SIM Courses

Code Red Simulation

Background: In 2011, a multidisciplinary Rapid Results team was tasked with improving institutional response to code red activations and reduce false alarms alongside these efforts. As a part of this process, the team conducted a simulated fire drill using a fire simulator and “patient” manikin. What resulted was the hospital-wide realization that we have room for significant improvement on institutional response to fire. Since then, there has been a great deal of work done to close this gap, including the establishment of local champions of fire response called “Fire Coordinators”, and the development of a Root Cause Analysis taskforce that investigates each false alarm to continually work to reduce excess noise within the hospital.There has also been improvement on how drills (which are a requirement of regulations) are conducted, and how feedback is given to the units after drills. However, there is still a clear opportunity in conducting drills (and debriefs directly following) to learn more about how staff understand and respond to fire. The current debriefs are primarily a one-way communication from the drill coordinator to the handful of participants who agree to spend five minutes to listen, once the alarm tones are shut off and the stress of participants is still palpable. If we are able to use simulation, and simulation debriefing techniques after these drills, not only would staff feel less anxious and judged, but they would learn so much more and feel more prepared for the event of a fire.

Format: 2 types of drills:

1. An unannounced drill in typical clinical settings with a debriefing session after the drill

2. Run a scenario with SIM equipment and the Bullex fire simulator (LED screen) in inpatient and procedural areas. This session will include the simulation, evacuation and debrief

Venue: in-situ

Frequency: Drill 1: occur frequently as regulations mandate. Drill 2: Occur 1x/month

Participants: Participants will vary depending on where the simulation is run. The participants will include the team surrounding a patient during the time of the drill.

Expertise Level: Intermediate

Course Leaders: Catherine Allan, MD, Howard Brightman, Aimee Lyons, RN, Patricia Meehan, RN, Eleanor Torrey, RN

Highlights/Objectives: The goals of this course are to prepare staff for evacuation due to a fire emergency in clinical settings. We would also like to learn more about what currently prevents staff from effectively responding to a fire emergency. Lastly, we must maintain regulatory compliance with drills.


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