The first case of novel corona virus disease (COVID-19) was diagnosed in Wuhan, Hubei Province of China in December 2019. The virus was rapidly spreading to the domestic areas of China as well as internationally. 1,2 In india the first case of corona virus pandemic was reported on 30 January 2020(wiki REF-1) Coronavirus is a RNA virus and is the largest among the RNA viruses (approximately 26 to 32 kilo bases) from the coronaviridae family, Subfamily Orthocoronavirinae. order Nidovirales, and realm Riboviria.5,6,7Covid-19 is having many similarities with severe acute respiratory syndrome (SARS), Ebola and even influenza. This is also called as SARS-Covid-19.Mortallity and morbidity associated with covid-19 is very high.3
India being a developing county the Indian ministry of health and family welfare has initiated special attention to this pandemic. Special measures have been taken to control the incidence and prevalence of Covid-19.1.3In order to handle this situation in our health care setting we initiated special training to all our staffs including medical, paramedical and skilled workforces. With the help of simulation based training and e-learning platforms via mobile app the training programmes were executed and implemented. Our team has developed 25 working instructions for all the employees working in Max Health Care. The instructions and videos were uploaded in our e-learning portal and is assigned to all the employees under war basis. Within a time frame of 72 hours all staffs have to complete the modules following by hands on simulation training. We followed all the safety precautions while arranging the simulation training as per WHO standard guidelines for Covid-19 .4,6
Table of Contents
1. Preparation of working instructions for care of Covid-19 patients
2. Online learning: Platform for learning and growing with emerging choices
3. Simulation: Future of new education system
Objectives and Topics
The primary objective of this work is to demonstrate the implementation and effectiveness of technology-enhanced learning and simulation-based training for healthcare workers during the COVID-19 pandemic in tertiary care hospitals in India, focusing on safety, infection control, and skill acquisition.
- Development and dissemination of standard working instructions for COVID-19 patient care.
- Utilization of online platforms ("Daksh") for rapid, remote staff training.
- Implementation of small-group simulation training for clinical procedures and PPE management.
- Addressing operational challenges such as resource limitations, infection risk, and the need for rapid skill refreshment.
- Strategies for triage, team dynamics, and clinical management in emergency settings.
Excerpt from the Book
Simulation: Future of new education system
Simulation training has grown exponentially in India. Government approved many simulation based training centres were installed all over the globe. The main aim of these ventures is to improve knowledge, skill and application of the learned items into reality. However, the major focus of those simulations was to meet the educational needs of different training programmes or to supplement certain curricula. After identifying the need for training, simulation has become a powerful weapon fighting against the non availability of actual clinical condition/patient (as there is a scarcity of good institutions) , as it can not only ensure patient safety but also provide a safe learning and training environment for Health care workers to develop practical skills to deal with the situations.
Different simulation programmes have worked together and with other departments in their institutions to develop simulation curricula. A relatively comprehensive list for simulation-based training activities include: 1. Hand hygiene. 2. Wearing and removing protective masks/respirators. 3. Wearing and removing sterile gloves. 4. Wearing and removing disposable goggles/ face shields. 5. Donning and doffing of isolation gown and protective coveralls. 6. Protection classification based on guidelines and so on. These activities delivered to HCWs in relevant departments. Certain simulations in specific settings such as intensive care, emergency and operating rooms were conducted.
Summary of Chapters
1. Preparation of working instructions for care of Covid-19 patients: This chapter details the development of 25 essential working instructions and the transition to digital training modules to ensure staff adherence to PPE and infection control protocols.
2. Online learning: Platform for learning and growing with emerging choices: This chapter highlights the rising importance of online courses and webinars as vital, compulsory tools for improving critical thinking and sharing medical knowledge during the pandemic.
3. Simulation: Future of new education system: This chapter explores the exponential growth and integration of simulation-based training in India as a critical method for developing practical clinical skills while maintaining patient and staff safety in high-stress environments.
Keywords
COVID-19, Simulation training, Online learning, Healthcare workers, Personal Protective Equipment, PPE, Infection control, Triage, Tertiary care, Medical education, Clinical skills, Patient safety, Pandemic preparedness, Daksh, Capacity building
Frequently Asked Questions
What is the primary focus of this study?
This study focuses on how tertiary care hospitals in India utilized simulation and technology-enhanced learning to train healthcare workers rapidly and safely in response to the COVID-19 pandemic challenges.
What are the central thematic fields covered?
The core themes include the digitization of training through online platforms, the practical application of infection control protocols, simulation-based training for PPE use, and clinical triage management.
What is the core research question of the work?
The work examines how healthcare institutions can effectively prepare their workforce to maintain clinical standards and safety while dealing with the immediate demands of a novel infectious disease outbreak.
Which scientific methods were employed?
The paper utilizes a descriptive case-based approach, detailing the implementation of simulation curricula, the use of "Daksh" for e-learning, and the evaluation of training outcomes through exit tests and clinical practice observations.
What topics are discussed in the main body?
The main body covers the preparation of working instructions, the role of online learning platforms, the implementation of simulation in clinical settings, and a table of challenges and solutions for training healthcare workers during an outbreak.
Which keywords best characterize this research?
Key terms include COVID-19, simulation training, online learning, PPE, infection control, and tertiary care.
What role does the "Daksh" platform play in the training process?
Daksh serves as the primary online learning platform that provides work instructions and videos to staff, requires an exit test with an 80% passing score, and facilitates remote knowledge acquisition to minimize classroom training.
How does the study address the shortage of clinical instructors?
The hospital initiated a "train the trainer" mechanism, allowing for repeated practice and efficient dissemination of skills despite a limited pool of experienced trainers.
What are the specific limitations of simulation mentioned in the text?
The limitations include the inability to fully replace real clinical circumstances, the high consumption of resources, and the potential infection risks to instructors and learners during face-to-face sessions.
What is the significance of the "front-line protection measure" mentioned?
These measures, which include specific triage and simulation protocols, are designed to prevent contagious disease transmission and alleviate pressure on intensive care units by improving the clinical decision-making process.
- Arbeit zitieren
- Unni Krishnan.SV (Autor:in), 2020, Simulation and technology enhanced training for Health Care Workers. Preparing and responding to novel. Corona Virus 19 Pandemic challenges and opportunities in tertiary care Hospitals in India, München, GRIN Verlag, https://www.hausarbeiten.de/document/595493
