Release date: 2016-11-02
Recently, the “Multi-disciplinary and Perioperative Safety Medical Simulation Teaching Class†sponsored by the Department of Anesthesia and Surgery of the Second Hospital of Zhejiang Medical College was officially started. The students were surgeons, anesthesiologists and nursing staff, while the patients were Is a smart simulator, first listen to his self-report:
My name is SimMan, you can also call me Simon, born in Norway, my value is more than 1 million. The year before, I traveled across the ocean to the Second Hospital of Zhejiang Medical University, where I had a new family. I stayed at the hospital skill center before, and came to the anesthesia surgery skill center last year. Hey, there are nurses and sisters who take care of me.
Don't look at me as a plastic, in fact, I can talk, blink, tears, breathing, heartbeat, not much difference with your normal people.
In addition to me, I have some brothers and sisters who have also come to China. But what makes me sad is that everyone is often just new when we buy them. We touched us with all kinds of touches. We can't wait for a long time but forget us in the lab.
When I was also unable to show my talents, the staff of the Zhejiang 2 team put a big box in my stomach and listened to them saying that it was "abdominal embedded laparoscopic exerciser" and put it on me. With this, the doctor can practice laparoscopic surgery on me.
And I still have a new home, a simulated operating room, but the configuration is fully equipped according to the integrated operating room, and also installed 6 full-scene high-definition cameras, completely photographed the scenes that gave me surgery, and then passed it to the outside of the operating room. In the classroom, other doctors can learn while watching.
This afternoon, the "Multi-disciplinary and Joint Perioperative Safety Medical Simulation Teaching Class" of the Second Hospital of Zhejiang Medical University officially started. The protagonist is of course me. It is time to test the doctor's skills!
Before each operation, I will be set to a patient mode. For example, this time I am going to play a 67-year-old patient. Don't worry that I speak English when I speak. I actually speak a variety of languages. Because of the need for real restoration, the "I" in this scene, the sound comes from a 67-year-old male, Hangzhou, who recorded in advance. Lin Dazhi, due to repeated right upper quadrant pain for 2 years, the last 20 days to aggravate, diagnosed as " gallbladder stones with cholecystitis" admitted to hospital.
Before the surgery started, the doctor asked me what the name was. I answered "Dazhi." He asked me again, knowing what surgery he is going to do? I replied "the operation of taking gallstones"... After the preoperative verification, the operation officially started, and I also entered anesthesia.
Want to understand my physical condition, at this time, the doctor can only judge through the various monitoring parameters on the monitor, such as heart rate, pulse, oxygen saturation, airway respiration rate, blood pressure and so on.
I am not a well-patient, I will create all kinds of sudden troubles for doctors, such as increased sputum, blockage of breathing, and test the doctor's ability to handle emergency emergencies.
If there is an improper operation in the operation, such as a big bleeding caused by accidentally cutting my blood vessel, my heartbeat will change. If the doctor can't find the problem and remedy it in time, I may "dead" in this operation.
This is not the case -
When the auxiliary ventilation was started during the induction of anesthesia, I had the most common allergic reaction to muscle relaxants in the operating room. At the same time, because of allergies leading to airway pressure, this time to help me deal with allergies, or control the airway problem. Everyone’s eyes.
The anesthesiologist immediately made the right decision, quickly helped me with mechanical ventilation of the tracheal intubation, and then freed up the human hand to actively deal with allergic problems, let me turn to safety.
Halfway through the operation, suddenly, the vital signs monitor showed that the oxygen saturation began to decrease from 100, and the end-tidal carbon dioxide rose rapidly from 33. This means that the patient in anesthesia has an emergency. where is the problem? The anesthesiologist rushes to auscultate, check the heartbeat, and find the cause.
Everyone was very nervous. Finally, the anesthesiologist realized that the patient had a history of colds and a history of smoking. It may be that the anesthesia is too shallow and the secretions are too much to block the airway. I did an emergency treatment immediately, and I turned to safety again.
Of course, in addition to the operational problems, this operating room is also set to a space where various conditions are likely to occur. For example, a gas source failure occurs during anesthesia, a sudden power outage, and a sudden fire, testing the doctor's ability to respond.
Taking fire as an example, the surgeon needs on-site command, the anesthesia assistant calls the call, the anesthesiologist is responsible for monitoring the vital signs to protect my safety, the patrolling nurse is going to the corridor to get the fire extinguisher for the first time, and finally the me when I receive the evacuation order. Transfer to a safe zone.
Can be customized for a variety of "identities" training seven or eight hundred people each year
"This simulation teaching is different from the past. It is the whole process of completing a real patient on the simulator. This process starts from the preparation of the patient, until the cardiopulmonary condition, ECG monitoring, hemodynamics, to Laparoscopy goes through the whole operation, and then sutures and postoperative anesthesia recovery." Wang Jianan, dean of the Second Hospital of Zhejiang Medical University, said that this teaching is more intuitive and precise, which can shorten the learning curve of young doctors and operate on patients. It will be safer.
Yan Min, director of the Department of Anesthesia Surgery, said that medicine is a very practical subject. After graduation, medical education focuses on training the clinical ability of doctors and nurses. The standardization training of resident doctors and standardized training of specialists in our country is still in its infancy, and the current training and assessment system is still not perfect, and it is out of touch with the clinical. Traditional "hands-on" teaching often has to be practiced on real patients, so it is possible to cause harm to patients. How to improve the clinical skills of physicians and nurses is an urgent issue.
Wu Yulian, director of surgery, said, “The traditional surgeon training model is called the mentoring mode. Simply put, it is the practice of practicing on the real patient. This teaching mode of direct surgery and anesthesia in the patient’s body has gradually separated from the modern The development of the medical model. Although Simon is made of silica gel, it is very intelligent and has a great effect on training young doctors to grow up."
At the same time, the past simulation teaching is carried out in the way of training in each specialty. The lack of training in teamwork is not conducive to the actual development of medical activities. Therefore, Zhe Er jointly organized a simulation teaching class for anesthesia, surgery and nursing.
On the same day, Xu Yong, deputy chief physician of the simulation teaching team of the anesthesia department, in the control room, customized various “identities†or dangers for Simon according to the real case, and led the operation of the simulated scene; controlling outdoor, surgical director Wu Yulian, anesthesia Yan Weidong, deputy director of the Department of Surgery, Chen Xiangming, deputy director of the Department of Anesthesia and Surgery, Deputy Chief Physician Zheng Yixiong, Director of the Department of Nursing Jin Jingfen, and several other experts have been conducting real-time reviews in the observation room based on the performance of the students in the simulated operating room.
It is reported that the teaching center can conduct standardized training for seven or eight hundred residents every year.
Source: Zhejiang Medical Second Hospital
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