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0154 Simbulance: The design, development and evaluation of a level 3 patient transfer course
  1. James Doyle1,2,
  2. Matthew Evans3,2,
  3. Suzi Lomax3,2
  1. 1Department of Intensive Care Medicine, Royal Surrey County Hospital NHS Foundation Trust, Surrey, UK
  2. 2Simulation and Research in Training, Human Factors and Education (SMART-HED) Group, Surrey, UK
  3. 3Department of Anaesthesia, Royal Surrey County Hospital NHS Foundation Trust, Surrey, UK


Context Simulation based courses are known to improve team work1 however transfer training has been of questionable validity with training resources generally didactic lecture based.2 Following feedback identifying deficits in current transfer training for novices we devised a hands on multidisciplinary in situ simulation programme reflecting the patient journey from resuscitation room packaging, intra –hospital transfer and then inter – hospital transfer in the sim – ambulance with the aim of improving confidence in the undertaking of such transfers.

Methodology The devised programme paired a trainee clinician to either an ODP, or intensive care nurse. Each team underwent 2 ‘ICU packaging’ simulations, transfer through the hospital and then 2 ‘ambulance transfer’ simulations. This was supplemented by a clinical vignettes workshop. A survey was undertaken pre and post course.

Results/outcomes 13 candidates underwent training 100% follow up was achieved. All participants’ pre-course goals and objectives were met, in principle determining an improvement in confidence for practical transfers. For ICU packaging simulations 90.4% participants were very satisfied for Ambulance transfer simulations 92.3% very satisfied, and for clinical vignettes 83% scored very satisfied.

Conclusion and recommendations Feedback following our intervention suggests that an in situ multidisciplinary simulation based transfer teaching approach facilitates improved skills, knowledge and self – confidence in undertaking critical care transfers.


  1. Hunt EA, et al. Simulation: translation to improved team performance. Anesthesiol Clin 2007;25(2):301–319

  2. Handy JM, Suntharalingam G, Walsh A. Improved patient safety during critical care transfers resulting from a sustained Network approach. Critical Care Network North West London. Poster Presentation (

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