PROMPT Flex User Guides

August 2015

Posted: 26-08-2015

As summer comes to a close, I look back over a very busy time for the simulation field. Through all of my travels this summer, I have seen new faces, new roles being developed, and new programs adding a simulation component to their already busy curriculum. At the conference exhibit hall booths, I speak with many people who are just hungry for the knowledge to take simulation to the next level in their worlds. What is really interesting is that the “world” of simulation is growing. We used to primarily think that Medical Schools, Academic Universities, and Nursing Schools were our primary customers. What I see now is that simulation in healthcare continues to branch out with new programs, new interests, and new dedicated positions in hospitals, ambulatory clinics, and most health occupations, including the Veterinary world.

Those of us who have been around a long time have anticipated this growth and experienced good growth, but what I see now is different somehow. While the early days showed lots of positive antidotes and speculation about improved outcomes, research now is telling us that there are definite positive patient outcomes, lower hospital-acquired infection rates, and overall better teamwork in critical situations. This evidence-based information makes all the difference for those skeptics who have been slower to get involved with simulation.

So many questions have come up about where to start with simulation. For more information, please refer to my blog from last month, but in general, I want to recommend just starting WITH the BASICS. Jumping right into full-body simulation and teamwork training is a lot to bite off for someone new to simulation. Learners and experts alike will benefit from deliberate practice on the fundamental skills gained from task trainers and hybrid simulation. This is a great place to get your feet wet, have multiple stations set up, and learn how simulation works. The Objective Structured Clinical Exam (OSCE) has been around for many years. There is much literature out there that talks about how and why to set up an OSCE for your learners or for competency training. After all, OSCEs are not much different than the annual nursing skills lab I had to pass for my hospital every year. The point is, you already do some of this stuff and have been doing it for years, just by another name.

Simulation is not a complete overhaul of your curriculum. It does not ask you to change everything that you have done in the past. Adding simulation is a tool, an option, maybe a different way to teach than what you have been used to. But, the curriculum does not have to change. So, in closing, I ask you to go to your closet, dust off the boxes, and get out the simulation equipment you have. Think about how you can add an interactive component to a lecture. Just one. Start there. I think you will see that learners love the change and the chance to do it differently. It does not have to be perfect. If I ever learned anything about students, it was that they are the most resilient and forgiving when we are trying something new that makes learning fun for them.

A couple of colleagues and I wrote an article a few years ago that give some basic information about where to start. If you would like to find out more, follow this link to see the abstract or maybe even get a copy of the article. I would love to hear your thoughts about the one change you make to add simulation to your curriculum. As always, email me at: robin.wootten@limbsandthings.com

SimSpot July 2015

Posted: 23-07-2015

Last week, sales teams from the USA, Australia, Sweden, and the UK gathered in Bristol, England for our first Global Sales summit at Limbs & Things. The week was full of synergy, learning, sharing of ideas, and a little friendly competition thrown in for good measure. Having all of our sales team together in one conference room just reiterates that Limbs & Things cares about its employees and wants them to be successful.

During the week, I led a conversation about how deliberate practice of fundamental skills is required as a baseline before learners enter into team training situations in the simulation lab. During this discussion, we talked extensively about the “July phenomenon”.

For those of you who have never heard about this controversial topic, there is a body of research that suggests that care provided in American teaching hospitals during the first two months of an intern residency program (July-August) is less safe than care provided at the end of the intern year (May-June). A large study conducted by the National Surgical Improvement program does in fact show significantly higher levels of error in the beginning months. Another study, conducted over 5 years in California, shows significantly higher preventable complications (1.1% vs. 0.6%) in trauma patients seen in July-August vs. May-June.

One quote that is specifically pertinent to what we do at Limbs & Things from the study states…”preventable errors primarily involved technical skills, judgment errors resulting in delays in diagnosis or treatment, and those affecting the management of relatively less acute surgical issues, such as catheters, drains, and tubes…resulted in a change in management including laparotomies, vascular interventions, reintubations, and chest tube insertions”. 

You see, like playing basketball or learning to drive, our minds are not set up to handle the more difficult situations until we have mastered the fundamental skills required of a task. This information is pertinent to why we exist in the market. At Limbs & Things, our niche is the fundamental skills. We pride ourselves on having anatomically correct, realistic trainers that will allow for deliberate practice of the basics so that learners can be competent and confident in their skills, which then allows for expansion of the mind to make clear judgement and correct decision making when put into a stressful situation. Developing the skill is a critical first step!

As we begin another year with interns, let’s get the message out there that expert performance begins with learning the proper technique, procedure, and then adding in deliberate practice of the skill. Limbs & Things is here to help! I would love to hear your thoughts about this research or your success stories of learning the basics first! Pass on your comments or suggestions to me at: robin.wootten@limbsandthings.com.

 

Reference:

  • Englesbe MJ, Pelletier SJ, Magee JC et al. Ann Surg 2007; 246:456-65. Seasonal variation in surgical outcomes as measured by the American College of Surgeons national Surgical Quality Improvement Program (ACS-NSQIP)

 

  • Kenji Inaba, MD, FRCSC, FACS, Gustavo Recinos, MD, Pedro G. R. Teixeira, MD, Galinos Barmparas, MD, Peep Talving, MD, PhD, Ali Salim, MD, Carlos Brown, MD, Peter Rhee, MD, PhD, and Demetrios Demetriades, MD, PhD. Complications and Death at the Start of the New Academic Year: Is there a July Phenomenon? The Journal of TRAUMA Injury, Infection, and Critical Care, volume 68, Number 1, January 2010

 

  • Ericsson, K Anders. Deliberate Practice and the Aquisition and Maintenance of Expert Performance in Medicine and Related Domains. Academic Medicine: October 2004 - Volume 79 - Issue 10 - ppS70-81.

June 2015

Posted: 23-06-2015

June is a busy month in the lives of simulation practitioners. Some folks attend conferences for renewal in the summer, prepare for the upcoming school year, or just make time for a few weeks away. Whatever the reason, there is always a lot going on during the early summer months.

We at L&T have been busy this month also. As many of you know, we have been awarded the SAGES contract to provide training equipment for the Fundamentals of Laparoscopic Training (FLS) program. Our R&D team has been hard at work to create all of the equipment for the five skills required by the curriculum, collaborating with the expert staff and physicians to ensure a seamless transition from the previous provider. We thank you all for the many phone calls, questions, and excitement about the products that we have encountered. If you have not yet, take a minute to view the new website associated with the FLS program: www.fls-products.com . If you are not sure about the FLS curriculum, please visit the SAGES site for more information: www.flsprogram.org .

Another thing that we have been working hard to roll out is the new version of the PROMPT Birthing Trainer. The new model, called the PROMPT Flex became available for order on June 15th. If you have ever used the PROMPT before, you will be very impressed with the changes. One of the most exciting things is that the Flex will have additional modules available for Cervical Dilatation and C-Section by the end of 2015. I have witnessed the evolution of these products over the past several months, and as a Labor and Delivery nurse, I can tell you these products are exciting for orientation and competence training of staff, students, and residents. The new baby for force monitoring is Bluetooth capable and can work with any platform. The software has also been upgraded to look current and work well regardless of your level of computer skills. The PROMPT Flex has its own website if you would like to know more: www.prompt-flex.com .

In July, all of the L&T Teams from the US, Australia, and Sweden will gather together in Bristol for a training meeting. We are so excited to have all of our company together to brainstorm ways that we can continue to be a big part of the future of simulation. I look forward to telling you more about our meeting in my next blog. In the meantime, if you have any feedback that could help make us the best we can be, I would love to hear it! Pass on your comments or suggestions to me at: robin.wootten@limbsandthings.com.

Have a safe summer and take time to refresh and renew yourself for the upcoming year!

SIM Spot May 2015

Posted: 26-05-2015

The end of May is an exciting time as individuals and families prepare for summer activities and holidays away for fun, rest and relaxation. While Memorial Day unofficially marks the beginning of summer in the United States, the true meaning of the holiday can be celebrated by all of our friends around the world. Memorial Day, originally known as “Decoration Day” was first celebrated after the Civil War in 1868 with the purpose of honoring men and women who died while serving in the U.S. military. Since 1971, Memorial Day has been a Federal Holiday in the U.S. and is celebrated by placing flowers and wreaths on graves of those deceased. Each year on Memorial Day a national moment of remembrance takes place at 3:00pm local time.

Simulation has become a crucial part of military training over the past 10 years. Additionally, the US Veteran’s Health Administration has a program, “The Simulation Learning, Education, and Research Network (SimLEARN)” that provides curriculum and best practice training with a goal of improving the health care of our nation’s Veterans. Through procedural, skills, and communication training initiatives, healthcare simulation touches the lives of our soldiers and veterans around the world.

In honor of our military service men and women and all of the Veterans around the nation, the Limbs & Things team sends out a collective “THANK you for your service”. Whether working with individual centers or an entire branch of the military, we are committed to contributing to the safety of our soldiers through procedural skills training.

As always, I love to hear your feedback or ideas at robin.wootten@limbsandthings.com.

SAGES-ACS FLS Grants Limbs & Things Exclusive Rights for Sale of FLS Products

Posted: 10-04-2015

Limbs & Things, Inc. of Savannah, GA (LTI) is proud to announce that The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the American College of Surgeons (ACS)FLS Committee has granted them exclusive rights for the sale and fulfillment of Fundamentals of Laparoscopic Surgery™ (FLS) Training System, trainer box simulator and associated accessories and supplies for three years.

The simulator is a component of the FLS program that also includes a web-based educational module developed by SAGES, and now jointly offered by SAGES and ACS.  FLS incorporates hands-on skills training and an assessment tool to teach and evaluate the knowledge and skills required to perform basic laparoscopic surgery. For FLS Educational Packages, online access and testing vouchers, continue to order through SAGES at www.flsprogram.org , or call 310-437-0544 ext. 137.

LTI will supply a range of updated versions of the FLS Trainer Box that are designed to suit the individual needs of the surgical trainer and trainee. All the versions will allow for parts such as the camera and light source to be easily swapped out and replaced by the customer, avoiding, as far as possible, the need to send back Trainer Boxes to L&T for repair. All new task accessories we produce will be comparable to current FLS products being used across the globe.

The agreement provides surgical educators and laparoscopists at all levels of training, equipment and supplies with rapid fulfillment of orders and convenient online purchasing via a secure e-commerce system that will be available at www.fls-products.com later this month.  

 

Notes to editors:

Limbs & Things will be the exclusive worldwide distributor and manufacturer for the FLS Trainer System & Accessories. L&T has been designing, manufacturing and distributing surgical and clinical skills Task Trainers for 25 years across the healthcare market segments ranging from medical, surgical, nursing, government and military, to the medical device and pharmaceutical industrial and healthcare trainees. LTI is committed to serving training markets in Clinical Skills, Women’s Health and Surgical Specialties. Its goal is to produce products which allow clinical educators to deliver their curriculum requirements for physical examination and procedural skills successfully. To achieve this, the company continues to work closely with leading clinicians; it explores new technologies and materials and promotes its products within a worldwide marketplace. It also offers a confidential design and build service for industry and corporate clients.

Fundamentals of Laparoscopic Surgery™ (FLS) program (www.flsprogram.org) is a comprehensive web-based educational module complemented by a hands-on skills training component and assessment tool designed to teach and evaluate the physiology, fundamental knowledge, and technical skills required in basic laparoscopic surgery. The goal of the program is to provide surgical residents, fellows and practicing physicians an opportunity to learn the fundamentals of laparoscopic surgery in a consistent, scientifically accepted format; and to test cognitive, surgical decision-making, and technical skills, all with the goal of improving the quality of patient care. FLS was originally developed by Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and now is jointly offered by SAGES and American College of Surgeons (ACS).

SAGES (www.sages.org) is a not-for-profit professional membership organization which represents a worldwide community of surgeons that bring minimal access surgery, endoscopy and emerging techniques topatients in every country. Representing over 6,000 surgeons and allied health professionals, their mission is to improve quality patient care through education, research, innovation and leadership, principally in gastrointestinal and endoscopic surgery.

SIM Spot April 2015

Posted: 10-04-2015

Today is an exciting day for Limbs & Things! After a year of working on this project, we finally get to tell the world that we have gained exclusive rights to manufacture and sell the SAGES-ACS Fundamentals of Laparoscopic Surgery™ (FLS) Training Simulator and associated accessories! This new project fits perfectly into the Limbs & Things 5-year strategic plan to build collaborative partnerships that have a positive effect on our business as well as patient outcomes.

I have been involved with the FLS program since 2006 when I was the Director of Simulation at the University of Missouri, working with our Medical Director, Dr. Nicole Fearing, a wonderful general surgeon and an even better teacher of surgical residents! Nicole’s passion for the FLS program was very contagious to everyone around her and I was quickly pulled into the excitement as a Proctor in the early days of the program.

The FLS program has five objectives:

  • To improve the quality of care received by patients undergoing laparoscopic surgery
  • To set minimum standards for basic cognitive and technical skills used in performing laparoscopic procedures
  • To provide surgeons practicing laparoscopy with standardized didactic information on the fundamentals of laparoscopic surgery and a tool to assist in development of judgment and manual skills
  • To create an objective quantifiable measure to assess knowledge, judgment and manual skills in basic laparoscopic surgery
  • To make available to hospitals and institutions a validated tool to measure the knowledge and skills fundamental to the performance of laparoscopic surgery

My favorite narrative about the program comes right from the FLS website (www.flsprogram.org):

“By mastering the curriculum and gathering of skills in this inanimate modality, it is expected that surgical residents and surgeons will initiate and carry out their performance of laparoscopy more effectively, with greater skill, greater safety, and with lower complication rates than previously.  The specific aim of FLS is that the knowledge and skills gained by those who master the FLS curriculum will improve the quality and safety of surgical care delivered to their patients.”

This year, FLS celebrates its 10th anniversary and has issued over 10,000 certificates to surgical practitioners. During these ten years, there have been numerous studies conducted showing positive outcomes from the training (www.flsprogram.org/index/fls-supporting-literature/). The program is now also offered internationally.

Next week, we will have the official roll-out of the new products at the SAGES conference, April 15-18, in Nashville. The following week (April 23-25), we will go to Seattle to present the products at the ASE conference during the 2015 Surgical Education Week. We are honored to be a part of the SAGES/ACS program and look forward to many years together!

As always, I love to hear your feedback or ideas at robin.wootten@limbsandthings.com. Be safe!

SAGES-ACS FLS Grants Limbs & Things Exclusive Rights For Sale of FLS Products

Posted: 09-04-2015

Limbs & Things, Inc. of Savannah, GA (LTI) is proud to announce that The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the American College of Surgeons (ACS)FLS Committee has granted them exclusive rights for the sale and fulfillment of Fundamentals of Laparoscopic Surgery™ (FLS) Training System, trainer box simulator and associated accessories and supplies for three years.

The simulator is a component of the FLS program that also includes a web-based educational module developed by SAGES, and now jointly offered by SAGES and ACS.  FLS incorporates hands-on skills training and an assessment tool to teach and evaluate the knowledge and skills required to perform basic laparoscopic surgery. For FLS Educational Packages, online access and testing vouchers, continue to order through SAGES at http://www.flsprogram.org , or call 310-437-0544 ext. 137.

LTI will supply a range of updated versions of the FLS Trainer Box that are designed to suit the individual needs of the surgical trainer and trainee. All the versions will allow for parts such as the camera and light source to be easily swapped out and replaced by the customer, avoiding, as far as possible, the need to send back Trainer Boxes to L&T for repair. All new task accessories we produce will be comparable to current FLS products being used across the globe.

The agreement provides surgical educators and laparoscopists at all levels of training, equipment and supplies with rapid fulfillment of orders and convenient online purchasing via a secure e-commerce system.

The FLS product range is available at www.fls-products.com.  PLEASE NOTE ALL PRICES AT www.fls-products.com ARE IN US DOLLARS.

 

Notes to editors:

Limbs & Things will be the exclusive worldwide distributor and manufacturer for the FLS Trainer System & Accessories. L&T has been designing, manufacturing and distributing surgical and clinical skills Task Trainers for 25 years across the healthcare market segments ranging from medical, surgical, nursing, government and military, to the medical device and pharmaceutical industrial and healthcare trainees. LTI is committed to serving training markets in Clinical Skills, Women’s Health and Surgical Specialties. Its goal is to produce products which allow clinical educators to deliver their curriculum requirements for physical examination and procedural skills successfully. To achieve this, the company continues to work closely with leading clinicians; it explores new technologies and materials and promotes its products within a worldwide marketplace. It also offers a confidential design and build service for industry and corporate clients.

Fundamentals of Laparoscopic Surgery™ (FLS) program (http://www.flsprogram.org) is a comprehensive web-based educational module complemented by a hands-on skills training component and assessment tool designed to teach and evaluate the physiology, fundamental knowledge, and technical skills required in basic laparoscopic surgery. The goal of the program is to provide surgical residents, fellows and practicing physicians an opportunity to learn the fundamentals of laparoscopic surgery in a consistent, scientifically accepted format; and to test cognitive, surgical decision-making, and technical skills, all with the goal of improving the quality of patient care. FLS was originally developed by Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and now is jointly offered by SAGES and American College of Surgeons (ACS).

SAGES (http://www.sages.org) is a not-for-profit professional membership organization which represents a worldwide community of surgeons that bring minimal access surgery, endoscopy and emerging techniques topatients in every country. Representing over 6,000 surgeons and allied health professionals, their mission is to improve quality patient care through education, research, innovation and leadership, principally in gastrointestinal and endoscopic surgery.

Maternity care global experts to gather in Bath, UK for PROMPT Symposium

Posted: 04-02-2015

A multi-professional team of experts from around the world will be gathering in Bath in March 2015 to share their experiences of using simulation training to improve maternity care. 
The inaugural two-day symposium organised by the PROMPT Maternity Foundation and supported by Limbs & Things, will feature keynote speakers including Professor Cathy Warwick CBE (Chief Executive of the Royal College of Midwives), Dr Carl Macrae (Organisational Psychologist & Health Foundation Improvement Science Fellow) and Professor Charles Vincent (Chair of Patient Safety, Oxford). There will also be presentations from PROMPT teams across the world.
Aimed at obstetricians, midwives, anaesthetists and other professionals and students interested in safety and quality improvements in maternity care, the symposium will feature hands on workshops focusing on new training models, new PROMPT training packages for undergraduate and pre-hospital settings and different methods for monitoring outcomes.
Professor Tim Draycott, trustee and research lead for the PROMPT Maternity Foundation said, “We are delighted to be able to include speakers and maternity teams from the UK and right around the world to share their excellent quality improvement projects at the symposium.”
Managing Director of Limbs & Things, Nic Riley, added, “Limbs and Things is pleased to be supporting PROMPT Maternity Foundation in this first symposium. The aim is to bring multi-disciplinary healthcare teams together from across the world to learn and share ideas, promote collaborative working and ultimately improve patient outcomes.”
Delegates are being invited to submit an abstract for a poster presentation, details on which can be viewed on the ‘Abstracts’ section of the PROMPT Symposium website (http://www.promptmaternity.org/prompt-symposium/).
Further details on the event can be found at www.promptmaternity.org  and instant news and updates can be followed on twitter - @PROMPTSymposium, or Facebook - PROMPTSymposium2015.
ENDS

About PROMPT Maternity Foundation
The PROMPT Maternity Foundation (PMF) is a multi-professional group of obstetricians, midwives and anaesthetists who are all employed within the NHS at hospitals in the South West of England. The aim of the charity is to reduce preventable harm to mothers and their babies by improving awareness and facilitating the distribution of effective obstetric emergencies training to areas of the world seeking access to an economical and sustainable training model.

IMSH - Limbs & Things enjoys sucessful 2015 event

Posted: 04-02-2015

In January Limbs & Things celebrated the beginning of what will be a year of silver anniversary celebrations at IMSH 2015 in New Orleans. Launching a new corporate identity and previewing some exciting new products to customers were highlights of the event for the company.
Demonstrations of the NEW Surgical Female Pelvic Trainer were available, offering visitors the opportunity to experience first-hand this versatile learning platform that can be used to teach and practice a wide range of minimally invasive gynecologic surgical techniques.
The PROMPT Flex that will be available in May was also previewed. This advanced birthing simulator, built on the success of PROMPT will offer an improved design improvements and additional functionality to set a new benchmark for obstetrical task trainers.
Alongside these new products, the best-selling Clinical Male Pelvic Trainer Mark 2, improved Breast Examination Trainer and procedurally exemplary Chest Drain were on show.
2015 saw IMSH celebrate 15 years as the largest event globally for healthcare simulation, bringing together researchers, educators, facilitators, manufacturers, practitioners and experts from around the world. This year over 2000 delegates attended in order to network, participate in seminars and workshops and see exhibitors demonstrate the latest technology in the industry.
It was a great event for the Limbs & Things team from Noth America, Europe and Australasia and we hope to see you again in 2016!

For further information on the NEW PROMPT Flex visit www.prompt-flex.com

Clinical Male Pelvic Trainer brings clinicians & educators closer to effective examination diagnoses

Posted: 31-07-2014

New Clinical Male Pelvic Trainer brings clinicians & educators closer to effective examination diagnoses

Bristol, UK – 28th July 2014

Limbs & Things launches a new, improved Clinical Male Pelvic Trainer (CMPT) to help clinicians & educators teach healthcare professionals how to perform male examination – effectively identifying anatomy and diagnosing critical pathologies in men’s health.

One in 250 men is diagnosed with testicular cancer at some point in their lifetime, and with no known way to prevent the disease, the best protection is regular physical examination plus early treatment for any signs of pain, lumps, lesions, or swelling in the genital area. If testicular cancer is diagnosed early, the five-year survival rate is over 95%1. The CMPT Mk 2 offers a realistic procedural experience for those learning how to perform effective and consistent male genital examinations – improving competence and confidence and ultimately contributing to improved patient outcomes.

Working in close collaboration with medical practitioners and educators, Limbs & Things defined essential features for the CMPT Mk 2 to meet curriculum needs, and has developed an accurate and effective learning platform comprising Advanced and Standard versions.

Cathy Carr, Clinical Skills Tutor at the Clinical Skills Resource Centre, University of Liverpool, said: “This is an exciting development for the medical community, as it will make a real difference to students, and ultimately their patients. Collaboration is the way forward for healthcare devices. A model can look fantastic, but until you actually use it in a teaching session, you never truly know if it lives up to the claims. We wanted a model that is visually; tactilely and procedurally realistic to give students an experience that closely mimics real life  Limbs & Things has exceeded our expectations and I am delighted to say this is an excellent model that will be valued by teachers and students.”

The Limbs & Things CMPT Mk 2 uses the most relevant materials and the latest production techniques to bring the male pelvic anatomy to life. The Advanced version has seven interchangeable genital modules – providing users with a range of cases to examine – helping healthcare professionals identify presentations ranging from normal through to common pathologies and complications (e.g. varicocele, testicular cancer, epididymal cysts, etc.). The modules are quick and easy to change; ideal for alternating cases in training sessions. The model allows for both supine (lying down) and standing inspections/palpations in line with the requirements of a full male genital examination and may also be used to teach patients themselves how to self-examine.

Learn more about how the Clinical Male Pelvic Trainer helps improve male genital examination skills at https://limbsandthings.com/uk/products/category/male-examination

– ENDS –

Reference:
http://www.testicularcancersociety.org/understanding_testicular_cancer.html [Accessed 15th July 2014].

For more information about Limbs & Things and the Clinical Male Pelvic Trainer, please contact Farah Ghulamali on 0208 971 6408/ fghulamali@saycomms.co.uk

Notes to editors:
Limbs & Things is committed to facilitating superior learning in Clinical Skills. Working closely with clinicians from Clinical Skills Resource Centre, University of Liverpool; Imperial College, London; Guys Hospital, London; Southmead Hospital, Bristol and University of Southampton; Limbs & Things have developed a relevant and effective product that meets healthcare training needs.

As a leading healthcare simulation manufacturer its goal is to produce products which allow clinical educators to deliver their curriculum requirements for physical examination, procedural and specialist skills. As effective replacements for real patients, high qualityproducts will bring greater competence and confidence to healthcare professionals during their training.

Limbs & Things continues to explore new manufacturing technologies and materials and supplies products to healthcare educators and practitioners around the world.