Critical Care Medicine Department

Clinical Simulation Service

The Clinical Simulation and Patient Safety Service, hereafter referred to as CSPSS, is a section of the NIH Clinical Center's Critical Care Medicine Department. Our service specializes in providing training to enhance patient safety through improved patient care and foster the further education of health care professionals. We do this by creating a safe, high yield learning environment that provides the participants with the guidance to evaluate their own practice through our objective focused scenarios. Our primary goal is to optimize patient outcomes; we do this by improving communication and other teamwork skills and presenting scenarios that involve high risk, low volume procedures. We also provide realistic clinical scenarios for reproducible training, as well as sessions for skills retention.

Simulation training assures staff of opportunities to perfect lifesaving techniques
Fellows work collaboratively on simulation exercises
Simulation experience prepares fellows to perform emergency procedures

Images link to larger versions.

The CSPSS offers training to physicians, nurses, respiratory therapists and all Clinical Center employees. Though much of our training is involved with the precepts of ACLS, we are also available for other types of sessions such as medical/surgical nursing procedures and scenarios, crisis resource management (CRM), and staff debriefings after difficult events. The prospective educator or manager provides the CSPSS staff with objectives, and the scenarios are written, given a "run through," re-written and then presented to the target participants. This type of training is particularly crucial here in the Clinical Center where there is statistically not a great deal of emergency situations such as code blues. This could be deemed surprising, considering the high number of very ill patients. It is due to many factors, not the least of which is the early intervention provided by the primary teams. However, the outcome of any emergency situation depends on both the skill and speed of the first line responders. The CSPSS offers opportunities for the participants to retain the knowledge and skill needed to intervene appropriately.

To develop and utilize standardized clinical scenarios for:

  • Maintenance of critical thinking skills required for emergencies
  • Development of leadership and team cohesion
  • Maintenance of technical skills for rarely performed or new procedures.

Clinical Simulation Service

More simulation practice

Simulation practice


Nancy Muldoon, RN
Program Manager
(301) 496-9320

Raj Matta, PA-C
Program Associate
(301) 496-9320

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This page last updated on 07/26/2017

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