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ur simoyesUely!
eﬀectivCARRYING OUT THE TRAININGSTEPCVC
CVC Insertion
Insertion Training
Training
Case：The below example is for 2 hours of training session.
Orientation

Osaka City University, Faculty of Medicine
Skills Simulation CenterWEB

5min.

http://www.med.osaka-cu.ac.jp/ssc/

The trainees are assessed on prepara�on work or previous experiences in CVC inser�on.
Orienta�on on training contents and ﬂow is given.

1. Body posi�oning/Injec�on point of CVC/An�sep�cGoals

STEP●Explana�on of the injec�on point●Wearing the surgical cap and mask and an�sep�zethe injec�on area

Item ListLayout□ Mask□ Cap□ Surgical gloves

clean area

Assistant□ Surgical gown

□ Surgical sheets□ Catheter kits

Assistant□ Antiseptic cotton balls
Performer

clean area

(Used without antiseptic)□ Tweezers（For anticeptic）

Explain why wearing the cap and mask before antiseptizing.

□ Syringes

It is to avoid hairs or others falling oﬀ to the items for antiseptic.

−for heparized saline solution：20cc−for local anesthesia：10cc□ Needles−for local anesthesia

2. Prepara�on for CVC inser�on procedureShowingsample
procedure−for ﬁlling a syringe with medicine

30min.

□ Needle disposal box●Wearing a gown and gloves
It is to avoid hairs or others falling oﬀ to the items for an�sep�c.

□ Waste box

3. Local anesthesia and CVC inser�on procedure□ Simulated heparized saline

Goals

Understand the procedure and how to handle the instruments

Training sessions●Performe local anesthesia procedure.

（Xylocaine）●Show the steps of the catheter inser�on and ﬁxa�on.

Picking up the instruments is one of thegood way to understand the procedure forthe beginers.

Explain the ac�on of assistant at the same �me.
Explain the detail ac�on during the procedure like talking to the pa�ents, asep�c technique of guide wire and etc.

Prac�ce

Let the train
ees be awa
re of theimportanceof facing topatient fully.

TRAINING TRICKSIn this training session, second year
residents teach ﬁrst year resident as apeer teachers in pairs. Trainees canreceive more �me for individual learningand feel more confortable and open
when interac�ng with a peer during thetraining. Peer teaching helps not only
the shortage of staﬀs but also peer
teachers reinforce their own learning byinstruc�ng others.

Learning the asep�c techniqueTraining sessions●Explaning the prepara�on of the items□ Simulated local anesthetic

Peer teaching

Goals

Explain the action of assistant at the same time.

solution

Goodto know

Importance of talking to pa�ents and understandingof injec�on point

Training sessions

ITEMS TO PREPARE

Performer

To encourage trainees to prepare
from some days before the training session
will increase eﬀec�vity of the training.

Simulators are patients.
"Now you may feel cold with an�sepsis.""Please let me put a instrument on yourabdomen."
These talking to the pa�ents is a quite
important point to learn same asprocedure itself. Never let the trainees
to think "The training is to simulators."
and make them conscious of facing thepa�ent during the training.

●The trainee can prac�ce the procedure thoroughly about 20 mins.
Another join the procedure as an assistant.

Trainers need to get involved to the trainees' practice inorder to solve their questions and anxious.

Practice and perfrom
Prac�cing and performing session isseparated in the training. At thebeginning, the instructor tells thetrainees to let them perform theprocedure in realis�c se�ng in the lastpart of the training. Before theperforming session, trainees canprac�ce the procedure with thesimulator in speciﬁc �me. In theperforming, the peers check theprocedure with the prepared checklist
then feedback later.

Working in a pair

Practice
andperformancesession75
min.

Performance

The procedure in the realis�c se�ng●The trainee perform the procudure without the advice.
Do not point out the mistakes during the performing.

Use the check list to assess the procedure.

FeedbackSpeciﬁc feedback by the trainer●Feedback the detail of the procedure with the check list to the trainee.