Simulated Health Center Guidelines for Social Distancing and Personal Protective Equipment (PPE) for Fall 2020

Purpose: to be utilized by all students, faculty, and staff while participating in On-Campus Clinical activities

All Simulated Health Center (SHC):

• A clearly marked entry only and exit only pathway will be in place, allowing one-way traffic through the sim center
• All faculty/staff/students will always be required to wear a mask while in the Simulated Health Center. If unable to obtain a mask, the SHC will provide a disposable one upon entry to the SHC.
• All faculty/staff/students will be screened for Covid-19 symptoms prior to entry into SHC. Any person experiencing cough, shortness of breath or fever will not be permitted to participate. 
• Students and faculty names will be tracked via pre-determined calendar and electronic check-in for each day/session they are on campus
• All equipment and furniture will be disinfected per University protocol at the end of each SHC session (skills lab or simulation).

PPE requirements for Students/Faculty/Staff while in the Simulated Health Center

• Able maintain social distance of 6 feet: cloth mask required
• Close proximity within 6 feet but no physical contact: Non-sterile procedural mask and eye protection required
• Close proximity with physical contact: non-sterile procedural mask, eye protection, and non-sterile gloves required
• Close proximity with physical contact and exposure to mucous membranes: non-sterile procedural mask, non-sterile gloves, gown, and face-shield required 

Simulation-specific guidelines:

• Upon entry to the Simulation Suite, students will be directed to their appropriate debriefing spaces by faculty
• Each student will be provided their own desk to place their personal belongings
• Simulation facilitation will be conducted with the following restrictions:
  • Maximum 3 simulations will be running at one time
  • Maximum 6 students per group utilizing 310A/B and 311A/B as two larger rooms in addition to a larger classroom or skills lab
  • When possible, debriefing will be done online
  • Maximum 2 faculty per group, one faculty will be in separate rooms for entirety of simulation
  • Maximum 1 technician per group
  • Maximum 1 standardized patient per group
  • Maximum 2 people in main control room with designated work areas
  • Maximum 1 person in control room 2 with designated work area
  • Maximum 1 person in control room 3 with designated work area
    • In the event that a control room is at maximum capacity or social distancing is not available, faculty and staff will utilize their own personal office space to assist with simulation
• Upon patient room entry, students will be required to wear gloves, gowns and disposable mask while in direct contact with Standardized Patient and their peers
  • A PPE cart will be available outside each patient room
  • Students will be required to wash their hands with soap and water prior to coming into contact with standardized patient
• Standardized Patients:
  • Mask required while in the Simulated Health Center
  • Non-surgical mask required where there is direct contact with others
  • Will be provided their own linen and individual supplies (nasal cannula, oxygen mask, IV Tubing)
• During debriefing, social distancing guidelines will be put into place, allowing the students to be separated by at least six feet during discussion
• All faculty and staff will be assigned their own personal mouthpiece for use with the headsets for use in control room. Headsets will be disinfected after each use

Skills lab-specific guidelines:

• Social distancing:
  • Maximum of 1/3 capacity in the SHC Skills Lab at one time.
  • Faculty/staff/students will maintain distance of at least six feet when possible
  • If unable to maintain social distancing, please reference PPE requirements above
• All faculty/staff/students will enter the lab from BC 302 and perform hand hygiene at the sink upon entry and exit of the Skills Lab.
• Students will be provided a designated cubby to place any personal belongings and a designated stool that can be wiped down with disinfection after every lab session.
• Students will be assigned their own hospital bay with a task trainer or human simulator. Students will only practice skills on their designated manikin. 
• All equipment and furniture will be disinfected at the end of each SHC session (skills lab or simulation)

NRS 206 Skills Remediation Weekend:

Estimated Date: September 12/13th 0800-1200, 1300-1700

Total students: 226 divided into 3 groups of 56 students, and 1 group of 58 students

Faculty/staff: 12 (including instructors, sim tech and TAs)

Layout: Students will be divided into 6 stations (8-10 students per station in assigned pairs with 2 instructors or combination of instructor/TA) and rotate through the 6 stations

 Social distancing:

• Event will be held in a large space (Chiles Center or Beauchamp)
• Each student pair will be >6ft of student. Students will be <6ft from their assigned partner only.

PPE:

• Reference above PPE guidelines for Simulated Health Center
• Students will wear clean non-sterile gloves when interacting with shared lab supplies (manikins/task trainers) AND when <6ft with their assigned partner. 

Disinfecting:

• All shared surfaces will be disinfected between 8-10 student groups rotating.
• Only non-fabric chairs will be used so they can be disinfected between students
• Students will perform hand hygiene (with hand sanitizer) between stations