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Open AccessFeature PaperArticle

Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students

1
School of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USA
2
University of Miami, Information Technology, Coral Gables, FL 33146, USA
*
Author to whom correspondence should be addressed.
Received: 27 August 2020 / Revised: 27 September 2020 / Accepted: 27 September 2020 / Published: 30 September 2020
(This article belongs to the Special Issue Applications of Virtual Simulation and Virtual Reality in Nursing)
Background: The occurrence of a fire when implementing anesthesia is a high-risk, low-frequency event. The operating room is a high-stakes environment that has no room for error. Mixed reality simulation may be a solution to better prepare healthcare professionals. The purpose of this quantitative, descriptive study was to evaluate the technical and non-technical skills of student registered nurse anesthetists (SRNAs) who participated in a mixed reality simulation of an operating room fire. Methods: Magic Leap OneTM augmented reality headsets were used by 32 student registered nurse anesthetists to simulate an emergent fire during a simulated tracheostomy procedure. Both technical and non-technical skills were evaluated by faculty members utilizing a checklist. Results: The SRNAs’ overall mean technical skill performance was 18.16 ± 1.44 out of a maximum score of 20, and the mean non-technical skill performance was 91.25% out of 100%. Conclusions: This study demonstrated the utility and limitations in applying novel technology in simulation. Participants demonstrated a strong performance of technical and non-technical skills in the management of a simulated operating room fire. Recommendations for future applications include the use of multiple sensory inputs into the scenario design and including all core team members in the immersive mixed reality environment. View Full-Text
Keywords: anesthesia; augmented reality; mixed reality; education; fire; non-technical skills; nursing; technical skills; simulation; virtual reality anesthesia; augmented reality; mixed reality; education; fire; non-technical skills; nursing; technical skills; simulation; virtual reality
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MDPI and ACS Style

Wunder, L.; Gomez, N.A.G.; Gonzalez, J.E.; Mitzova-Vladinov, G.; Cacchione, M.; Mato, J.; Foronda, C.L.; Groom, J.A. Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students. Informatics 2020, 7, 40. https://0-doi-org.brum.beds.ac.uk/10.3390/informatics7040040

AMA Style

Wunder L, Gomez NAG, Gonzalez JE, Mitzova-Vladinov G, Cacchione M, Mato J, Foronda CL, Groom JA. Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students. Informatics. 2020; 7(4):40. https://0-doi-org.brum.beds.ac.uk/10.3390/informatics7040040

Chicago/Turabian Style

Wunder, Linda; Gomez, Nicole A.G.; Gonzalez, Juan E.; Mitzova-Vladinov, Greta; Cacchione, Max; Mato, Jampierre; Foronda, Cynthia L.; Groom, Jeffrey A. 2020. "Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students" Informatics 7, no. 4: 40. https://0-doi-org.brum.beds.ac.uk/10.3390/informatics7040040

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