#trainthewayyoutreat

Repetition

When you first start doing something, you focus on the mechanics.

In healthcare, we need repeated practice to move our skills to mastery. And, not just any practice will do - it must be high quality, perhaps perfect realistic practice.

In sports, baseball for example, that could mean swinging the bat over and over and over until you develop the proper mechanics to consistently hit the ball.

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For more than a century, neuroscientists have recognized the existence of “automatism,” which is the ability to perform complicated actions without conscious thought or intention. C. Bergland, https://www.psychologytoday.com/us/the-mysterious-neuroscience-learning-automatic-skills

Automaticity can be achieved by practicing with increasing memory load meaning, purposefully add distractions to your training regimen. It’s about making a newly learned skill a part of who you are, as opposed to just a thing you can do. B. Hardy, https://www.fastcompany.com/how-to-learn-a-new-skill-well-enough-to-do-it-automaticall

Providing the practice and repetition necessary to perfect new clinical skills and develop critical thinking in a safe, observable environment are just some of the many benefits of clinical simulation education.

Providing tools for realistic practice experiences for task training and advanced scenarios is what we do. ReaLifeSim wearable vascular access training simulators - durable, adaptable, portable.

Photo credit: Disaster Medical Solutions

Photo credit: Disaster Medical Solutions

Photo Credit: Pocket Nurse & ENA2018

Photo Credit: Pocket Nurse & ENA2018

How do YOU choose new products?

Most responses will likely include (in no particular order):

  • function,

  • interoperability,

  • realism,

  • durability & maintenance,

  • and of course, budget.

Recommendations from peers and demonstrations at conferences may also influence the decision maker.

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The choices seem limitless with VR and AR and AI and Mixed Reality and Fidelity to fit every need!

Can it still be argued that real practice on real people is the best way to develop real competence and real confidence?

Perhaps it’s best when the two are blended….

"Simulation specialists who add the human component to the simulated experience were found to make the simulated environment more realistic and consequently more conducive to learning caring behaviors." Ward et al., Int J Nurs Clin Pract 2017, 4: 257 https://doi.org/10.15344/2394-4978/2017/257

How can we provide simulated learning on real people without risking injury? This was a problem we decided to solve when we created ReaLifeSim wearable vascular access training simulators.

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Worn by real people to encourage provider-patient communication and add the human dimension, they can also be used as an “add-on” to high-cost high-fidelity manikins for enhanced function and extended sustainability so as not to have to damage costly equipment for routine skills.

But, it can and will be even better:

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“If people would realize how important it is to exploit those aspects of reality that cannot yet be replicated in VR, then we'd be much further ahead in healthcare sim than we are.  Now, take the techniques shown here and add the VR for simulating different training contexts, as we're doing with our Mixed Reality Medical Emergency Response Team trainer and you have a real recipe for success.” Bob Stone, Director, Human Interface Technologies Team at University of Birmingham (UK), credit for above image.

Real practice on real people may always play an important role in developing and maintaining hands-on and interpersonal skills, but advances in clinical simulation are challenging that premise every day.

Emotional Resilience

Traumatic stress. Compassion stress. Physical stress. Social stress.

Regardless of their place on the responder spectrum of care, everyone from hospice nurse to combat medic can become victims, affected by the incidents to which they respond, day in and day out.

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It’s been said that people in other careers dream about retirement while First Responders just dream of surviving. The environmental stressors and trauma routinely confronted by medical professionals and emergency responders affect their emotions, decisions and actions and we are doing better to prepare the next generations of providers.

From “The Importance of Emotional Resilience for Staff and Students in the ‘Helping’ Professions: Developing an Emotional Curriculum”, L. Grant, Prof of Social Work and G. Kinman, Prof of Occupational Health Psychology, Univ of Bedfordshire, “Educators need to prepare students for the realities of caring work and encourage them to be assertive in seeking out the support they require to protect their own wellbeing, to advocate for working conditions which optimize the wellbeing of their patients and clients.”

The summer conferences are providing a variety of clinical challenges from simulated complicated childbirths to simulated mass casualty scenes taken from the headlines.

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Realism in clinical simulation practice is helping them to identify what they feel and why they are feeling it - in a safe environment, supported by facilitators, instructors, and peers.  

We must continue to provide effective learning experiences that are immersive - simulating a “real-life” situation that can engage the learners’ senses, emotions, thinking, and behavior.

Nurse Appreciation Week 2019

ReaLifeSim was created by Nurses, FOR NURSES! We are so thankful for those on our team. Elizabeth Roth Benson and Linda Goodman are innovators, educators, teachers and Nurses that are paving the way in this industry. 

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Elizabeth Benson, MEd, RN, FCN, FACHT – Co-founder and CEO, Elizabeth leads the team that created globally utilized ReaLifeSim medical and VetReaLifeSim veterinary wearable hybrid IV and blood draw task trainers. Under her leadership, the ReaLifeSim has garnered international recognition as a Top 10 Healthcare Simulation Solution provider for 2018, a Top 12 company leading in the area of patient safety advocacy 2019, and the provider experts choose for simulated IV scenarios in eight international EMS competitions. Elizabeth mentors women entrepreneurs and is an active #STEM/#STEAM advocate.

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Linda Goodman RN, MS, CHSE – Co-founder, Linda brings her expertise as a Certified Healthcare Simulation Educator to every level of development, scenario creation and competency measures. Linda’s current work as a college-based simulation coordinator and small business owner continue to provide critical insights she applies to every product presentation, functional demonstration and clinical education opportunity.

ReaLifeSim Uncovers New Market in Post Disaster Rubble

ReaLifeSim’s innovative hybrid IV/blood draw trainer was used recently by Disaster Medical Solutions, LLC, (DMS) who presented a course to firefighters, paramedics and other clinical personnel from around Florida, nine other states, as well as Japan, Taiwan and the United Arab Emirates.

The Medical Team Specialist course, certified by the Federal Emergency Management Agency (FEMA), is part of a series of training opportunities offered in support of the National Urban Search and Rescue (US&R) Response System under the auspices of the Department of Homeland Security. The course was conducted on the campus of the Florida State Fire College (FSFC) in Ocala.

A variety of buildings, collapsed structures, vehicles and assorted rubble occupy a good portion of the Florida State Fire College’s 37-acre fire-rescue-technical training facility in Ocala, FL.

A variety of buildings, collapsed structures, vehicles and assorted rubble occupy a good portion of the Florida State Fire College’s 37-acre fire-rescue-technical training facility in Ocala, FL.

The four-day course focuses on the challenges of delivering immediate medical care in an urban search and rescue environment. Whether caused by natural events such as fires, floods and hurricanes or man-made disasters such as explosions, vehicle crashes or terrorist incidents, these sites often remain unstable and dangerous, for victims and first responders alike, for some time after the causative event.

“This program exposes the student to the injury types consistent with structural collapse incidents,” explained Joe Hernandez, CEO and course coordinator of Disaster Medical Solutions.

“A heavy focus is placed on providing care in a confined space,” Hernandez added.

We, at ReaLifeSim, are excited to have our IV trainers used to help create the most realistic training environment possible for such an important function.

The wearable simulation device, designed to enhance the training of nurses and other clinical specialists, was used to add another level of realism to the scenarios by requiring students to successfully start an IV on a live person often in dark and confined spaces.

Reaching, assessing and treating injured victims in confined spaces adds significantly to the realism and effectiveness of the training.

Reaching, assessing and treating injured victims in confined spaces adds significantly to the realism and effectiveness of the training.

Tyler Steele, 32, a veteran paramedic from the Rogers, Arkansas Fire Department, confirmed the challenges of working in uncomfortable situations and confined spaces. To cope requires you to “focus on your breathing and fall back on your training and teachings,” Steele said.

Rescue workers assess a “victim’s” condition and extraction options from a simulated building collapse.

Rescue workers assess a “victim’s” condition and extraction options from a simulated building collapse.

Instructor Matt Haywood, a 50-year old paramedic from Palm Beach County, FL, who served as a simulated patient, complimented the ReaLifeSim IV trainer, citing its flexibility and function, as adding significant realism when compared with manikins.

The ReaLifeSim wearable IV trainers were used to add another level of realism to the scenarios by requiring students to successfully start an IV on a live person often in dark and confined spaces.

The ReaLifeSim wearable IV trainers were used to add another level of realism to the scenarios by requiring students to successfully start an IV on a live person often in dark and confined spaces.

DMS lead instructor, Vincent Johnson, 48, a rescue paramedic from the New York City Fire Department, confirmed the importance of the multi-sensory overload within the various scenarios to create the very real distractions students will find in real-life rescue situations.

The presence of loud noises, heat, wind, rain, tight spaces and the absence of light all contribute to the difficulty of maintaining focus on the critical tasks at hand. The key to success, according to Johnson, is to “work slowly and methodically,” through each task.

When evaluating a team’s performance, Johnson looks for “clear communications and demonstrating respect for other members of the team.”

It is gratifying to be providing an affordable product that improves clinical training creating competent, confident paramedics and leading to better patient outcomes.

Clear communication between rescue workers, who are often members of different organizations or even from different countries, is critical to delivering safe and effective care, treatment and evacuation.

Clear communication between rescue workers, who are often members of different organizations or even from different countries, is critical to delivering safe and effective care, treatment and evacuation.

Bringing Wearable Sim Products for Italian Emergency Medical, Healthcare, and Animal Health Communities

Business Update    

ReaLifeSim Teams with SoFraPa Healthcare

Innovative Simulation Solutions for Italian Emergency Medical, Healthcare, and Animal Health Communities

 

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ReaLifeSim and SoFraPa Healthcare announced they’re working together to increase opportunities for students and practitioners in Italy’s emergency medical, healthcare, and animal health communities to experience more realistic and immersive education and training.

“We are pleased to welcome SoFraPa Healthcare to our network of collaborators who share the same view regarding the growing importance of simulation and immersive training scenarios to raise the level of learner competence and confidence, improving patient care and safety,” explained Elizabeth Benson, co-founder and CEO of ReaLifeSim, LLC.

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SoFraPa Healthcare, based in Florence, leads Italy in the distribution of basic and advanced educational manikins and medical simulators for training in the field of medical emergency and safety. ReaLifeSim will join other top brands distributed by SoFraPa such as Ruth Lee, BT Inc, ActFast, iSimulate and other leaders in the field of medical simulation.

I believe it can change the approach to medical simulation in Italy. 

When explaining SoFraPa’s interest in bringing ReaLifeSim to the Italian healthcare community, company owner, Paolo Innocenti, said it was because, “…(ReaLifeSim) can be used on manikins and real people, it is effective at allowing students to experience the anxiety and stress they will encounter in a real-life scenario, and its accessibility will help improve the quality of treatment and service that will be offered to patients by future Italian doctors and nurses.” “I believe it can change the approach to medical simulation in Italy,” Innocenti added. 

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ReaLifeSim is a leading wearable IV trainer, with improved realism and portability, objective assessment of skills performance with the App, and inclusion of human factors in IV training. Experts choose ReaLifeSim for their challenging scenarios!

Globally utilized ReaLifeSim & VetReaLifeSim hybrid wearable products provide safe, risk-free, immersive learning by creating a realistic platform to work under the pressure of practicing on real people/real animals or manikins.

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ReaLifeSim, LLC, a disruptively innovative company, has been earning industry recognition as a Top 10 Healthcare Simulation Solution Provider for 2018 by Healthcare Tech Outlook Magazine and a Top 12 Company in Patient Safety Advocacy by Medical Training Magazine.

ReaLifeSim, LLC, is a wholly-owned subsidiary of B&G Educational Innovations, LLC, (BGEI).

For more information:

www.sofrapa.it

www.realifesim.net

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ReaLifeSim Debuts Their Vision of the Future at the 9th Annual Serious Games & Virtual Environments Arcade & Showcase IMSH2019

AR Visualization Combined with
Human-Centered Wearable Design

The DISRUPTIVELY INNOVATIVE Team at ReaLifeSim is pushing the boundaries of traditional clinical simulation education, AGAIN, with their NEW unique Mixed Reality IV Training.

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Their new Augmented Reality ReaLifeSim IV Training system (AR-RLS) uses the wearable ReaLifeSim hybrid simulation IV Trainer, real-time digital information integrated into the individual’s visual environment, and a tablet or smart phone.

Realistic. Interactive. Immersive. Augmented Reality. Mixed Reality.

AR-RLS provides a realistic platform to work under the pressure of practicing while experiencing the influence human factors on hands-on and interaction communication skills.

AR-RLS software runs as an app for easy updates. The AR component helps students to better comprehend spatial relationships, deepen knowledge, and strengthen patient care in a highly interactive virtual and physical environment.

AR and safe hands-on skills practice on a SP (or manikin) with authentic haptic, visual, and interactive feedback are combined in this mixed reality learning environment.

How does this benefit learners and enhance the quality of care?

Augmented reality (AR) is no longer a tool used only in the gaming world or entertainment sector. It’s an innovative tool with the capacity to mitigate safety risks and help save lives in the healthcare industry. Numerous studies indicate AR is useful because it helps the healthcare learner to understand spatial relationships and concepts, to acquire skills and knowledge, to strengthen cognitive-psychomotor abilities, and to shorten their learning curve and prolong learning retention.

This mixed reality experience, integrating and overlays virtual elements over the real world. On our new IV Trainer, AR takes the form of 3D images visible to the user on the tablet or smartphone. The wearable AR-RLS helps educators effectively provide multi-modal strategies in clinical simulation skills training and “real life” scenario-based, inter-professional education during which learners safely experience the influence of human factors. It increases subjective attractiveness by providing students with authentic simulated experiences.

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It's NOT "Just an IV" - Just Ask A Patient!

One of the most commonly performed procedures during a hospital admission is placing a peripheral IV.

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A delay in establishing vascular access can result in a delay in the administration of a fluids and/or medications. Patients frequently experience delays in diagnosis and initiation of treatment. No one wants to delay treatment. No one wants to hurt patients.

Providers need more realistic clinical skills practice.

“Even though it is a prevalent, technically difficult, and invasive procedure, most health care practitioners, who have not been trained as vascular access experts, receive little substantive peripheral vascular access education, training, or opportunities to practice skills until competent.” Simulation in Health. 2016 Dec; 11(6): 376–384.

Traditional students are not getting the practice needed during training, to be skills competent when they begin their jobs. Working nurses report they don’t feel confident with just one annual IV training.

ReaLifeSim can help you by providing more realistic "train the way you treat" opportunities with ReaLifeSim wearable IV trainers. Wearable ReaLifeSim products provide realistic, safe skills practice on real people (or manikins) teaching proper hand positioning, IV catheter manipulation, patient interaction, and situational awareness in a variety of environments.

The ReaLifeSim IV Trainer has added a seamless piece into the assessment and treatment of standardized patients. We are incorporating this into all of our Health Professions courses.” Scott Nelson, B.S., NRP, LP, Acting Dean, Division of Health Professions, Texas Southmost College

“My nurses are more competent and feel more confident as a result of training with ReaLifeSim.” Faina Kaganov RN, MBA-HCA, CLNC, Chief Clinical Officer, The Allure Group Nursing and Rehabilitation Centers

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