In Advanced Life Support (ALS) training, the principle of crisis resource management dictates the mobilisation of all available resources. But what happens when a resuscitation team is two nurses in a remote Queensland facility? This presentation delves into the collaborative process of simulation co-production between two distinct health agencies. Despite differing perspectives, both share a common educational goal: to deliver optimal resuscitation care regardless of geographical challenges.

The collaboration began in early 2024 when the Nursing Education team at North West Hospital and Health Service (NWHHS) invited the Retrieval Services Queensland (RSQ) education team to support an innovative in situ ALS simulation in a remote health facility. NWHHS pioneered this new training approach to immerse participants in realistic scenarios, providing access to genuine equipment and support systems. Their aim was to enhance confidence, preparation, and opportunity to identify areas for improvement. NWHHS caters to a vast and isolated region of Queensland, serving diverse patient populations, including First Nations and vulnerable groups.

RSQ partners with health services, overseeing specialist clinical coordination, leadership, and governance for aeromedical transfers across Queensland. They offer tailored education and training for rural clinicians, emphasising emergencies, resuscitation, and aeromedical transfer readiness. In recent years, RSQ has engaged in remote simulation via telehealth platforms, ranging from site-specific scenarios to large-scale multi-system events. In addition to in-person and videoconference teaching, a current priority is enhancing the quality of technology-enabled distance simulation.

This presentation outlines RSQ's objective of distance simulation, rooted in translational simulation theories, and NWHHS's objective to facilitate education that improves outcomes for patients, staff, and healthcare systems. This ongoing collaboration lays the groundwork for future investigations, with RSQ exploring the translational potential of distance simulation and NWHHS examining the impact of contextualised education on patient, staff, and system outcomes.