Education and Medical Simulation Center
At Geisinger's Education and Medical Simulation Center (GEMS), nursing students, medical students, residents, fellows, staff nurses, and staff physicians train together. This training occurs on realistic adult, pediatric and infant task trainers as well as low- and high-fidelity patient simulators that imitate physiologic and clinical conditions within the fields of trauma, surgery, obstetrics, orthopedics, and nursing. Additionally, GEMS employs the use of patient actors for education on communication, difficult conversations and evaluation and teaching.
The goal of GEMS is to facilitate the learning of clinical and procedural medicine for all practitioners while promoting patient safety.
The simulators respond physiologically to medical interventions, such as medication administration, intravenous fluid infusions, application of oxygen and interventional procedures. The simulators have realistic features, such as chests that rise and fall with respirations, palpable pulses, various heart and lung sounds, and the ability to bleed. The simulators also have procedural features that allow for chest tube and tracheotomy management, defibrillation and catheter insertion.
High-fidelity Simulators currently in use by GEMS include the EndoVR, SimMan Essentials, SimMom, SimBaby, and ResusciAnne QCPR-D.
Task trainers include knee aspiration, shoulder injection, pelvic exam, lumbar trainer, foley catheter insertion, central line mannequins (chest and femoral), tracheotomy care, urinary catheter placement and wound care.
The GEMS Center is currently being renovated into a state-of-the-art simulation lab. Our current lab includes several classrooms to facilitate lectures and conferences. These classrooms are equipped with desktop computers, laptop computers, EIKI projectors, televisions, VCR/DVD players, blackboards and podiums.
Our current examination lab contains five exam tables, blood pressure cuffs, ophthalmoscopes and otoscopes. The Nursing Skills Lab is set up like a standard, single-patient hospital room.
The simulation lab has stretchers with static and task mannequins, defibrillators, delivery stretcher, crib, isolette, and medication room.
The Surgical Skills Lab is accessible by proxy tag access only and is monitored 24 hours a day by video monitoring. It is the home of our endoscopy/bronchoscopy trainer as well as our fundamental laparoscopic trainers, SonoSim Ultrasound trainers, and our OtoSim trainer.
The GEMS Center includes a variety of programs, two of which have been a major focus in the last year; our Standardized Patient Program and Geisinger CPR/BLS program.
Our standardized patient program consists of recurrent sessions throughout the year which include the following cases:
- Negotiation of plan of care
- Motivational interviewing
- Outpatient pain management
- Hidden agenda
- Interprofessional conflict
- Informed consent
- Breaking bad news
- Inpatient pain management
- End oflLife
- Disclosure of error
We also schedule individual sessions throughout the year to accommodate the needs of different departments.
The Geisinger CPR/BLS program represents a comprehensive, end-to-end solution to reduce preventable deaths. Core ART elements are divided into “Afferents” (internal/external sources of information upon which programmatic decisions are made) and “Efferents” (comprehensive repository of training materials and best practices). The proposed implementation of various ART elements into an institution is detailed here.
The goal is for learners at any level (EMS, nursing staff, physician assistants, medical students, residents, fellows, and providers) to be able to perform high quality CPR, decrease deaths in patients receiving CPR, early recognition of people in cardiac arrest, AED use, and to activate a code team appropriately.
The objectives for our Geisinger CPR/BLS Program are as followed:
- Recognize deteriorating patients early
- Use the rapid response system appropriately
- Perform high quality chest compressions
- Give adequate ventilation (using two persons, two thumbs up technique)
- Keep pauses in CPR to a minimum
- Decrease the number of patients deteriorating to the point of requiring CPR
Pamela Humphrey, EMT, CNA
Coordinator, GEMS Center
April Morgan, MEd
Manager, GEMS Center
Simulation Technician, GEMS Center
Douglas Kupas, MD
Associate Chief Academic Officer for GEMS
Mary Harris, MD
Director of Clinical Education
Nicole Woll, PhD, MEd
Vice President, Faculty and Curriculum Development