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Guerilla Sim: Anywhere,
Anytime, Anyone
Jon Gatward
Royal Prince Alfred
Hospital, Sydney
Guerrilla..
noun
..a member of a small, independent mobile
force taking part in irregular fighting, using
hit-and-run tactics..
guerrilla warfare
..referring to actions or
activities performed in an impromptu way,
often without authorization
EXCLUSIVE: MEDICAL
SIMULATON WORKS
HIE rate
Anywhere?
$$ 2, 0 0 0, 0 0 0
lation
Simu
obile
M
$ 1, 5 0 0, 0 0 0
$
$
$

8, 0 0 0
Hit-and-run Sim

$

0
www.sydneyhems.com
www.sydneyhems.com
www.sydneyhems.com
www.sydneyhems.com
www.sydneyhems.com
www.sydneyhems.com

Photos courtesy of Cliff Reid and Karel Habig
In-situ simulation
$
$

150
$
$

2 0, 0 0 0
Anytime?
Simulation in the workplace

q

q
q

No need for study
leave or travel
Can happen 24/7
Can be impromptu

q

q
q

q

Taking staff
away from
patients

Pagers
Before/after
shift
Shift overlap
Impromptu training?
Anyone?
Oh, just not
smart.
Even for
you.

Anyone?
Noise

Signal
Experience 
Why go
mobile?

lation
Simu
obile
M
LATEST: IN-SITU
SIMULATION WORKS
Experienced, paid
Faculty

Variable Faculty
Usual ward equipment

Well equipped
Out of clinical context
Expensive
Leave from work

Normal working
environment
Cheap
Intact, interdisciplinary
What we do at RPA
Tips for
success
Tips for
Time success
Flexibility
Patients and relatives
QI
Unit specific
Brief and debrief
Equipment
Data
N=
300
$90 million since 2011
Summary
o Simulation works
o Mobile / in situ training has its
advantages
o It can be done on the cheap,
but
o There is money around
o Money follows data
o Still need experienced Faculty
o Take care with debriefing

www.mobilesim.wordpress.com

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Gatward: Guerilla Sim: Anywhere, Anytime, Anyone