COVID-19 Modified Guidelines for Use

The purpose of this document is to describe MUSC HSC COVID-19 modified operating procedures. The MUSC HSC is committed to supporting MUSC simulation-based educational activities in a safe environment.

Note: These guidelines are subject to change as the COVID-19 situation changes.

Services offered

  • In-center simulation that adheres to COVID-19 safety procedures and parameters listed below
  • In-situ simulation, including lending selected task trainers and low – mid fidelity simulators that adhere to COVID-19 safety procedures and parameters listed below
  • Recording facilitators running simulations to be distributed via web conferencing or Harbor
  • Consultation on other alternative methods for providing simulation experiences to learners

Modified Operations - General

  • Entrance into the College of Nursing building requires a vertical MUSC badge.
  • Prior to scheduling, each simulation activity will be evaluated to ensure that it can meet modified operating procedures and parameters to protect learners, facilitators, and MUSC HSC staff.
  • Approved simulation activities must be designed for small groups, based on the size of the rooms to be scheduled. See table attached as appendix B.
  • The maximum number of learners to be scheduled according to room occupancy in appendix B.
  • Beds and stretchers will not have linens and manikins will be undressed and covered with a single sheet, except by request when having linens is needed to meet the learning objectives of the simulation activity.

Operating Procedures

General:

  1. Confirm that you have not had any of these symptoms for 14 days. If you have any symptom listed, please also take your temperature.
    a. Do you have new muscle aches not related to another medical condition or another specific activity (e.g. due to physical exercise)?
    b. Do you feel like you may have a temperature of greater than 100.0°F?
    c. Do you have chills?
    d. Do you have sore throat not related to another medical condition (e.g. allergies)?
    e. Do you have a new or worsening cough that is not related to another medical condition?
    f.  Do you have shortness of breath that is not attributable to another medical condition?
    g. Do you have recent (less than 5 days) loss of smell and taste?
    h. Do you have new onset of vomiting or diarrhea not related to another medical condition?
  2. If you have of these symptoms, Go Home/Stay Home, and contact MUSC Health Virtual Care so you can be assessed and receive testing. If you have traveled internationally in the last 14 days you must also go home/stay home until 14 days lapses with no symptoms.
  3. Don cloth or disposable mask upon arrival to the MUSC campus.
  4. Do not arrive before your scheduled time. Early arrivers must wait outside the simulation center. All non-participant visitors must have scheduled appointment.
  5. Entry to the simulation center requires MUSC vertical badge or keypad code access.
  6. Continue to wear the mask upon entry into the simulation center and at all times while in the center. Due to its size and configuration, which prevents social distancing, the breakroom is closed to learners, facilitators, and visitors. Access to the administrative area and breakroom is strictly limited to simulation center staff.
    • If your mask is not available, ill-fitting or soiled, you must don a disposable mask found at the entrance to the simulation center.
  7. Thoroughly clean your hands with the hand sanitizer (at least 20 seconds.) Hand sanitizer stations are located outside the simulation center main entrance.
  8. Practice social distancing (minimum of 6 ft.) at all times.
  9. Do not wait in common areas longer than is necessary to check-in and proceed to your designated simulation room or appointment.
    .

Learners:

  1. Wait outside or in the designated area of the lobby in the simulation center to be escorted to assigned simulation room(s) by the facilitator or as directed by the simulation center staff.
  2. Upon entry or re-entry to the room:
    1. Practice appropriate hand hygiene, wash your hands with soap and warm water or use hand sanitizer.
    2. Don gloves, which are located within each simulation room, unless otherwise instructed by the facilitator.
    3. Sign-in using the iPad or paper sign in sheet. (Initial entry)
  3. During the simulation:
    1. Maintain social distancing except when closer contact is essential to meet the learning objectives of the simulation activity as determined by the facilitator.
    2. Continue to wear your mask at all times.
      1. If your mask becomes soiled or wet, ask for new disposable mask.
      2. Sanitize your gloves prior to donning a new mask.
  4. Upon exit of the room:
    1. Remove and dispose of gloves.
    2. Sanitize your hands.
    3. Exit the simulation center as soon as possible. Do not gather in the common areas of the simulation center.
    4. Sanitize your hands using the hand sanitizer stations at the entrance of the simulation center.

Facilitators:

  1. Meet the scheduled learners at the simulation center entrance and direct them to the assigned simulation room(s).
  2. Follow the procedures listed for Learners within simulation rooms for each simulation session (i.e., each group of learners.)
  3. Verify that you and all learners sign in to the session. Paper sign in requires full name and MUSC email.
  4. Should you need assistance from the simulation center staff during a session:
    1. Contact staff via cell phone (numbers are posted in each room).
    2. Remote assistance will be offered first.
    3. If remote assistance is not feasible, learners will be asked to leave the room unless social distancing can be maintained. Sanitize the manikin, trainers, and surfaces, as needed using 70% alcohol solution wipes or spray bottle with paper towels, prior to the simulation center staff entry into the room.
  5. Between each simulation session and at the conclusion of the simulation activity, clean and sanitize, or direct learners to clean and sanitize, all surfaces, equipment, manikins and trainers that were used using 70% alcohol solution wipes or spray bottle with paper towels.
  6. At the conclusion of the simulation activity, clean and sanitize equipment in the control room 70% alcohol solution wipes or spray bottle with paper towels, as needed.

Staff Cleaning Procedures:

  1. Prior to each simulation activity, clean and sanitize all surfaces, equipment, manikins and trainers with the simulation rooms using 70% alcohol solution spray or wipes.
  2. Periodically during the day, clean and sanitize surfaces and equipment located in common areas using 10% bleach solution.
  3. At the conclusion of each simulation activity, clean and sanitize all surfaces, equipment, manikins and trainers with the simulation rooms using 70% alcohol solution spray or wipes.
  4. Prior to loaning manikins, trainers or other equipment for in situ simulation, clean and sanitize using 70% alcohol solution spray or wipes.
  5. Upon receiving manikins, trainers and equipment returned after in situ simulation, clean and sanitize using 70% alcohol solution spray or wipes.
  6. Quarantine all manikins, trainers and equipment returned after in situ simulation for seven (7) days.

Room Protocol

Elevator Ante Room

  1. Self Screen for Symptoms
  2. Verify Well-Fitting Mask
  3. Sanitize Hands
  4. Wait to be Directed to the Sim Rooms

Enter/Re-enter Sim Room

  1. Enter Room
  2. Sanitize Hands
  3. Put on Gloves
  4. Sign In at Initial Entry

During Sim

  1. Maintain Social Distance When Possible
  2. Re-Sanitize Hands and Gloves as Needed

Exit Sim Room

  1. Remove and Dispose of Gloves
  2. Sanitize Hands
  3. Exit Sim Room
  4. Do Not Loiter in Common Areas
  5. Exit Simulation Center

Room Occupancy: Based on 3ft Radius per Person

Room 102
331 square feet.

  • Interior Tables only: Occupancy of 12
  • 1 bed or 3 over bed tables: Occupancy of 11
  • 2 beds or 6 over bed tables: Occupancy of 10
  • 3 beds or 9 over bed tables: Occupancy of 10
  • 4 beds or 12 over bed tables: Occupancy of 9

Room 104
372 square feet.

  • Interior Tables only: Occupancy of 13
  • 1 bed or 3 over bed tables: Occupancy of 12
  • 2 beds or 6 over bed tables: Occupancy of 12
  • 3 beds or 9 over bed tables: Occupancy of 11
  • 4 beds or 12 over bed tables: Occupancy of 10

Room 102/104
703 square feet.

  • Interior Tables only: Occupancy of 25
  • 1 bed or 3 over bed tables: Occupancy of 23
  • 2 beds or 6 over bed tables: Occupancy of 22
  • 3 beds or 9 over bed tables: Occupancy of 21
  • 4 beds or 12 over bed tables: Occupancy of 19
  • 5 beds: Occupancy 18 
  • 6 beds: Occupancy 16

Room 103
368 square feet.

  • Interior Tables only: Occupancy of 13
  • 1 bed or 3 over bed tables: Occupancy of 12
  • 2 beds or 6 over bed tables: Occupancy of 12
  • 3 beds or 9 over bed tables: Occupancy of 11
  • 4 beds or 12 over bed tables: Occupancy of 10

Room 106
314 square feet.

  • Interior Tables only: Occupancy of 11
  • 1 bed or 3 over bed tables: Occupancy of 10
  • 2 beds or 6 over bed tables: Occupancy of 10
  • 3 beds or 9 over bed tables: Occupancy of 9

Room 107
241 square feet.

  • Interior Tables only: Occupancy of 9
  • 1 bed or 3 over bed tables: Occupancy of 8
  • 2 beds or 6 over bed tables: Occupancy of 7
  • 3 beds or 9 over bed tables: Occupancy of 6

Room 106/107
555 square feet.

  • Interior Tables only: Occupancy of 20
  • 1 bed or 3 over bed tables: Occupancy of 18
  • 2 beds or 6 over bed tables: Occupancy of 17
  • 3 beds or 9 over bed tables: Occupancy of 15
  • 4 beds or 12 over bed tables: Occupancy of 14
  • 5 beds: Occupancy of 13
  • 6 beds: Occupancy of 11

Room 108
251 square feet.

  • Interior Tables only: Occupancy of 9
  • 1 bed or 3 over bed tables: Occupancy of 8
  • 2 beds or 6 over bed tables: Occupancy of 7
  • 3 beds or 9 over bed tables: Occupancy of 7

Room 113
272 square feet.

  • Interior Tables only: Occupancy of 10

Room 114
337 square feet.

  • Interior Tables only: Occupancy of 12
  • 1 bed or 3 over bed tables: Occupancy of 11
  • 2 beds or 6 over bed tables: Occupancy of 10
  • 3 beds or 9 over bed tables: Occupancy of 10

Room 116
188 square feet.

  • Interior Tables only: Occupancy of 7
  • 1 bed or 3 over bed tables: Occupancy of 6
  • 2 beds or 6 over bed tables: Occupancy of 5

Room 118
190 square feet.

  • Interior Tables only: Occupancy of 7
  • 1 bed or 3 over bed tables: Occupancy of 6
  • 2 beds or 6 over bed tables: Occupancy of 5

Room 121
190 square feet.

  • Interior Tables only: Occupancy of 7
  • 1 bed or 3 over bed tables: Occupancy of 6
  • 2 beds or 6 over bed tables: Occupancy of 5

Room 122
178 square feet.

  • Interior Tables only: Occupancy of 6
  • 1 bed or 3 over bed tables: Occupancy of 6

Room 123
172 square feet.

  • Interior Tables only: Occupancy of 6
  • 1 bed or 3 over bed tables: Occupancy of 5

Room 124
145 square feet.

  • Interior Tables only: Occupancy of 5
  • 1 bed or 3 over bed tables: Occupancy of 4

Room 125
151 square feet.

  • Interior Tables only: Occupancy of 5
  • 1 bed or 3 over bed tables: Occupancy of 5