CENTRUL DE SIMULĂRI ȘI ABILITĂȚI PRACTICE
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1 CENTRUL DE SIMULĂRI ȘI ABILITĂȚI PRACTICE
2 INIȚIERE Clădirea 24 fosta bibliotecă Aprilie proiect Martie 2013 construcție și dotare Fonduri proprii + proiecte
3 LOCAȚIE Clădire: suprafață desfășurată de 797 m 2-3 nivele Parter și etaj: 4 săli de simulare, 8 compartimente pentru pacient standardizat, sală curs, 2 săli pentru pregătire Zone de așteptare, încăperi auxiliare Subsol: zone auxiliare (vestiar, administrativ)
4 DEPARTAMENTE BASIC SKILLS MEDICAL SIMULATION PACIENT STANDARDIZAT
5 SCOP Simulări pentru proceduri medicale (invazive și neinvazive) Pregătirea studenților prin utilizarea conceptului Pacientului Standardizat Cursuri pentru grupe reduse (40 studenți) Evaluarea aptitudinilor practice ale studenților Simulări avansate folosind simulatorul de pacient (HPS- human patient simulator) Evaluarea activităților didactice
6 GRUP ȚINTĂ Studenți: medicină generală asistență medicală generală și moașe Medici rezidenți
7 DOTARE 23 tipuri simulatoare de proceduri medicale Basic skills 1 simulator avansat HPS - Medical simulation 1 simulator pediatric Medical simulation Dotare pentru simulare tip Pacient Standardizat Software educațional pentru simulare Learning Space Infrastructură, IT, multimedia aferente
8 Simulatoare de bază (Basic skills) Denumire Buc. An de studiu MG Simulator sondă nutriție 1 3 Simulator sondă uretro-vezicală 1 4 Simulator injecție intraosoasă copil 3 5 Simulator puncție arterială 2 5 Simulator drenaj toracic 1 5 Simulator acces venos 3 3 Simulator injectare (i.m., s.c., i.d.) 7 5 Simulator injecție cap copil 1 5 Simulator canulare venoasă centrală 1 5 Simulator sutură 1 4 Simulator auscultație 1 3 Simulator bandajare 1 3 Simulator presiune sanguină 1 3 Simulator cricotiroidotomie 1 4 Simulator traheostomie 3 3 Simulator palpare tumori mamare 1 3 Simulator examinare rectală 1 4
9 SIMULARE MEDICALĂ AVANSATĂ (MEDICAL SIMULATION) HPS human patient simulator - adult SimBaby - copil
10
11 Cardiovascular Acute ventricular failure: both Acute ventricular failure: left Acute ventricular failure: right Anxiety / pain / stress BP: hypertension BP: hypotension Cardiac tamponade Chronic hypertension Heart rate: bradycardia Heart rate: tachycardia Idiopathic hypotension Patient stability Ventricular failure: both Ventricular failure: left Ventricular failure: right Obstetric Amniotic fluid embolism Epidural analgesia Pulmonary aspiration Supine hypotension syndrome Obstetrics venous air embolism Pre-eclampsia Hemorrhage Hemorrhage: Blood Hemorrhage: Plasma Neurologic ICP Elevation Temperature: Blood Temperature: Body Respiratory Acidosis Alkalosis Apnea Bradypnea Chest Wall Dynamics CO2: Acute Hypercapnea CO2: Hypercapnea CO2: Hypocapnea COPD / Emphysema Desaturation I to E Ratio Intrapleural Volume Tachypnea Tension Pneumothorax Tension Pneumothorax - Left Tension Pneumothorax - Right Anesthesia Aortic Cross Clamping Anaphylaxis in Awake Patient Cannot Intubate, Cannot Ventilate Cardiac Tamponade Emergence Apnea Emergence Hypertension Emergence with Laryngospasm Emergence with Negative Pressure Pulmonary Edema Total Spinal Anesthesia Local Anesthetic Toxicity During IV Epidural Injection Sympathectomy due to Epidural Anesthesia Hypoxia due to Bronchospasm During Induction of Anesthesia Hypoxia due to Atelectasis in the Obese Patient During Laparascopy Malignant Hyperthermia Under General Anesthesia Tension Pneumothorax Peripheral Nerve Block Complications Anesthesia Machine Failure Anaphylaxis Under General Anesthesia Awareness During Caesarean Section Perioperative Anterior Myocardial Infarction
12 Allied Health Angina with Cardiac Arrest Asthmatic with Pneumothorax Chronic Obstructive Pulmonary Disease (COPD) with Respiratory Failure Heart Failure with Pulmonary Edema Inferior Myocardial Infarction Organophosphate Exposure Pneumonia with Septic Shock Severe Young Asthmatic Splenic Rupture with Pneumothorax Stab Wound to the Chest Subdural Hematoma Anaphylaxis Anterior Myocardial Infarction Tension Pneumothorax Advanced Cardiac Life Support (ACLS) ACLS Acute Coronary Syndrome ACLS Acute Stroke ACLS Asystole ACLS Bradycardia and Heart Blocks ACLS Pulseless Electrical Activity ACLS Pulseless Ventricular Tachycardia and Ventricular Fibrillation ACLS Respiratory Arrest ACLS Supraventricular Tachycardia ACLS Ventricular Fibrillation AED ACLS Ventricular Tachycardia Advanced Life Support (ALS) ALS Acute Coronary Syndrome ALS Acute Stroke ALS Asystole ALS Bradycardia and Heart Blocks ALS Pulseless Electrical Activity ALS Pulseless Ventricular Tachycardia and Ventricular Fibrillation ALS Respiratory Arrest ALS Supraventricular Tachycardia ALS Ventricular Fibrillation AED ALS Ventricular Tachycardia
13 ACETAMINOPHEN ACTIVATED CHARCOAL ADENOSINE ALBUTEROL ALFENTANIL AMIODARONE ASPIRIN ATRACURIUM ATROPINE ATROVENT BICARBONATE BRETYLIUM CALCIUM CHLORIDE CAPTOPRIL CISATRACURIUM CURARE (D-TUBOCURARINE) DEXTROSE 50% DIAZEPAM DIGOXIN DILTIAZEM DIPHENHYDRAMINE DOBUTAMINE DOPAMINE DOXACURIUM DROPERIDOL EDROPHONIUM EDROPHONIUM EPHEDRINE EPHEDRINE EPINEPHRINE ESMOLOL ETOMIDATE FENTANYL FLUMAZENIL FUROSEMIDE GLUCAGON GLYCOPYRROLATE ISOPROTERENOL KETAMINE LIDOCAINE LORAZEPAM MANNITOL PROMETHAZINE PROPOFOL PROPRANOLOL QUINIDINE REMIFENTANIL ROCURONIUM SUCCINYLCHOLINE SUFENTANIL TERBUTALINE THIOPENTAL VASOPRESSIN VECURONIUM VERAPAMIL MARK I KIT MELOXICAM MEPERIDINE METHOHEXITAL METOCURINE METOPROLOL MIDAZOLAM MIVACURIUM MORPHINE MORPHINE NALOXONE NEOSTIGMINE NIFEDIPINE NITROGLYCERIN NITROPRUSSIDE NOREPINEPHRINE PANCURONIUM PHENTOLAMINE PHENYLEPHRINE PREDNISONE PROCAINAMIDE
14 PACIENTUL STANDARDIZAT Boxe care imita un cabinet medical (pat consultație, masă, chiuvetă) Camere de inregistrare Pacient: studenti la actorie, cadre medicale pensionate, studenți Pacientul este învățat în prealabil despre patologia pe care o mimează Studentul examinează și este înregistrat audio/video Debriefing dupa realizarea examinarii
15 LEARNING SPACE Sistem informatic educațional dedicat simulării Acces securizat pentru studenți și cadre didactice cu nivele diferite de acces Bibliotecă virtuală Orarul simulărilor Teste pre-, post-simulare Evaluarea activitatii didactice Filmarea activității de simulare (centrat pe student) - camere in diferite săli Posibilitate de evaluare de la distanța a activității studenților Statistica performanțelor studenților și a cadrelor didactice
16 DISCIPLINE 1. Semiologie medicală (MG 3) măsurarea TA, ex. clinic pac. standardizat 2. Semiologie chirurgicală (MG 3) injectii i.v., i.m., s.c., i.d., pansamente, sondă n-g 3. Urologie (MG 4) tuseu rectal, sonda u-v 4. Chirurgie generală (MG 4) drenaj toracic, suturi, examinarea sanului 5. Medicină internă (MG 4) monitorizare, auscultație, ABCD HPS 6. A.T.I. (MG 5 ABCD HPS, puncție arterială, LVC 7. Cardiologie (MG 6) aritmii, defibrilare 8. Pediatrie (MG 5) puncție intraosoasă, ABCD SimBaby 9. O.R.L. (MG 5) - traheostomia 10. Neurologie (MG 5) ex. clinic pac. Standardizat 11. Obstetrică-ginecologie (MG 6)?! asistarea nasterii
17 ORGANIZARE 1 sau 2 lucrări practice ținute în centrul de simulare 2 cadre didactice pe fiecare disciplină implicată (asistent universitar) 2 grupe de studenți 16 persoane Durată: 90 minute Instruirea personalului didactic Programarea în funcție de orar, efectuată de administratorul centrului Ajutor pentru folosirea simulatoarelor
18 PREGĂTIREA SIMULĂRII 1. Pregătirea suportului teoretic al simulării 2. Punerea la dispoziția studenților a materialului didactic on-line (LS) 3. Pregătirea protocoalelor de lucru 4. Informații pentru studenți legate de caz 5. Informații pentru pacient standardizat (unde e cazul) 6. Definirea obiectivelor 7. Descrierea procedurilor de efectuat 8. Puncte cheie pentru discuții 9. Take home message
19 REALIZAREA SIMULĂRII 1. Pregătirea simulatoarelor și a locațiilor 2. Test pre-simulare 3. Demonstrație practică 4. Efectuarea simulării (4 stagii) 5. Analiza simulării 6. Test post-simulare 7. Evaluarea de către studenți
20 ANALIZA ACTIVITĂȚII Analiza activității didactice Feed-back din partea studenților Analiza gradului de ocupare a centrului Analiza costurilor de întreținere
21 PLAN DE DEZVOLTARE Introducerea de noi discipline Introducerea de noi task-trainere Caietul de abilități practice aptitudini efectuate în centru Extinderea la studenții de la specializarea de asistență medicală generală Efectuarea examenelor practice (unde este fezabil) Dezvoltarea centrului pentru pregătirea rezidenților Organizarea de cursuri și competențe (ECHO, laparoscopie, etc.) Autofinanțare
22 VĂ MULȚUMESC! ÎNTÂLNIREA CU CADRELE DIDACTICE DESEMNATE ÎN DATA DE 2 OCT 2013 ORA 10:00 LA CENTRUL DE SIMULARE!!! centru_simulare@umftgm.ro
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