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While, I was the paramedic Technician, I was involved with the refurbishment of the existing Nursing building to incorporate a Nursing and Paramedic dedicated Clinical Simulation Centre. When I started working with Paramedics in 2009, there was a total of 300 students, presently, there are over 700 students; simulation equipment, practices and innovations have had to be put in place to cater for the increasing numbers with restrictive physical room expansion.