**Simulation Day Overview: ACRMF 9** ### **Simulation Day Schedule** **Start Time: 8:00 AM | End Time: 3:30 PM** #### **8:00 – 8:45 AM** | *Introduction* - Overview of learning objectives and expectations - Structure of simulations and debriefing approach #### **8:45 – 9:30 AM** | *Role-Based Practice as Early Warmup* (45 min) - Readiness to assist when called for help - Effective role assignment when calling for help - Reinforcing *Name-Claim-Aim (NCA)* #### **9:30 – 10:30 AM** | *Intra-Operative Code Response – RCDP* (60 min) - Case Scenarios: - **Undiagnosed RV dysplasia → VF** - **PEA arrest in pregnant patient (AFE, PE, Venous Air Embolism)** - **Pause and Coach:** - When to refer for ECMO - When to perform Resuscitative Hysterotomy - Documentation of unexpected complications #### **10:30 – 10:45 AM** | *Break* (15 min) #### **10:45 – 11:45 AM** | *Pediatric Assent/Consent/Permission* (60 min) - Ensuring correct permission for the patient’s age/developmental status - Managing scenarios where a child disagrees with a parent #### **11:45 AM – 12:30 PM** | *Front of Neck Access (FONA)* (45 min) - Hands-on technical skill development in performing FONA #### **12:30 – 1:15 PM** | *Lunch Break* (45 min) #### **1:15 – 2:00 PM** | *Induction Distraction (Hypotension) During Time Out* (45 min) - Speaking up when the patient’s condition requires interrupting Time Out - Decision-making: When is “making do” appropriate vs. risky? - Identifying when being the limiting factor is a safety role vs. an impediment #### **2:00 – 2:45 PM** | *Laryngospasm in PACU* (45 min) - Recognizing and managing laryngospasm - Techniques: - BVM with PEEP valve - Mapleson circuit considerations - Inducing & re-intubating if necessary - Delegating thinking and planning while managing airway - Peer support after an unplanned crisis #### **2:45 – 3:30 PM** | *Debrief & Reflection* (45 min) - Key takeaways from the day - Group discussion on challenges and successes - Strategies for applying learning in clinical practice #### **3:30 PM** | *Wrap-Up & Next Steps* - Closing remarks - Feedback collection - Discussion on future training opportunities --- This revised schedule ensures a balance of **didactic learning, hands-on practice, and debriefing** while allowing sufficient time for critical topics.