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Navigating AV Systems: Tips for Sim Programs with Limited Budgets

March 28, 2025

By Sim2Grow Staff

Investing in an audio-visual (AV) system can enhance your nursing simulation program by capturing critical moments and adding to the debriefing sessions. However, for simulationists working with a small budget and managing everything solo, thinking strategically before purchasing is essential. Here are some key considerations, framed as a Q&A to help you make an informed decision.

1. What features should I prioritize in an AV system with a limited budget?

When working with limited resources, focus on features that provide the most value for your program:

  • Ease of Use: The system should be simple enough that you don’t need to be an AV expert to operate it.
  • Key Capabilities: It should allow for recording with fast (almost immediate) replay, streaming to an adjacent room for observers, and bookmarking key events for debriefing.
  • Portability: If your budget doesn’t allow dedicated cameras and microphones in every space, choose equipment that can be easily moved between rooms.

These features ensure you get the most out of your investment without overwhelming your small team.

2. How can I ensure the AV system integrates with my existing equipment?

To confirm integration, first check with your manikin vendor to understand the type of output the manikin produces (e.g., vital signs monitor feed). Then, ask the AV system vendor if their system accepts that output. Regarding debriefing tools, ensure the system can bookmark events during the simulation so you can quickly navigate to critical moments.

Visit vendor booths at conferences like IMSH or INACSL to learn how different systems work and what features are being introduced. This will ensure that you choose a system that’s compatible with your current setup and can expand as technology evolves.

3. What should I ask AV system vendors to ensure it meets my needs?

Here are some critical questions to ask vendors:

  • IT Requirements: Is the system cloud-based, and does it require high-speed internet? Does it work behind institutional firewalls? Is it FERPA- and HIPAA-compliant?
  • Equipment Compatibility: Are the cameras and microphones proprietary, or can you replace them with off-the-shelf products?
  • Installation: What does installation involve, how long will it take, and who needs to be involved (e.g., IT, simulation techs, contractors)?
  • Pricing: What are the initial costs, ongoing licensing fees, and charges for troubleshooting or repairs? Are there individual seat fees or limits on cloud storage?
  • Software Management: How easy is setting up rooms, equipment, and learner groups? What happens when students graduate?
  • Features: If there are features you won’t use, can you deactivate them to save on costs?
  • References: Can the vendor provide references for current customers so you can visit their program and see the system in action?

4. Do I need an AV system, or can simpler solutions suffice?

Before committing to an AV system, consider using low-cost alternatives like handheld cameras, iPads, or existing video conferencing tools. These solutions often meet the needs of small teams with limited resources. Using these tools can help you decide whether a more complex AV system is necessary for your program.

5. How can I maximize basic tools like handheld cameras or iPads for simulation?

  • Invest in a sturdy case with a “gorilla grip” attachment to stabilize the camera or tablet on an IV pole.
  • Ensure the device is fully charged and has adequate memory before recording.
  • Purchase an HDMI adapter for easy playback on a smartboard during debriefing.
  • Explore apps designed for recording in healthcare settings or consider using a GoPro for portability.

Most importantly, have a clear purpose for recording simulations. Understand why you need the recordings, how you’ll use them in debriefing, and whether your simulation workflow has time to review videos during or after.

6. Where should I place cameras and microphones for the best results?

  • Cameras: Point Tilt Zoom (PTZ) cameras offer flexibility but require active operation to follow movement. Fixed cameras with a wide-angle view can provide consistent coverage. Test temporary placements before making permanent installations.
  • Microphones: Ceiling-mounted microphones above the patient bed are frequently used. Many manikins also include built-in microphones that can be utilized, and some even have a camera in one of their eyes.
  • Placement Testing: Avoid obstructions like bedside curtains or monitors that could block the camera’s view. Use temporary mounts to test camera angles before committing to permanent installations.

7. How do I address privacy concerns and ensure learners are comfortable being recorded?

Transparency is key. Always notify learners that they will be recorded and obtain consent—ideally for every course in academic settings and each session in hospital-based simulations where groups vary. Explain how the recordings will be used, who will have access, and how long they will be stored before being deleted. Have a clear plan for handling situations where a learner declines to be recorded.

8. What additional costs should I consider beyond the initial purchase?

Plan for costs like:

  • Equipment Replacement: Cameras and microphones have limited lifespans and will eventually need replacing.
  • Annual Fees: Understand ongoing licensing costs, cloud storage limits, and charges for troubleshooting or repairs.
  • Proprietary Parts: If equipment is proprietary, ensure you understand replacement costs and compatibility with future upgrades.

9. What resources can help me operate and troubleshoot the system independently?

Look for systems that are intuitive to operate. Practice is the best way to build confidence—treat each issue as an opportunity to learn troubleshooting skills. Use resources like YouTube tutorials, simulation Facebook groups, and vendor-led training. Over time, you’ll become adept at preventing and solving common issues.

10. Are there creative ways to secure funding for an AV system?

Absolutely! Explore grants tailored to simulation programs (check out the Sim2Grow blog post on grant funding for detailed tips). 

https://www.sim2grow.com/en-us/blog/looking-for-grant-assistance

https://www.sim2grow.com/en-us/blog/4-strategies-to-avoid-buyers-remorse-plus-4-steps-to-grant-funding

Final Thoughts

An AV system can be an excellent tool for your simulation program, but it’s essential to evaluate your needs carefully. Whether you choose a more straightforward setup or a fully integrated AV system, prioritizing functionality and budgeting wisely will set you up for success.

For more insights and resources, visit our blog or contact Sim2Grow today!

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