31 Using point of care high fidelity simulation as a teaching tool in a hospice setting

Background High-fidelity simulation uses computerised manikins that simulate scenarios with briefed facilitators who aid in delivering learning outcomes. Point of care simulation is the use of scenarios that are carried out within a clinical environment. Aim To assess if using point of care high fidelity simulation within a hospice setting focussed on potential emergencies is a valuable learning experience for those that attend. Methods A single afternoon educational session at Prospect Hospice. A high fidelity simulation mannequin was brought into a hospice side room where the scenarios took place. 4 doctors (x2 speciality doctors and x2 GP trainees), 1 trained nurse and 1 student nurse attended. Four simulated scenarios were carried out including: acute breathlessness, opioid toxicity, anaphylaxis and communication with a relative about an error. Doctors and nurses were worked in a simulation in ‘real time’ within an environment that they would normally work. Prior to the session attendees had a rigorous pre-brief and introduction to simulation and a structured debrief following scenarios were carried out by trained facilitators. Feedback was collected after the session. Results All attendees reported the simulation was a useful and novel experience that aided their learning and was relevant to their work in the hospice. 6 out of 7 attendees strongly agreed that the simulation was useful for developing their clinical skills e.g. airway adjuncts and managing emergencies as a team in the hospice. The session also highlighted other aspects of emergency care that would benefit from review, such as practical access to guidelines and emergency drug use. Conclusions High fidelity point of care simulation is a useful tool in palliative care MDT teaching in the hospice. It benefits those attending on a personal level and provides insight and safe ‘real-time’ practice for possible emergencies and can lead to positive changes to these systems.