indicated by dark grey arrow shading inside of learner actions/interventions selection Automatically progresses the physiology to the next stage: If all learner actions/interventions are selected, current Scenario Progression Tab will disappear If learner does not perform an action/intervention, manually select the appropriate physiology tab for scenario progression

What Ifs?:

What Ifs? Learner does not perform a mandatory step to progress physiology? Learning station / Putting it all together: Pause for instruction or utilize during debrief as appropriate AHA Megacode : Annotated on log, utilize during debrief Learner performs an action outside of AHA algorithm? Utilize onscreen keyboard (bottom right hand corner) to create a time stamped log entry. Utilize during debrief

Pacing / Defibrillation / Cardioversion::

Pacing / Defibrillation / Cardioversion : Scenario specific Pacing: Auto detected by ALS Manikin (unless failure to capture) Detected at 80mA HR will not display on SimPad Monitor will indicate paced rhythm Defibrilation / Cardioversion : Auto detected by ALS Manikin Energy level recorded in log Physiology change in accordance with scenario selected Manual push available in learner actions/interventions menu

Reversible Causes::

Reversible Causes: H&T’s: H’s on top T’s on the bottom (not pictured) Disappear from screen when selected Intended for use as a checklist while learner is completing algorithm

Team Leader Skills::

Team Leader Skills: Scenario specific Disappear when selected Selected after scenario completion prior to debrief of learner Utilize during debrief

Physiology Review::

Physiology Review: Scenario specific physiology changes Labeled by heart rhythm Utilized for debrief Linked together for non-linear selection of physiology state

Doses & Details::

Doses & Details: Reference for instructors: Doses Routes Precautions Remains visible after selection Number in lower right corner indicates item was selected Annotates in log for debrief

Pausing or Ending a Scenario::

Pausing or Ending a Scenario: To Pause or End a scenario, select the “Menu” button located top left of screen Screen will display: Preferences Start CPR Demo Patient monitor Pause scenario End scenario “Pause scenario” will be replaced by “Resume scenario” To end, select “End scenario”

Ending Scenario::

Ending Scenario: View Log: “Log Viewer” screen will appear Grey status bar indicates progress Resume session: Second chance to resume New session: Will return to the Scenario Category screen Quit: Will return to the main start screen

Log Viewer::

Log Viewer: Appears after: “View Log” selected Grey status bar

Log Viewer::

Log Viewer: Simple Log View: Detailed Log View (slide black square at top of screen):

Exiting Log Viewer::

Exiting Log Viewer: Select “Menu” to: View the current log again Select a different log Quit to main screen


Summary Basic operations of the SimPad Takes practice Questions or comments

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