Simulation Booking Request

Booking Process

In order to facilitate the planning of your simulation-based learning session, please complete this online booking request form and press Submit Request.The Simulation team will review your request and may need to follow up with you to discuss your specific simulation requirements. A Simulation Specialistand/or Inteprofessional Educator must be present during all booked sessions.

  • ​Please note that submitting this form does not guarantee a reservation
  • Booking requests will be confirmed via email within 48 hours.

Hours of Operation: The Thunder Bay Regional Health Sciences Centre Simulation Lab is open: Monday-Friday from 0800-1600 (excluding statutory holidays)


Requests for use of the Simulation Lab outside of regular business hours is based on resource and staff availablity.

Resources:

Simulation Lab – Guidelines for Use

Simulation Lab – After Hours Sign-Out Form

Simulation Activity Title:

Proposed Date:

Additional Dates (if required):

Proposed Time (Start and End):

Intention:

Session Objectives:


Simulator Requirements (select all that apply):

Other - Please Specify:

Number of ACLS Mannequins needed (4 Available)?:

Number of Adult Airway Trainers needed (3 Available)?:

Number of BLS Buddy Trainer Packs needed (2 packs of 5 Available)?:


Facility Requirements (select all that apply):
Other - Please Specify

If In-situ requested please indicate location


Resource Requirements:

Confederates for Simulation - please specify:


Expected Number of Participants:

Participant Types:

Other - Please Specify

Attach file if required:

Requestor Name:

Requestor Email:

Phone Number:

Program/Department