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Simulation Lab

close up hands on mannequin

Simbionix Virtual Reality Bronchoscopy Simulator

doctor working on a mannequin
Since July 2012, Pulmonary & Critical Care fellows are enhancing their bronchoscopy skills utilizing the Simbionix Virtual Reality Bronchoscopy Simulator. Simulation modules have been developed in conjunction with and endorsed by the American Association for Bronchology and Interventional Pulmonology (AABIP). Novice fellows begin by acquiring skills such as scope control, 3D cognitive perception, and detailed anatomical knowledge. More advanced bronchoscopists complete "virtual" clinical procedures involving various methods for tissue sampling while also controlling and maintaining patient's condition throughout the procedure or reacting/solving complications. Simulation provides an optimal learning environment for simple and complex tasks and provides immediate, real-time feedback.

doctor working on a mannequin
Hands on teaching
The Division of Pulmonary Critical Care & Sleep Medicine in conjunction with the Department of Internal Medicine is pleased to announce the opening of an Ultrasound Simulation Center. The center is currently geared to train Faculty, Fellows and House Staff in the use of ultrasound techniques to guide procedures such as central venous catheter placement and thoracentesis and as an adjunct to the critical care exam (e-FAST).

The ultrasound guided central venous catheterization simulation module includes a pre-course reading and video review. The class will begin with a 30 minute introduction and overview. During this time, key anatomical landmarks, indications for internal jugular central venous catheters (CVCs), techniques of placing CVCs, and complications, will be discussed.

a small class with a woman instructor
Didactic

The next 1 ½ hours will be dedicated to simulation of placement of a central venous line via the internal jugular approach using real-time ultrasound guidance. Familiarity with ultrasound equipment, identification of anatomy on ultrasound in the long and short axis, and how to prepare for USG-CVC insertion will be reinforced with a hands-on approach using a high-fidelity phantom. There will be time allotted for individual and group feedback as well as question and answer.

For questions about enrollment dates and times, contact:

Shawn P.E. Nishi, MD
Assistant Professor & Associate Program Director:
Division of Pulmonary Critical Care & Sleep Medicine
301 University Blvd., Galveston, TX 77555-0561
5.140 John Sealy Annex
P: 409.772.2436
Pgr: 409.643.4587
F: 409.772.9532
E: spnishi@utmb.edu

The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.

Currently available protocols are:
  • CAP - Community Acquired Pneumonia Orderset
  • Congestive Heart Failure (CHF)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetic Ketoacidosis Adult, ICU
  • General Medicine Admission
  • Immunodeficiency Flow Panel
  • MICU/CCU Admission Order Set
  • Oral Analgesic Medicaitons
  • Parenteral Opioids
  • Sepsis, Adult ICU
  • 111 - Stroke Alert
  • 112 - Stroke Activation
  • 300086 - Stroke Floor Admission
  • 3000000001 -  Stroke Critical care without tPA
  • 300088 Stroke - Transfer from Critical care to floor
  • 3004002 - Stroke Discharge

All protocols can be found in the EPIC order set section.

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The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.

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