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Updated: Nov 27, 2025
Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 3. Aerobiology
Published on: October 3, 2016
Safety Considerations for In Situ Simulation in Closed SARS-CoV-2 Units
Farrukh N Jafri1, Sharan Shah, Christina J Yang
1From the Albert Einstein College of Medicine (F.N.J., C.J.Y., A.R., M.S., A.Y.), New York City; Department of Emergency Medicine(F.N.J.), White Plains Hospital, White Plains; Department of Otorhinolaryngology-Head and Neck Surgery (S.S., S.T.A.), Albert Einstein College of Medicine/Montefiore Medical Center; Department of Otorhinolaryngology-Head and Neck Surgery (C.J.Y.), Montefiore Medical Center/Children's Hospital at Montefiore, Bronx; Department of Emergency Medicine (A.R.), Montefiore Medical Center Weiler Campus; Department of Emergency Medicine (M.S.), Jacobi Medical Center; and Department of Emergency Medicine (A.Y.), Montefiore Medical Center Moses Campus, New York City, NY.
Summary Statement:
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic placed a tremendous strain on the healthcare system, which led to the deployment of new personnel into acute care settings, early graduation of medical students, and development of new treatment spaces. Education teams at the Montefiore Health System and New York Health and Hospitals/Jacobi Medical Center found simulation, both laboratory-based and in situ, critical to the training of medical staff and investigation of latent safety threats. Through our experience, we encountered unique infection control concerns based on in situ sessions, which prompted us to redesign our programs for the treatment of SARS-CoV-2. Using this experience, we outline our rationale for the use of in situ simulation for newly developed SARS-CoV-2 spaces along with recommendations on safety checks to consider before starting.
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