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Creating Simulated Pharmaceuticals from Laboratory Supplies - PowerPoint PPT Presentation


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How to Supply Your Drug Habit. Creating Simulated Pharmaceuticals from Laboratory Supplies. Meet Our Team. Cory Soto, B.S., CPhT Simulation Specialist. Rukhsana Khan, M.P.H. Simulation Specialist. Jamie Stiner Simulation Operations Manager Simulation Specialist. Daniel Noji, B.S.

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Presentation Transcript
meet our team
Meet Our Team

Cory Soto, B.S., CPhT

Simulation Specialist

Rukhsana Khan, M.P.H.

Simulation Specialist

Jamie Stiner

Simulation Operations Manager

Simulation Specialist

Daniel Noji, B.S.

Programmer Analyst

Simulation Specialist

Jeffrey Rusheen, M.D.

Assistant Professor Anesthesiology

disclosure s
Disclosure(s)
  • We have nothing to disclose.
  • Commercial vendors mentioned in this presentation are merely used as examples. We do not receive any compensation from them.

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learning objectives
Learning Objectives
  • Create a needs assessment to tailor the pharmaceutical production to your needs.
  • Demonstrate how to produce vials for use as simulated drugs with hands-on instruction.
  • Find ways to implement this new tool into your simulation center.

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does your simulation center
Does your Simulation Center…
  • Use expired drugs?
  • Buy commercially available simulated drugs?
  • Make your own?

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the problems
The Problems

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a solution do it yourself
A Solution: Do It Yourself!

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get the right tools for the job
Get The Right Tools for the Job

Outside Diameter, or O.D.

Syringe

Table Salt

Borosilicate Vial

0.9% NaCl (Normal Saline)

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get the right tools for the job1
Get The Right Tools for the Job

Stopper

Flip-Off Cap Crimper

Flip-Off Cap

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step one filling and sealing
Step One: Filling and Sealing

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step two capping
Step Two: Capping

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wow that was easy
Wow, That Was Easy!

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step three crimping
Step Three: Crimping

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the assembled vial
The Assembled Vial

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now you get to do it
Now You Get To Do It!

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step four labeling
Step Four: Labeling

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meet sophie
Meet SOPHIE
  • Simulated Online Pharmaceutical Image Editor
  • No need for expensive image editing suites
  • Developed by the UCLA Simulation Center for use by other Simulation Centers at no cost

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what does your center need to maintain their drug habit
What Does Your Center Need to Maintain Their Drug Habit?
  • Common/Crash Cart Meds
  • Medications for Rare Conditions (Dantrolene for Malignant Hyperthermia, Blood Factors, etc.)

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needs assessment
Needs Assessment
  • Do you see a need for simulated medications to enhance realism and learning during the scenarios?
  • Are there any injectable drugs you would like specifically created for your simulations? (If so, please include concentration and volume)
  • Do you have any suggestions for injectable drugs that may be useful for simulation, in general? (If so, please include concentration and volume)
  • Do you know of any colleagues who would be interested in pharmaceutical simulation or integrating simulated pharmaceuticals into their teaching at the Simulation Center? If so, please provide their name and I will contact them.

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simulated drugs currently available at ucla
Simulated Drugs Currently Available at UCLA

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the cost of production
The Cost of Production

Material Cost

Labor Cost for 500 Vials

Labor Cost Per Vial

Material Cost Per Vial

cost analysis
Cost Analysis

Total Yearly Cost Using In-House Simulated Drugs versus Commercial Drugs for Anesthesia Residents

Assumption: A year’s worth of simulated drugs for Anesthesia residents is based upon 3 vials of simulated drugs used during each simulated case, 3 cases per week, 4 times per month, 12 months per year, which equals a total of 432 vials (with an additional 68 vials as a buffer in case more are needed throughout the year)

Total Yearly Cost Using In-House Simulated Drugs versus Commercial Drugs for a Class of 60 Nursing Students

Assumption: A nursing program with 60 students learning how to draw medications for intravenous administration. Each get three 10 mL vials of 0.9% NaCl to do this with. Each course occurring 4 times per year.

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references
References
  • SamoskyJ, Mikulis B, Bregman, R, Nelson, D: A Novel Intravenous Drug Recognition System for Medical Simulators Based on Direct Fluid Identification. Society for Simulation in Healthcare Scientific Abstract Guide 2012; 12: 941
  • Steadman RH, Coates WC, Huang YM, Matevosian R, Larmon BR, McCullough L, Ariel D: Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills. Critical Care Medicine 2006; 34:151-7
  • Rodgers D, Securro, Jr S, Pauley RD: The Effect of High-Fidelity Simulation on Educational Outcomes in an Advanced Cardiovascular Life Support Course. Simulation in Healthcare 2009, 4: 200-6
  • QayumiK, Donn S, Zheng B, Young L, Dutton J, Adamack M, Bowles R, Cheng A: British Columbia Interprofessional Model for Simulation-Based Education in Health Care. Simulation in Healthcare 2012; 7:295-307
  • StruysMMRF, De Smet T, Mortier EP: Simulated Drug Administration: An Emerging Tool for Teaching Clinical Pharmacology During Anesthesiology Training. Clinical Pharmacology & Therapeutics-Nature 2008; 84: 170-4
  • Kimble Chase Life Science and Research Products LLC. Web site.
  • http://labglass.kimble-chase.com/category/serum-vials&bc=100. Accessed March 18, 2013.

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how to reach us
How to Reach Us
  • Any questions or comments regarding the material presented can be directed to the team at:
  • E-mail: sim@mednet.ucla.edu
  • Visit our website at: www.sim.ucla.edu

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thank you for attending
Thank You for Attending

Questions?

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