Interprofessional Simulation Participant Handbook

Mission Statement

The mission of the Madisonville Community College Interprofessional Simulation Program is to involve multiple disciplines who work to provide quality healthcare simulation education that helps learners focus on the value of communication, teamwork, and collaboration.

Vision Statement

The MCC Interprofessional Simulation Program will be the leader in delivery of simulation in our rural community.

Core Values

Education
Collaboration
Quality
Creativity
Professionalism

The Basic Assumption™

We believe that everyone participating in activities at MCC ISP is intelligent, capable, cares about doing their best, and wants to improve. ©2004-2024 Center for Medical Simulation, Boston, Massachusetts. USA. All Rights Reserved - Used with permission.

Location Information

The Interprofessional Simulation Hospital at Baptist Health Madisonville is located on the fifth floor, east wing of Baptist Health Madisonville Hospital, 2000 Hospital Drive, Madisonville, KY 42431. Participants are to enter from the stair/employee elevator entrance between the Wound Care Unit and Sleep Lab Unit.

The Interprofessional Simulation Home is located adjacent to the Hatley Building on the Health Sciences Campus at 750 North Laffoon Street, Madisonville, KY 42431.

Hours of Operations: The MCC ISP operates between the hours of 8:00 am to 4:30 pm Monday through Friday. After-hours and weekend sessions must be approved in advance by the Simulation Director. The Simulation Director determines who is authorized to utilize the simulation facilities and equipment. If MCC is closed due to inclement weather, etc., any scheduled simulation activity will need to be rescheduled.

Simulation Center Terminology: The MCC ISP will use the Society for Simulation in Healthcare (SSH) Healthcare Simulation Dictionary

Strategic Plan 2021-2026

To increase innovative education to better prepare healthcare students and workers.
To enhance current evaluation methodologies to better support institutional outcomes.
To align simulation scenario objectives promoting enhanced clinical judgment and reasoning.
To better utilize simulation tools to capture inclusivity of diverse populations.
To increase student engagement by incorporating interprofessional simulation education activities across health care programs.

Standards

The MCC ISP strives to follow the standards of best practices identified by the International Association of Clinical Simulation in Nursing (INACSL Standards Committee, 2021). The standards address simulation design, outcomes and objectives, facilitation, debriefing, participant evaluation, professional integrity, simulation-enhanced interprofessional education and simulation terminology.

INACSL Standards Committee. (2021). Healthcare Simulation Standards of Best Practice®. Clinical Simulation in Nursing.

Accreditation

The MCC ISP strives to maintain the Core and Teaching/Education accreditation standards identified by the Society for Simulation in Healthcare.

The seven core standards include:

Mission & Governance
Program Management
Resource Management
Human Resources
Program Improvement
Integrity
Expanding the Field

Teaching/Education standards include:

Educational Activities
Educational Activity Design
Qualified Educators
Evaluation and Improvement (Society for Simulation in Healthcare, n.d.).

Society for Simulation in Healthcare, n.d., Society for Simulation in Healthcare. https://www.ssih.org/

The MCC Interprofessional Simulation Program provides a safe learning environment where MCC health science students, as well as hospital nurses and staff can participate in simulated healthcare experiences. The Simulation Program offers current and future health care professionals the opportunity to enhance critical thinking and teamwork skills by fully immersing them in a safe hospital and/or home environment. Simulation will allow these professionals to experience patient focused, real-life scenarios, developing hands-on skills, as well as enhancing communication and interprofessional collaboration.

MCC ISP Committee: The MCC ISP Committee consists of health science faculty members, the Simulation Operations Specialist/Lab Technicians, MCC ISP Director and Coordinators. The MCC ISP Committee meets quarterly. The purpose of the committee is to identify simulation and equipment needs, identify budget needs, promote faculty development in use of simulation for teaching and learning, plan and submit goals for the next academic year.

MCC ISP Coordinator: The MCC ISP has three Simulation Coordinators. These three Coordinators have assigned responsibilities including: Simulation Coordinator for the Simulation Home, Simulation Coordinator for Accreditation, Simulation Coordinator for Health Science Recruitment. The MCC ISP Coordinator works with participants within their assigned areas to ensure quality simulation activities.

MCC ISP Simulation Operations Specialist/Lab Technician: The MCC ISP Simulation Operations Specialist/Lab Technician ensures quality technical services are applied with all simulation activities. The Simulation Operations Specialist/Lab Technician reports directly to the Associate Dean of Health Sciences. The Simulation Operations Specialist/Lab Technician reports to the Simulation Director for simulation direction and support.

MCC ISP Director: The Simulation Director oversees the operations of the simulation program. The Simulation Director collaborates with all Simulation Coordinators and Simulation Operations Specialist/Lab Technician to ensure quality simulation activities are planned, developed and carried out, and are related to the mission and vision of the simulation program.

MCC Associate Dean of Health Sciences: The MCC Associate Dean oversees the MCC ISP activities in collaboration with the MCC ISP Director.

Decision Making Process: Decisions regarding the MCC ISP will be made by the Simulation Director with input from the Simulation Coordinator(s). The MCC ISP Committee has input for strategic planning of the simulation program. The committee will review the mission, vision and goals of each academic year in May.

Concerns and Complaints: A concern is an allegation of dissatisfaction, and a complaint is an injustice or wrong action. Concerns and/or complaints can be addressed by students, educators, and MCC ISP staff by verbal or written communication or through an evaluation process. When possible, any issue should be addressed with the individual source of concern. However, if a satisfactory resolution is not achieved, the next step will be to follow the chain of command identified in the organizational structure. The MCC ISP chain of command is as follows: MCC ISP staff, MCC ISP Coordinator, MCC ISP Director, MCC Associate Dean of Health Sciences. The Simulation Director will be notified of any concern or complaint. The MCC ISP Concern/Complaint Log will be completed. The MCC ISP Simulation Director will make every effort to appropriately address concerns and/or complaints. If concerns and/or complaints cannot be resolved with this process, the complaint procedure will follow the MCC grievance policy.

Administrative Information: Please refer to MCC ISP Organizational Chart

Support staff and contact tree: The Simulation Director or designee will notify the simulation coordinators and staff of any closure or emergency by phone/email/text.
Overtime policy: Refer to KCTCS Human Resources Policy.
Scope of work/description for each personnel classification: Refer to MCC ISP Job Descriptions.

Simulation Educator Training and Professional Development: New faculty must complete simulation orientation prior to facilitating simulation activities. All faculty teaching in the MCC ISP will complete simulation training provided by the program through the Simulation Training Series. The Simulation Training Series consists of the completion of two professional development sessions per academic year. Simulation training and professional development could include: equipment training, scenario building, simulation experts providing simulation training (debriefing, pre-briefing, lesson planning, etc.) on site or online, attendance at state and national conferences that include simulation topics, and local professional development included in the Simulation Training Sessions. All simulation educators are required to document simulation PD on the MCC ISP Training Series Documentation form each academic year. All new simulation educators and content experts who will be participating in simulation are required to complete the MCC ISP Simulation Orientation. The INACSL Standards of Best Practice will be utilized by all simulation educators.

Simulation Scenario/Activity Content: The MCC ISP utilizes a Simulation Lesson Plan template which follows the INACSL Standards of Best Practice. All faculty teaching in MCC ISP are oriented to the Simulation Lesson Plan template. The Simulation Director/Coordinators work directly with each faculty member to ensure course content meets best practices.

Simulation Technology: A Simulation Director/Coordinator/Simulation Operations Specialist/Lab Technician will be present for any simulation activities that require technical support.

Simulation Scenario/Activity Development Policy: All simulation educational activities are required to use the Simulation Lesson Plan template when planning simulation education. The Simulation Director/Coordinator will work with each simulation educator to develop, plan, and implement the simulation lesson plan and scenario.

Evaluation Policy: Participants will complete an evaluation survey after each simulation activity. The Simulation Director and simulation educator will review the evaluation data at the end of each semester for any needed changes. MCC students using the MCC ISP will also give feedback regarding simulations during specific course evaluations. Faculty peer evaluations will be completed at a minimum of one time per academic year. Faculty peer and student evaluations will be anonymous and reported as aggregate data and will be used for simulation education improvements. The Simulation Director will evaluate simulation coordinators, simulation educators, and simulation staff yearly in May using the Simulation educator/Staff Evaluation form, feedback obtained through participant evaluations, course evaluations, and peer review.

Equipment Utilization: The MCC ISP Director/Coordinators/Operations Specialist ensures the simulation facilities are secured when not in use. Simulation equipment utilization requires the users to adhere to the following protocol.

No food or beverages are allowed around the simulation equipment.
No writing instruments (Markers, Pens, Pencils, etc.) containing ink are allowed in the simulation rooms under any circumstances.
All simulation equipment will be stored in the appropriate area after use.
Simulation equipment loaned for simulation use will be logged out and in on the simulation equipment log.
Any audiovisual equipment used in the simulation program will be shut off when leaving for the day.
The simulators will be cleaned after each use and all supplies discarded or correctly stored.

Faculty Travel: The Simulation staff who travel on behalf of the MCC ISP, will be reimbursed based on the MCC Travel Policy.

Preparation: Simulation participants must complete all pre-simulation assignments prior to participating in the simulation, as appropriate. For MCC students, program specific attendance policies will apply. Participants who are unable to attend the simulation session must contact the specific simulation educator for further instruction. All participants will be oriented to the simulation environment during a scheduled orientation experience and/or during the pre-briefing process which is a part of the Simulation Lesson Plan Template.

Code of Conduct: All MCC Students will follow the KCTCS Code of Student Conduct. Additionally, all users of the Simulation Program will follow the SSH Code of Ethics and are subject to the following user policies:

All participants are to exercise the highest level of professionalism, integrity, ethics, objectivity and mutual respect in their behaviors and relationships.
Any participant/faculty/student may be asked to leave the simulation activity if inappropriate conduct is determined by the Simulation Director/Simulation Coordinator/Simulation Operations Specialist/Lab Technician/Lab Technician or simulation educator.
The Simulation Program is not responsible for lost or stolen items.
Dress Code – Simulation staff and faculty are expected to present a professional appearance. Participants are expected to wear appropriate attire for their department or organization and for the simulation event. MCC students attending the Simulation Hospital are expected to dress in required clinical attire. A student/employee ID badge is always required.
Electronics – All electronics including cell phones, iPads, notebooks, cameras, camera phones, and video recorders are prohibited during simulation sessions. The only exception is the use of devices acceptable in the clinical setting for research and documentation. The use of the computers in the simulation area is restricted to assigned course work and not for personal use.

Confidentiality: In order to preserve the realism of the scenarios used in the simulation program and to provide an equitable learning experience for each participant, all student participants are required to sign the Policy and Procedure Confidentiality and Video Recording and Photo Release Agreement via an electronic attestation. The electronic attestation agreements will be maintained by the course simulation educator until program completion. Confidentiality is listed on the lesson plan and reviewed during pre-brief. The simulation scenarios are embedded in realism with simulated patient scenarios. Participants are expected to uphold all requirements of the Health Insurance Portability and Accountability Act (HIPAA), Family Education Rights and Privacy Act (FERPA), and any other federal or state laws requiring confidentiality. Participants should report any violations to the Simulation Director.

Harassment/Discrimination: The MCC ISP will follow the MCC Harassment/Discrimination Policy.

Physical Safety: The MCC ISP is committed to ensuring a safe learning environment. All participants will abide by the following guidelines:

Participants will practice safe body mechanics when lifting and repositioning simulation equipment and/or standardized patients. Participants should not lift another learner or simulator without assistance.
The wheels of all equipment (beds, wheelchairs, etc.) are to be locked during practice and after use.
Participants will not sit on the beds, stretchers or wheelchairs unless directed to do so by the Simulation Director/Simulation Coordinator/Simulation Operations Specialist/Lab Technician/Lab Technician.
Accidents and injuries should follow each institution’s policy for reporting. The appropriate documentation for any accident or injury will be completed within 24 hours.
Participants will not use the defibrillator/external pacer without the direct supervision of the Simulation Director/Simulation Coordinator/Simulation Operations Specialist/Lab Technician/Lab Technician.
Participants will report any physical limitations as required by their specific program/facility prior to the simulation experience. The participant must follow the Accommodations Policy of the institution.
Participants will be asked by the faculty member to remove any simulation items from their pockets before leaving.
The MCC ISP is not a latex free environment. It is the responsibility of all users to alert the Program staff regarding any latex allergies. Every effort will be made to use latex-free equipment/supplies, if possible, with a known latex allergy. All users are required to self-disclose any latex sensitivity or allergies and carry the necessary emergency equipment with them.

Psychological Safety: The MCC ISP is committed to ensuring a psychologically safe and engaging learning environment. Psychological Safety is addressed during pre-briefing and debriefing. Students are made aware that they can call a ‘time-out’ at any time during the simulation for any events that may cause a threat to their psychological safety. If needed, MCC students have access to a free online platform to assist a distressed student/participant seeking psychological treatment.

Video and Photo Confidentiality Release: Video recording is not routinely used during MCC ISP activities. When video recording is utilized for educational purposes, learners are informed during simulation orientation and pre-briefing. All participants, including those actively participating and observing, are required to complete a Policy and Procedure, Confidentiality and Video Recording and Photo Release Agreement through an electronic or paper attestation prior to participation in simulation activities. Learners who do not consent to video recording are not recorded and alternative arrangements are made to ensure participation without compromising learning or psychological safety.

When video recording occurs, recordings are maintained on a password-protected site. Access to recordings is restricted to authorized simulation staff only, specifically the Simulation Director and Simulation Operations Specialist/Lab Technician/Lab Technician. Recordings are used solely for educational purposes within the simulation facility and are not distributed externally.

The Simulation Home is equipped with a laptop and computer monitor for a MS Teams streaming audiovisual from simulation room to the simulation conference room for viewing of the simulation.

The Simulation Operations Specialist/Lab Technician is responsible for managing and deleting simulation recordings following use. Recordings are deleted after each simulation session when applicable, and the Simulation Director ensures that all recordings are permanently deleted within 30 days.

Records and Data Retention: The MCC ISP maintains proper records and data retention in accordance with institutional policies and accreditation standards. Common forms of data collected in the simulation program include participant evaluations, faculty and staff evaluations, and administrative data regarding simulation activities. Evaluations related to simulation activities and simulation staff (Simulation Director and Simulation Operations Specialist/Lab Technician/Lab Technician) are collected anonymously, and results are retained on the electronic survey platform. Simulation Educator Peer evaluation results are accessible solely to the Simulation Director and the clinical simulation educator involved. At the end of the academic year, the Simulation Director sends simulation staff and educators a survey monkey link to complete the Simulation Director and Simulation Operations Specialist/Lab Technician. Additionally, the Simulation Director completes an evaluation on each simulation educator each academic year.

Medical: In the event of a medical emergency at the Simulation Hospital, a simulation staff member would call the hospital operator by dialing “O” on a telephone located at the simulation hospital. The hospital operator would initiate a Campus Response to the simulation hospital. Documentation would be completed through Baptist Health protocol for a campus response. In the event of a medical emergency at the Simulation Home, the simulation staff would call “911” for an ambulance. If the medical emergency (at either location) was the result of an injury of a student/MCC staff, the MCC injury incident form would be completed within 24 hours.

Non-Medical: In the event of a non-medical emergency at the Simulation Hospital, a simulation staff member would call the hospital operator by dialing “O” on a telephone located at the Simulation Hospital. The simulation staff would report the emergency, and the hospital operator would initiate an overhead call for the emergency. Documentation for the emergency would be completed through Baptist Health protocol for an emergency. In the event of a non-medical emergency at the simulation home, the simulation staff would call “911” to report the emergency. If a student/MCC staff were injured (at either location) due to the emergency, the MCC injury incident form would be completed within 24 hours. An AED is located in the Hatley Building at the Health Campus next to the simulation home.

Identification Badges: All simulation staff, students, and any participants are required to have a photo identification badge worn while present at any simulation facility.

Latex Allergies: Simulation materials/simulators may contain latex. It is the responsibility of the simulation participant to notify the Simulation Director/Simulation Coordinator/Course Simulation educator of a latex allergy. The Simulation Director/Simulation Coordinator/Course Simulation educator will work with the user to determine if an alternate activity/product can be used. Latex free gloves will be provided to any participant with a known latex allergy.

Needle Stick Policy: No invasive procedures will be allowed at the MCC ISP sites. Sharps will be handled safely and disposed of properly. In the event of a needle stick injury, the participant will notify the Simulation Director/Coordinator/Simulation educator and follow the specific institution's policy and MCC’s policy for injuries within 24 hours.

Safety and Security of Simulation Equipment and Supplies: Simulation equipment and supplies are kept separate from patient care equipment and supplies and are locked in the MCC Nursing Program supply storage area on the MCC Health Campus Hatley Building and in the Simulation Hospital storage area. All simulation equipment and supplies are labeled “for simulation training/education use only”. No actual patient care medications are kept at the Simulation Hospital or Simulation Home. The simulation program does not use actual patient information at any time. Used vials and needles are discarded in the sharps container.

Biohazardous Material:

Authorization for Use: The Simulation Hospital will follow the policy of Baptist Health Deaconess Madisonville for handling of Biohazardous materials. The Baptist Health Deaconess Madisonville Environmental Services Department are responsible for cleaning and disinfecting simulation rooms at the Simulation Hospital. The Simulation Home will be cleaned by the MCC cleaning agency. At no time will any MCC ISP staff handle biohazard materials without appropriate training.
Preparation: Biohazardous Materials will not be used by the MCC ISP staff. If a room needs cleaning, the appropriate staff will contact the Baptist Health Deaconess Madisonville Environmental Services Department. Sharps used in the MCC ISP will be placed in the sharps containers located in the simulation rooms. The Environmental Services Department of the hospital will empty the sharps containers in simulation rooms, as required.
Removal: If a sharps container becomes filled above the fill line, the MCC ISP staff will notify the hospital Environmental Services Department for them to be emptied. Participants will dispose of gowns, masks, gloves, etc. (if not reusable) in trash containers located in the MCC ISP facilities.
Cleaning: Cleaning of simulation equipment, simulators and supplies will be completed by the simulation staff. The cleaning process is limited to soap, water, alcohol, and Goo Gone.

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