A Growing Scenario Library

Steps Insitu will release with 6 scenarios involving various high-risk deliveries. Plans to expand on this current library as well as adding NICU events, Pediatric Events, and Emergency Room Events are in the works to help cover all your simulation scenario needs.

Each scenario is uniquely crafted from realistic live situations. Every possible outcome has been mapped out to provide an experience that challenges the team but does not overwhelm them.
Each scenario objectives are customized by the facilitator before the start of the scenario to address individual needs of the team.
All scenarios have 3 possible skill settings to both challenge the teams, but not overwhelm them.
- Beginner: best suited for a novice team, procedures will mostly be successful, vital sign depreciation is minimal, providing the team ample time to plan out their next action, without feeling the pressure to make quick decisions.
- Intermediate: best suited for the average team who wants to maintain their critical thinking working as a team to achieve a goal. This level will challenge them to act when the outcomes are not as predictable. Some vital sign depreciation will encourage them to rely on their knowledge and experience to work as a team.
- Advance: best suited for the experienced team who works together well. Critical thinking, and adaptability to a changing situation can realistically give a challenge that will not soon be forgotten. Aggressive vital sign depreciation, as well as the opportunity for advanced procedures such as needle aspiration of a pneumothorax give a challenge for even the most skilled teams. Although we try to save every patient, we sometimes cannot save them all. Advanced team skill level also has the outcomes resulting in discontinuing all resuscitative measures, giving an opportunity that few simulations will address.

Steps Insitu believes in its mission to provide quality learning opportunities for all who wish to learn; therefore, all scenarios will always be available for both public and paid organization subscription.

Let us help you with your simulation program by providing a tool that can be used anywhere, anytime, and allows your team the freedom to control the situation to the best of their abilities.

Sign up today and give us a try.

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Data you can use

Steps Insitu was originally built as a tool to assist medical teams improve on teamwork, skills, and communication during a high-risk simulated scenario. We discovered that the data generated from performing these scenarios provided us with crucial knowledge gaps we were lacking in practice. It was only a matter of time before we faced these problems in a live setting. Data is what drives progress, and Steps Insitu believes that every learning experience should provide data to review and learn from.

Debriefing reports on every scenario completed, including team skill level and objectives selected for each scenario. Participants involved along with their job titles help determine factors that might affect the scenario outcomes, i.e. a team consisting of all respiratory therapists participating in a newborn resuscitation vs a balanced multidimensional team.
Ability to view overall performance of completed scenarios with a breakdown of the team’s skill level. Since every scenario completed is date stamped, tracking improvement of your organization is easy within the app or through the website.
Ability to track medical errors as they happen to identify opportunities for improvement. Scenarios can be targeted to identify common themes where errors take place.
Data generated by paid organizations can be used for purpose of studies, part of an organizational action plan or tracking progress of their users.

Medical errors are happening all the time, and most of the time they are not reported. “To reduce accidents, safety measures should be instituted well in advance to prevent the occurrence of both minor injuries and no-injury accidents. For medical errors, the generally quoted Heinrich’s ratio is 600:30:10:1, i.e. for every 600 non-reportable incidents there are 30 reportable incidents, 10 accidents, and one fatal accident” [1].
In theory, if we can identify medical errors, and learn from them in a simulated environment, we can decrease the overall occurrences in the real environment.

1. Datta, R., Upadhyay, K., & Jaideep, C. (2012). Simulation and its role in medical education. Medical journal, Armed Forces India, 68(2), 167–172, can be targeted to identify common themes where errors take place.

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Detailed debriefing reports

Much like real life, healthcare emergencies can be unpredictable and challenges our critical thinking abilities. With Steps Insitu, each scenario will start out the same, however based on the team’s decisions and settings entered, every scenario may play out differently. It is hard to recall everything during the scenario for debriefing, so Steps Insitu provides a detailed log on every action performed for the educator to debrief from.

“The purpose of debriefing is to deconstruct and reconstruct the actions and thinking that occurred during a simulation learning experience, to improve the future performance of the participants. Debriefing is a type of formative assessment because new knowledge is co-created between a debriefer and the participants, rather than merely assessing technical skills and basic understanding” (Gaumard, 2019).

Steps Insitu can help facilitators with debriefings by:

Providing a play by play report of each scenario, including vital signs, overall assessments, and actions all timestamped allowing the team to recall their experiences during the debriefings.
Every experience during a scenario matters, and everyone who participates in the scenario receives a link to view the debriefing from their own accounts.
Every procedure performed during a simulation is recorded using a step by step checklist to verify proper procedural steps referenced by the Textbook of Neonatal Resuscitation 7th Edition.

Gaumard Scientific. (2019). Debriefing Deconstructed A Guide to Meaningful Simulation Learning Experiences.

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Other Highlights

Providing opportunities for multiple job roles to work together on an ever-growing list of challenge scenarios.

Scenarios can be customized based on your team’s experience level, allowing the teams to be challenged but not overwhelmed.

Scenarios can cross multiple departments, to help build teamwork between different units in the hospital.