Yusaf Tricia, Meguerdichian Michael, Astuto Angela, Rucker Lisa, Arbo John, Bajaj Komal
Obstetrics and Gynecology, Jacobi Medical Center, Bronx, New York, USA.
Emergency Department, Harlem Hospital Center, New York, New York, USA.
BMJ Simul Technol Enhanc Learn. 2021 Mar 12;7(5):441-443. doi: 10.1136/bmjstel-2020-000710. eCollection 2021.
New York City became one of the epicentres of the COVID-19 pandemic in 2020. Simulation was used to establish the COVID-19 trained observer programme to mitigate healthcare workers' infection risk during patient care. The members of the trained observer group consisted of 32 staff members. At the start of the training programme, they were provided donning and doffing guides with a step-by-step description of personal protective equipment (PPE) usage, followed by in-situ PPE simulation training. Later on, as PPE protocols evolved, additional educational modalities were used and included training videos, picture demonstrations of common PPE mistakes and repeated in-situ simulations. The early lessons which emerged from using simulation to train observers during the COVID-19 pandemic were the following: address PPE shortages during presimulation planning, prepare to perform updates for trained observers and use multiple educational modalities to train observers. Adequate amounts of PPE should be available to train observers. Repeated simulations are necessary to update observers on PPE protocols. Multiple learning modalities should educate the trained observers and equip them for their role in COVID-19 units.
2020年，纽约市成为新冠疫情的中心之一。通过模拟建立了新冠培训观察员项目，以降低医护人员在患者护理期间的感染风险。经过培训的观察员小组由32名工作人员组成。在培训项目开始时，向他们提供了穿脱指南，其中详细描述了个人防护装备（PPE）的使用方法，随后进行了现场PPE模拟培训。后来，随着PPE协议的演变，采用了其他教育方式，包括培训视频、常见PPE错误的图片演示以及重复的现场模拟。在新冠疫情期间使用模拟培训观察员得出的早期经验教训如下：在模拟前规划中解决PPE短缺问题，准备为经过培训的观察员进行更新，并使用多种教育方式培训观察员。应提供足够数量的PPE用于培训观察员。重复模拟对于让观察员了解PPE协议的更新很有必要。多种学习方式应教育经过培训的观察员，并使他们胜任在新冠病房的工作。
