Table 2.
Min | Instructor 1: Residenta | Instructor 2: Nurse 1/dispatcher/other caregiversa | Instructor 3: Nurse 2/patients (P)a |
T-1 | —b | — | P1 —> room 1/P2—> room 2 |
T+0 | Physician 1 | — | — |
T+5 | — | Physician family calls | — |
T+10 | — | — | P3 —> EDc hall |
T+14 | — | — | P3 —> triage room |
T+15 | — | Radiologist calls for P2 | — |
T+19 | — | — | P3 —> room 3a and call EPd |
T+21 | — | — | P4/P13 —> ED hall |
T+24 | — | — | P4 —> waiting room |
T+25 | — | — | P13 —> triage room |
T+30 | MD (gastro) calls for P1 | — | — |
T+35 | — | Gastroenterologist calls | P13 —> room 2b |
T+36 | — | — | Call nurse 1 for IV line P13 |
T+37 | — | — | P4 —> triage room |
T+42 | — | IVe line P13 | Call EP: “where do I install P4” |
T+43 | — | — | P5 —> ED hall |
T+44 | — | Dispatcher calls EP | — |
T+46 | — | — | P5 —> triage room |
T+50 | — | Nurse calls EP: “blood test sent” | — |
T+51 | — | — | P5 —> room 3b |
T+52 | — | Nurse calls EP: “what is the blood test for p5?” | — |
T+62 | — | — | P6 —> ED hall |
T+66 | — | — | P6 —> triage room |
T+70 | — | — | P7 —> ED hall |
T+71 | — | — | P6 —> room available or call EP |
T+72 | — | Dispatcher calls EP | — |
T+74 | — | — | P7 —> triage room |
T+78 | Call EP: “neurologist is ready” | — | — |
T+79 | — | — | P7 —> room available or call EP |
T+81 | — | — | P8 —> ED hall |
T+84 | — | — | P8 —> triage room |
T+89 | — | — | P8 —> room available or call EP |
T+90 | Call EP: “P13 have a Troponin at 45” | — | — |
T+91 | — | — | P9 —> ED hall |
T+95 | — | — | P9 —> triage room |
T+96 | — | — | P10 —> ED hall |
T+99 | — | — | P9 —> room available or call EP |
T+101 | — | — | P10 —> triage room |
T+105 | — | — | P11 —> ED hall |
T+106 | — | — | P10 —> room available or call EP |
T+110 | — | — | P11 —> triage room |
T+111 | — | — | P12 —> ED hall |
T+114 | — | — | P11 —> room available or call EP |
T+115 | — | — | P12 —> triage room |
aEach column describes the actions carried out by the 3 instructors according to their function in the scenario. The actions are displayed chronologically after the beginning of the scenario. For example, at the 42nd min the second instructor who controls nurse 1 must place an IV line to patient 13, and the third instructor who controls nurse 2 calls the emergency physician to ask him in which emergency room patient 4 would be installed.
bNo action.
cED: emergency department.
dEP: emergency physician.
eIV: intravenous.