No./Title: SIM 112 – SP Breaks
Resp. Office: CHIPS
Approval Body: CASA
Effective Date: 03/02/2021
Last Review: 03/02/2021
Next Review: 03/02/2024
Contact: Executive Director, CHIPS
🕿 901 448 9746
SIM 107 Sim Physical and Psychological Safety
- Standardized/Simulated Patient (SP) – A person who has been carefully coached to simulate an actual patient so accurately that the simulation cannot be detected by a skilled clinician. In performing the simulation, the SP presents the gestalt of the patient being simulated; not just the history, but the body language, the physical findings, and the emotional and personality characteristics as well (Barrows 1987).
- Round – The entire event flow for a single learner. This includes encounter and post-encounter activity.
- Encounter – This is the time that the SP is in direct contact with the learner. This includes in-person or other technological platforms.
- Post-Encounter- Any additional documentation, feedback, or debriefing requirements.
- Buffer – Dedicated time between rounds needed to transition and reset.
- Break – Protected time where an SP is not actively engaged in a simulation event.
- All events utilizing SPs must include breaks in accordance with simulation standards of best practice, as well as state and federal laws.
- Appropriate breaks will be provided to mitigate potential adverse effects of role portrayal and prevent physical injury or fatigue.
- All schedules for SP events must be reviewed and approved by the appropriate CHIPS staff.
- Any subsequent changes once the schedule has been approved cannot be made without prior approval.
- A five-minute buffer will be set between rounds to provide adequate time for transition and reset.
Every fourth round, or 90 minutes, a break will be scheduled according to the criteria below
A break of five minutes if:
- Minimal moulage or attached medical equipment AND
- No more than 12 rooms are running.
- The encounter is on a virtual platform
A break of ten minutes if:
- High-levels of moulage or attached medical equipment OR
- More than 12 rooms are running at a time.
- To ensure a safe work environment, more break time may be required at the discretion of appropriate CHIPS staff. This includes when SPs are subject to high levels of physical, cognitive, and/or psychological stress.
- A break of five minutes if:
Meal breaks will be scheduled for SP events by CHIPS for the following instances:
- Any event scheduled lasting more than six hours is required by state law to provide a 30-minute break.
- Any event scheduled to run between the hours of 11:00-1:00 is subject to a 30-minute break.
- Any event scheduled to run between the hours of 5:00-7:00 is subject to a 30-minute break.
- If an event is delayed, SP breaks may not be removed, but may be adjusted with prior approval from an appropriate CHIPS Staff member.
Effective: March 2, 2021
Reviewed: March 2, 2021, CASA
Approved: March 6, 2021, Chief Academic Officer