The Scripps Simulation Center was opened in 2015 providing employees (clinicians and support staff) the opportunity to practice decision making, team interactions, and hands-on application of knowledge in a safe environment. The Center promotes high quality standardized safe patient care and is a venue for fostering positive change in work processes while enhancing skill acquisition and mastery. This new setting for learning supports the onboarding and continued skill development of RNs and other key staff roles. Seasoned preceptors and educators support skill and competency development. It is a venue which allows for facilitation of return demonstrations providing coaching and remediation tailored to the individual. The program has re-invigorated both trainers and learners and brought a renewed interest in “practicing” patient care within multidisciplinary teams.
Scripps Center for Learning and Innovation staff attended simulations training/conferences and visited existing simulation units at local schools and health facilities to discover the best learning outcomes and practices. Scripps leaders collaborated to provide space for the sim center and promote a revised teaching methodology within their teams. To achieve a ratio of 1 trained validator for each 3 students, a pool of clinician/trainers have been engaged and upskilled in simulation management techniques. In collaboration with the recruitment team, new hire RN orientation is expanding from 3 to 4 days. Multidisciplinary staff, including housekeeping, are trained and performance is directly observed in the simulated patient care area vs. a classroom setting. A gap analysis was conducted and an extensive list of resources was identified to operate a state-of-the art health care simulation facility was identified. Space expansion of the Simulation Center and acquisition of resources is actively underway.
The centralized Scripps Simulation Center provides increased efficiencies by more rapidly mobilizing competent staff to new patient care assignments. In this way the Scripps Health enterprise has addressed the increased need for flexibility in supplying highly skilled care providers. The Simulation Center approach produces a financial labor savings by decreasing the demand for external labor sources. The Center has fostered the development and deployment of standardized workflows while identifying areas requiring ongoing professional and skill development. The quality of care as measured by such high risk indicators as hospital acquired infection rates, safe patient movement, and patient and staff satisfaction can now be addressed utilizing a multidisciplinary, collaborative approach that allows for piloting proposed solutions prior to widespread implementation.