Simulated patient and learner for consultant workshop

Today the department organised a meeting for consultants, they joined together for a review for teaching methods, from an inspiration from another colleague, how to give a good feedback to the trainees, how to supervise your trainees during a procedure and finally what a good reflection from our learners should be.

The sample of what happened during the day is available in the following link, it started with a volunteer to supervise a simulated doctor trainee to perform a simple procedure, but it went out a nightmare because of a simulated patient. Enjoy the show.

Supervision

What would you do if the ventilator you are applying to your patient shouts "TV cannot be delivered"?

After the ventilator alarm "Desired TV cannot be delivered"....

1. back to patient clinical conditions, does he/she have hypoxia
2. recheck the tube position either end-tidal COtwo or auscultation
3. recheck the previous IPPV setting whether or not, it is appropriate
4. look at Paw whether there is any air leakage
5. change a new ventilator machine
6. if it cannot be solved, postpone the surgical procedure, support patient ventilation
7. ask for help/advice about IPPV setting or checking
8. if the ventilator is truely malfunctioned, turn down the alarm volume, so that it would not disturb others

What should you look for?

In a situation that makes you confused, do not know what to perform next, calm down a bit and concentrate on your patient again. Some occasion you cannot perform a useful investigation, because it is not possible to palpate your patient's arms or legs because of an obstructed C-arm fluoroscope, because the CVP is not the up-to-date monitoring in this world and it just tells you whether or not your patient has a right heart failure, because PPV cannot be interpreted since your patient's cardiac rhythm is not sinus.

So, what you could possibly do are listed in the attached foto....