3.3.5. Challenges Faced

First, high census/acuity impacts the team's ability to conduct scheduled simulations thereby making it di fficult to ensure team availability and sta ff participation. Second, the logistics of conducting simulations at four locations (Regional NICU and three satellite NICUs) with one simulation sta ff remains a challenge. Third, the team experienced turnover in several key roles requiring the onboarding and training of new simulation team members which was time consuming. Finally, constantly moving equipment due to a lack of dedicated space to conduct simulations/debriefings contributed to the inability to fully achieve the team's goals.
