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SC2 One size doesn’t fit all: developing simulation training to meet the needs of a paediatric department
  1. Phil Peacock,
  2. A Woodman,
  3. S Bates,
  4. T Kelly,
  5. R Holman,
  6. J Hambidge,
  7. C Broomfield
  1. Great Western Hospital, Swindon, UK


Background/context Simulation training is an effective tool for education (1) and improving patient care (2). Paediatrics presents particular challenges for simulation as patients have a wide age range (from premature baby to teenager), diverse presentations (from acute trauma to safeguarding) in a variety of clinical settings (from the delivery suite to the children’s ward). These challenges cannot easily be met through a single departmental simulation programme.

Methodology Paediatric clinicians have developed a range of different simulation training programmes to meet the diverse educational needs. Simulation has been used to address general training needs (eg. Level 3 Safeguarding Children), areas of need identified by audit (eg. Non-compliance with neonatal network guidelines) and to problem-solve (eg. Techniques for resuscitating preterm babies whilst delaying cord-clamping). Programmes are run in the simulation suite as well as point of care on the Children’s Ward, Neonatal Unit and Delivery Suite. Multi-disciplinary involvement has been encouraged with multi-professional and multi-specialty faculty and attendees at many sessions.

Results Simulation has increased staff confidence in managing child safeguarding scenarios, and attending newborn deliveries. Simulation training in less common neonatal scenarios has improved compliance with network guidelines, which are known to improve patient outcomes. A standard operating procedure for delaying cord clamping in a preterm baby born by caesarean section has been developed through the use of simulation.

Potential impact More than 100 staff, from a range of professional backgrounds working in different clinical settings, have attended simulation sessions within the department alongside medical, nursing and midwifery students. There has been positive impact in both education and patient care.

We continue to improve individual simulation programmes and are developing new programmes to address identified training needs and areas of potential clinical risk. We continue to highlight our portfolio of simulation programmes as a model for other hospital departments to follow.

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