Simulation: Critical interprofessional situation

About Foch Hospital (Hôpital Foch):

With 2,000 staff members (including 300 doctors) and 600 beds, Foch Hospital is one of the most effective and renowned non-profit university-hospitals with a public service mission in France.

The Foch Hospital indeed provides a wide range of treatments to adult patients in almost all of the medical and surgical domains and commits to education and research, while paying crucial attention to patient care, including through the investment in cutting-edge medical technology.

Foch hospital stands out from the French medical offer by being the leader in the field of neurosurgery, thoracic surgery, gynaecology, urology, anaesthesia, ICU, internal medicine and oncology through innovative treatments.

Training at Foch Hospital is covered by:

• 50% of ward heads at Foch Hospital who also are University professors

• 1 nursing school with 60 students per promotion

• 1 midwifery school with 28 students per class

• 1 continuing education institute, “Foch Santé Formation”

• 1 simulation platform of 600 m2

Mortality attributable to anaesthesia has fallen by a factor of 10 in 20 years thanks to improved monitoring and team training. As a result, situations involving risks for the patient have become rarer over time. However, an anaesthetist must be able to anticipate and manage any situation at any time, even if the probability of unforeseen events is extremely low. In 2013 Arriaga et al. published in the New England Journal Of Medicine the interest of simulation and checklists to improve the quality of medical management of patients faced with the occurrence of unexpected situations.

The aim of this training with multidisciplinary teams that are not necessarily used to working together is to train in the management of unexpected events.

- Nurse

- State-registered nurses, anaesthesia nurse, operating room nurse

- Physician

- Anaesthetist

- Surgeon

- Learning and use of the SAED (Situation - Background - Evaluation - Request) technique in communication recommended by the French Authority for Health in 2014.

- Airway control in unusual situations.

- Work on a high-fidelity simulator on different scenarios.