A: Simulation Hospital: SCE, Reservation Dates and Supplies Request Form

Miami Dade College Simulation Hospital

Located at the

Medical Campus

950 NW 20th St.

Miami, FL 33127

Faculty Reservation Request

Reservation dates, clinical simulated scenario, and equipment and supplies

Our staff will get back to you as soon as possible to confirm your reservation or to re-schedule if your requested days are not available

Today's Date/Time

Faculty Name*

First Name

Last Name

Type the number of students in your class. Debriefing rooms can hold up to 10 students per class. (Classes larger than 10 students need to be coordinated by your department.)*

Morning reservation request

Select your morning reservation request date

Monday 8am - 12pm Tuesday 8am - 12pm Wednesday 8am -12pm Thursday 8am - 12pm Friday 8am -12pm Saturday 8am -12pm Sunday 8am -12pm

(OPTIONAL) Do you need to request MULTIPLE MORNING reservations? Please type your requested days: (Month/Date/Year)

Afternoon reservation request

Select your afternoon reservation request date

Monday 1pm - 4:30pm Tuesday 1pm - 4:30pm Wednesday 1pm - 4:30pm Thursday 1pm - 4:30pm Friday 1pm - 4:30pm Saturday 1pm - 3:30pm Sunday 1pm - 3:30pm

(OPTIONAL) Do you need to request MULTIPLE AFTERNOON reservations? Please type your requested days: (Month/Date/Year)

Simulation Type*

Office phone Number*

Cell phone Number

Email*

Class name and reference number*

Purpose*

Clinical: Critical Thinking Testing: Critical Thinking

Simulator Needed*

Adult Pediatric Infant OB OB Mixed Reality headsets Anatomage table

Select your desired scenario from our scenario library (drop down menu):

Medications and Supplies (one supply kit per student group for one human patient simulator)

Simulated medications, per availability IV Therapy supplies Medication administration supplies Foley Kit Nasogastric supplies Respiratory Therapy supplies Suctioning supplies

Please arrive 5 minutes early before your reservation start time to review the supplies and equipment provided to you.

If you requested multiple reservation days, type the scenario names for each requested day

Comments

Please note:

We kindly request faculty to please not change the selected scenario in the morning of the day of your reservation. Your consideration is much appreciated. Simulation Hospital staff to faculty ratio: per availability, Simulation Hospital Staff may or may not be next to the Faculty during the entire simulation session Once you submit your request, PLEASE WAIT to receive an email CONFIRMATION from our end or to please RESCHEDULE. Thank you for your cooperation.

Faculty Orientation

The Simulation-Based Learning experience has 3 main components:

pre-briefing, simulation and debriefing

5 min faculty training video

INACSL HSSOBP simulation design

INACSL HSSOBP facilitation

INACSL HSSOBP debriefing methods

How to become a better debriefer

Debriefing for meaningful learning

Faculty self assessment

Free Essentials in Clinical Simulation course

Apply today to become a Certified Healthcare Simulation Educator