Clinical Skills and Communications

Clinical Skills and Simulation

Introduction

INTRODUCTION

The newly established Clinical Skill Laboratory (CSL) of Fazaia Medical College, Air University serves to develop and enhance the skills of MBBS Medical Students that relate to their clinical training. It also impart the concepts of patients and self-safety. The students avail this facility for their Clinical training. Demonstration by the facilitator, student self-practice, supervisors feedback, debriefing and student reflection help to gain the required clinical/procedural skills that improve the performance of the students before they are exposed to real life scenarios in hospital clinical departments.

In CSL environment, the students have a chance for practicing on manikins for their Medical, Surgical, Obstetrics, Cardiac, Paediatric, Eye and ENT subjects. The facilitators help the students to learn the required set of skills and brief them about the procedure with clinical case scenarios. These activities are followed by regular assessments of students.

General Information

FACILITIES AVAILABLE FOR TRAINING IN CLINICAL SKILL LAB – FMC

S.No	Name	Department	Quantity
1.	Basic Life Support & First Aid	Medicine	01
2.	Adult ACLS Manikin with Feedback System		01
3.	Advanced venue puncture & injection Arm		01
4.	Arterial Puncture Arm		01
5.	Injection Arm		01
6.	Geriatric IV Arm		01
7.	Training AID light Skin		01
8.	Advanced Four-Vein Venipuncture Training Aid Latex Free – Darkly Pigmented		01
9.	Buttockmate I.M Injection		01
10.	Phlebotomy Sampling		01
11.	Intramuscular Injections		01
12.	Nasogastric Tube Insertion		01
13.	Software of Heart Sounds & Breath Sounds		01
14.	Smart Scope ( Manikin ) Heart Sounds &Breath Sounds		01
15.	Endotracheal Tube Intubation		01
16.	Adult Sternal Intraosseous Infusion Simulator		01
17.	Human Heart Model		01
18.	Deluxe Crisis™ Torso With Advanced Airway Management		01
19.	Blood Pressure Trainer		01
20.	Median Section Head		01
21.	Airway Management Trainer		04
22.	Economy Adult Airway		01
23.	Diabetic Infection Practice KIT Brown		01
24.	Advanced Patients Care Male & Female		01
25.	Patient Care Manikin Basic		01
26.	Skin Cancer Model with 5 Stages, 8 times magnified		01
27.	Advance vein venipuncture		01
28.	Endotracheal Intubation Simulator		01
29.	Male Catheterization and Female Catheterization	Surgery	01
30.	Catheterization Simulator Advanced		01
31.	Tracheostomy Simulator		01
32.	Breast Examination		01
33.	Casualty Simulator		01
34.	Chest Tube Manikin		01
35.	Ostomy Care Model		02
36.	Abdominal Trainer		01
37.	Suture Techniques		01
38.	Testicular Examination Simulator		01
39.	Lower Stump Bandaging Simulator		01
40.	Central Venous Cannulation Simulator		01
41.	Suture & Practice Trainer		01
42.	NG Tube Insertion Trainer		01
43.	Peter PICC Lines Simulator		01
44.	Spinal Injection Simulator		01
45.	Chester Chest™ with Port Access Arm, Light Skin		01
46.	Prostate Examination Simulator		01
47.	Clinical Male Pelvic Trainer (CMPT) Mk 2 – Advanced		01
48.	Knot Tying Trainer		01

49.	Pap Smear	Obs&Gynae	01
50.	Pelvic Examination		01
51.	Vaginal Examination Simulator		01
52.	Birthing Simulator		01
53.	Cervical Dilatation And Effacement Simulators		01
54.	Black Pelvis		04
55.	Zoe Pelvis		04
56.	Episiotomy Set With Box		08
57.	Full Body Manikins		04
58.	Maternal and Neonatal Birthing Torso		01
59.	Vaginal Examination simulator		01
60.	NOELLE Maternal and Neonatal Simulation System		01
61.	Childbirth Demonstration Pelvis		04
62.	Neonatal Resuscitation	Peads	01
63.	Basic Crisis Infant		01
64.	Child CPR Manikins With Blue Tooth		01
65.	Infant CPR Manikin With Blue Tooth		01
66.	Infant Airway Trainer		01
67.	Infant Baby		05
68.	Full Child Body Manikin		03
69.	Advanced Infant, Intubation Head with Board		01
70.	Intubation Head infant		01

71.	Larynx Model	ENT	02
72.	Functional Larynx Model		01
73.	Ear Model		01
74.	Ear Examination Simulator		01
75.	Nose With Paranasal Sinuses, 5-Part		01
76.	Gian Ear Advance Version, 3 times life-size 6-part		01
77.	Human Ear Chart		01
78.	Double sided Brain Section		01
79.	Human Eye Model, 5 Times Full-Size, 8 Part	Eye	01
80.	3b Microanatomy™ Human Eye Model		01
81.	Human Eye Model, 5 Times Full-Size, 12 Part		01
82.	Human Eye Chart		02
83.	Physical Eye Model		02
84.	Model Eye for Ultrasonic Biometry		01
85.	Pathological Human Eye Model		01
86.	Ophthosim™ Ophthalmoscopy Training		01
87.	Classic Eye, 3 Times Full Size, 6- Part		01
88.	Giant Eye, 5 times Full size, 6-part		01
89.	Giant Eye in Base of Bony Orbit, 5 times Full Size, 7-part		01
90.	Classic Eye in Orbit, 3 times Full-size, 7-part		01
91.	Classic Eye, 3 times Full-size 6 part		01

Available Procedures

FACILITIES AVAILABLE FOR TRAINING IN CLINICAL SKILL LAB – FMC

S.No	Procedures Available
1.	Basic Life Support & First Aid
2.	Adult ACLS Manikin with Feedback System
3.	Advanced venue puncture & injection Arm
4.	Arterial Puncture Arm
5.	Injection Arm
6.	Geriatric IV Arm
7.	Training AID light Skin
8.	Advanced Four-Vein Venipuncture Training Aid Latex Free – Darkly Pigmented
9.	Buttockmate I.M Injection
10.	Phlebotomy Sampling
11.	Intramuscular Injections
12.	Nasogastric Tube Insertion
13.	Software of Heart Sounds & Breath Sounds
14.	Smart Scope ( Manikin ) Heart Sounds &Breath Sounds
15.	Endotracheal Tube Intubation
16.	Adult Sternal Intraosseous Infusion Simulator
17.	Human Heart Model
18.	Deluxe Crisis™ Torso With Advanced Airway Management
19.	Blood Pressure Trainer
20.	Median Section Head
21.	Airway Management Trainer
22.	Economy Adult Airway
23.	Diabetic Infection Practice KIT Brown
24.	Advanced Patients Care Male & Female
25.	Patient Care Manikin Basic
26.	Skin Cancer Model with 5 Stages, 8 times magnified
27.	Advance vein venipuncture
28.	Endotracheal Intubation Simulator
29.	Male Catheterization and Female Catheterization
30.	Catheterization Simulator Advanced
31.	Tracheostomy Simulator
32.	Breast Examination
33.	Casualty Simulator
34.	Chest Tube Manikin
35.	Ostomy Care Model
36.	Abdominal Trainer
37.	Suture Techniques
38.	Testicular Examination Simulator
39.	Lower Stump Bandaging Simulator
40.	Central Venous Cannulation Simulator
41.	Suture & Practice Trainer
42.	NG Tube Insertion Trainer
43.	Peter PICC Lines Simulator
44.	Spinal Injection Simulator
45.	Chester Chest™ with Port Access Arm, Light Skin
46.	Prostate Examination Simulator
47.	Clinical Male Pelvic Trainer (CMPT) Mk 2 – Advanced
48.	Knot Tying Trainer
49.	Pap Smear
50.	Pelvic Examination
51.	Vaginal Examination Simulator
52.	Birthing Simulator
53.	Cervical Dilatation And Effacement Simulators
54.	Black Pelvis
55.	Zoe Pelvis
56.	Episiotomy Set With Box
57.	Full Body Manikins
58.	Maternal and Neonatal Birthing Torso
59.	Vaginal Examination simulator
60.	NOELLE Maternal and Neonatal Simulation System
61.	Childbirth Demonstration Pelvis
62.	Neonatal Resuscitation
63.	Basic Crisis Infant
64.	Child CPR Manikins With Blue Tooth
65.	Infant CPR Manikin With Blue Tooth
66.	Infant Airway Trainer
67.	Infant Baby
68.	Full Child Body Manikin
69.	Advanced Infant, Intubation Head with Board
70.	Intubation Head infant
71.	Giant Eye With Eyelid And Lachrymal System, 5 Times Full-Size, 8-Part
72.	Microanatomy Eye
73.	Pathological Eye – Enlarged 5 Times
74.	Eye, 5 Times Full-Size, 12-Part
75.	Physical Eye Model
76.	Colored Eye Chart
77.	Model Eye For Ultrasound Biometry
78.	Model eye for Indirect Ophthalmoscope & Retinoscope Ophthosim™ Ophthalmoscopy Training
79.	Classic Eye, 3 Times Full Size, 6- Part
80.	Giant Eye, 5 times Full size, 6-part
81.	Giant Eye in Base of Bony Orbit, 5 times Full Size, 7-part
82.	Classic Eye in Orbit, 3 times Full-size, 7-part
83.	Classic Eye, 3 times Full-size 6 part
84.	Larynx Model
85.	Functional Larynx Model
86.	Ear Model
87.	Ear Examination Simulator
88.	Nose With Paranasal Sinuses, 5-Part
89.	Gian Ear Advance Version, 3 times life-size 6-part
90.	Human Ear Chart
91.	Double sided Brain Section

Accessibility and Safety Guidelines

ACCESSIBILITY AND SAFETY GUIDELINES OF SKILL LAB

The guidelines facilitate learning of students, staff and faculty and promote safety of all participants and the workplace. It is expected that everyone involved in these experiences adheres to these policies and guidelines to ensure safety of equipment and themselves.

The following guidelines for the smooth running of CSL and Simulation lab are presented and the students are expected to follow these.

All students are directed to keep all their belongings in the room.
• They are strictly prohibited to write anything on the manikins, tables, walls and blends etc.
• Needles and blades used in skills lab should not be reused and should be disposed of in the nearest sharps container.
• Stethoscopes and torches will not be provided in the laboratory and will be arranged by the students themselves.
• Lights should be turned off upon leaving the lab area, and doors securely pulled up and locked.
• The exterior of the manikins and task trainers in the skills lab are to be cleaned with mild soap and water, rinsed and dried after every use.
• All tubes, catheters, dressings, tape, etc. must be removed and the area cleaned appropriately upon completion of simulated exercises.
• Manikins are to be left on the tables and not moved unless directed by the activity facilitator.
• All injection pads need to be squeezed of any fluid and left to dry.
• All drainage bags must be emptied, disposed of or cleaned appropriately for later use. All chairs should be pushed under the tables.
• Students are not to be left unattended by faculty or staff at any time.
• The doors to skills lab should be locked at all times when not in use.
• A first aid kit will be available all the time in the skill lab to be used in case of any injury to the student or faculty. The CSL coordinator will report all incident report to the in charge CSL on regular basis.
• No food and drinks will be allowed in the skill lab. Students, staff and faculty must be aware that some of the equipment in the skill lab contains latex. Those with a known sensitivity or allergy to latex should contact the Director Medical Education. All users who suffer from a latex sensitivity / allergy should familiarize themselves with the policy and take precautions while using or handling latex parts by wearing non-latex gloves. Unauthorized persons are not allowed in the labs at any time.
• The CSL all halls from within and all 4th floor has CCTV monitoring and recording

CSL Audio Visual Aids

CLINICAL SKILL LAB FMC VIDEOS LIST

Department of Medicine

Heart Sounds

1	Software of heart sounds( Video )
2	Smart Scope ( Manikin ) heart sounds

Procedures Videos/ Manikins

1	Male catheterization
2	Female catheterization

Breath Sounds

1	Software of Breath sounds( Normal & abnormal )
2	Smart Scope ( Manikin ) Breath sounds

Procedures Videos/ Manikin

1	I/v injection & sampling
2	I/M Injection

Procedures Videos Surgery

1	Basic forearm circular cast
2	Gloving, gowning & surgical scrub
3	Scrubbing ( scrub Unit )
4	Surgical Knot
5	Common faults
6	Knot typing two handed/td>
7	Instrument tied reef knot
8	Abscess incision & drainage
9	Assessment of peripheral Arterial disease
10	Arthocentesis of Knee
11	Basic splinting technique
12	Basic laceration repair
13	Instrument handling
14	Mattress suture
15	One handed reef Knot
16	Surgical technique
17	Burn Model

Pediatrics

Examination Videos

1	Chest tube insertion Pediatrics
2	IM injection for Newborn
3	Intraosseus catheter placement in children
4	Iv injection Peadiatrics
5	Liver Biopsy
6	Male child catheterization procedure
7	Nasogastric Tube Placement and Feeding Pediatric
8	Paediatric Endotracheal Intubation
9	Paediatric Laryngeal mask airway insertion
10	Pediatric Lumbar puncture
11	Pediatric Nasopharyngeal Airway
12	Pediatric Oropharyngeal Airway Insertion
13	Thoracentesis
14	Umbilical Cord Care
15	Umbilical Vascular Canalizacion
16	Signs Of dehyration in diarrhea
17	Signs Of Respiratory Distress
18	the pediatric clinical examination
19	18 month child mile stone
20	Emergency & Resuscitation
21	Surgical KnotNeonatal reflexes and examination videos
22	Pediatric Clinical examination
23	Abdominal examination
24	Deep tendon reflexes
25	General physical examination part 1
26	General physical examination part 2
27	General physical examination part 3
28	General physical examination part 4
29	Lymph_nodes
30	Muscle strength
31	Musculoskeletal

Gynae & Obstetric

Examination Videos

1	forceps delivery
2	Vaccuum delivery
3	Mechanism Of Labour Normal & Abnormal
4	Anesthesia & Scrubbing videos
5	Contraception
6	Ectopic Pregnancy
7	Female genital anatomy
8	Fibroid video
9	Ovarian cyst video
10	Polycystic Ovarian Disease Laparoscopy Video
11	Pelvic examination
12	B-lynch suture
13	Colposcopy
14	D & C
15	Endometrial biopsy video
16	Female Catheterization
17	Hsterosalpingogram
18	Pap Smear procedure video
19	Tubal ligation video
20	Diagnostic Pelvic Laparoscopy Exam
21	Endometrial Biopsy of the Uterus
22	Laparoscopic blue dye tubal patency test
23	Laparoscopy Procedure introduction
24	LLETZ
25	Vaginal hysterectomy with cystocele mesh repair and mini-sling procedure
26	Fetal medicine
27	Amniocentesis
28	Amniotic fluid sampling
29	Caesarean Section
30	Shoulder Dysctocia
31	Chorionic Villus Sampling (CVS)
32	Uterine inversion
33	pipelle biopsy
34	Diagnostic Hysteroscopy
35	D and C diagram and commentary
36	Pap Smear procedure video
37	Tubal ligation video
38	Diagnostic Pelvic Laparoscopy Exam
39	Endometrial Biopsy of the Uterus
40	Laparoscopic blue dye tubal patency test
41	Laparoscopy Procedure introduction
42	LLETZ
43	Vaginal hysterectomy with cystocele mesh repair and mini-sling procedure
44	Fetal medicine
45	Amniocentesis
46	Amniotic fluid sampling
47	Caesarean Section
48	Shoulder Dysctocia
49	Chorionic Villus Sampling (CVS)/td>
50	Uterine inversion
51	pipelle biopsy
52	Diagnostic Hysteroscopy
53	D and C diagram and commentary

Procedures Videos

S.No	Name of Procedures
1	Abscess incision & Drainage
2	Assessment of peripheral Arterial disease
3	Arthocentesis of the Knee
4	Angioplasty
5	Angiography
6	Basic laceration repair
7	Basic forearm circular cast
8	Basic splinting technique
9	Blood pressure measurement
10	Bone marrow aspiration & biopsy
11	Bone marrow transplant
12	Central venous catheterization (Manikin )
13	Chest tube insertion
14	Cricothyroidotomy
15	Diagnosis Oitis media otoscopy
16	Endometrial Biopsy
17	Endoscopy
18	Female catheterization (manikin )
19	Fine needle aspiration (Thyroid)
20	Gloving & Gowning & surgical scrub ( Scrub Unit )
21	Instrument handling
22	Instrument tied reef Knot
23	I/V Cannulation & Sampling (Manikin )
24	I/M Injection (manikin )
25	Knot tying two handed
26	Lumbar puncture (manikin )
27	Mattress suture ( boards)
28	Male catheterization (manikin )
29	Nasogastric tube intubation (manikin )
30	One –handed reef Knot
31	Orotracheal intubation ( Manikin )
32	Placement of Femoral venous catheter
33	Placement of Arterial line
34	Positive –Pressure ventilation with face mask
35	Scrubbing ( scrub Unit )
36	Subcuticular suture
37	Surgeon Knot & common faults
38	Suturing technique
39	Thoracentesis