Bill Becker and Bruce Milligan, representing the MedStar Health network's Simulation and Training Environment Lab (SiTEL), presented this Power Point outlining SiTEL's Mass Casualty Incident training game.

1. Code Orange A Multiplayer 3-D Game for Hospital Mass Casualty Incident Training Games for Health 2010 Bruce Milligan - Designer Bill Becker - Lead Programmer Simulation and Training Environment Lab

3. Live hands-on training with mannequins

4. Clinical medical simulation, virtual apparatus, and other devices

5. 3-D multimedia including serious games

6. More than 70 employees

8. The largest health care system in the greater Baltimore-Washington corridor

9. 9 hospitals and 20 other health-related businesses

10. Over 29,000 employees and 5,300 affiliated physicians

11. Serves a half-million patients annually

13. Tabletop exercises in HCC

15. Too short

16. Too small-scale

19. Up to 12 human players

20. Approximately 2 hours of playing time per session

21. First Scenario – Conventional terror bombing

22. Editable scenarios

23. Integrated into SiTEL’s Learning Management System

24. Full event capture for AAR and offline post-session analysis. Our audience: Hospital management and staff

26. 3-D training is less expensive

27. Mistakes can be made

28. Training areas are there when needed

29. “Volunteers” are always availableImmersive and realistic Training costs can be reduced Better to kill NPCs than your patients A 3-D hospital is always available Orange includes over 400 patient and staff NPCs.

31. Simulate the sights, sounds, and pressure of a real hospital during a crisis

32. To make a game that is both compelling and realistic

33. If it isn’t compelling, they won’t play

34. If it isn’t realistic, they won’t learn what they need to know

35. Create an MCI situation – something hospital employees may encounter only once in their careers

36. Effectively teach that all the normal rules change during an MCI – real triaging occurs (some patients will die), time and space become luxuries, and that working with and trusting unknown people and organizations is a must

37. To make a game that is useful for two players or for a dozen

38. Meets requirements for always available training

40. Teaching the structure and procedures of HICS (the Hospital Incident Command System)

41. Helping staff to focus on four key resources during a disaster:

42. People (staff and patients)

43. Supplies

44. Space (hospital bays and other areas)

45. Time (the one resource that is always fixed)

47. The Triage Area

48. The Emergency Department

49. The Hospital Command Center

50. Code Orange – Short Video Tour

51. Teamwork is a must!

52. The Job Action Sheet The heart of the HICS system: Players will use them as personal “scorecards” in the game, so they can keep track of whether or not they are accomplishing key tasks at the right time

54. Code Orange puts a premium on communications between players

55. Chat (same room)

56. Telephone (i.e., private chat) & voicemail

57. Written messages using HICS forms.

60. Incident Commanders and staff from hospitals in D.C. and elsewhere

61. In-house subject matter experts

65. “The Incident Commander has declared the Incident is over.” Questions? Contact: Bruce Milligan Bruce.Milligan@email.sitel.org 202-364-5180, ext. 131