3.3.4. Lessons Learned

By careful scenario design and planning, a major component of Simulating Success, the VCH team has been able to capitalize on two other major quality improvement initiatives—reduction in unplanned extubations and implementation of Golden Hour Guidelines for premature infants. Simulation expanded into several other arenas of sta ff development and training, including competency assessment in resuscitation, transport and clinical skills. CAPE simulation techniques and scenarios have been used to deliver resuscitation training at multiple referring facilities as well. The debriefing model taught by CAPE and use of video for debriefing was new to the VCH team. Over the course of the collaborative, team members have grown from being unsure to developing real confidence in their ability to effectively debrief. A robust multidisciplinary team (clinical nurse specialist, nurse, respiratory therapists, neonatologist, and neonatal outreach coordinator) has enabled them to fine tune the di fferent aspects of the simulation scenarios. Simulation training aligns with the safety goals of VCH which has facilitated leadership support in both equipment purchases, sta ff time, and designated space.
