Using simulation for training and to change protocol during the outbreak of severe acute respiratory syndrome

Abrahamson, Simon D; Canzian, Sonya; Brunet, Fabrice

We had to repeatedly reinforce our observation that although applying the PPS correctly was important, it was the undressing and removal of contaminated clothing that was even more important to prevent self-contamination. Undressing had to be done without the use of the dressing assistant, while wearing multiple layers of protective equipment. When simulation occurred in a negative-pressure patient room instead of the teaching area, we discovered unexpected infection control problems with furniture as well as our lack of a scripted transport protocol to move the patient to the ICU.