Why did Salwa invent the
Simulation in healthcare has traditionally revolved around the “Sim Lab” – a
controlled physical space where simulated interactions occur between
clinicians and a patient, often in the form of a mannequin. While this
offers high-fidelity simulation of isolated clinical scenarios, it is
ill-suited to simulating the time-critical triaging, assessment and initial
management of multiple patients at the same time – a daily occurrence in the
Emergency Department, (ED).
As a registrar in 2015, Salwa created an early version of The Floor to help
with a Mock Major Incident day she was organising for her Higher Specialist
Trainees, (HSTs). It was based on the actual floor plans of Royal Sussex
County Hospital Emergency Department. Recognising the intervention’s
potential as a training tool. Salwa developed it as a board game – adding dice, coin tosses, funny sounds, lifeline and spin cards, to add to the
chaos, pressure and enjoyment.