The Science Journal of the American Association for Respiratory Care

2006 OPEN FORUM Abstracts

Critical Care Staff Self Assessments and Simulated Performance Lab used to Identify Educational Opportunities of a Respiratory Care Department. 

Joel M Brown II BS RRT, John S. Emberger BS RRT, Billie Speakman BS RRT.  Department of Respiratory Care Christiana Care Health System, Newark DE 

Background:  Often Respiratory Care Department's have difficulty deciding what items to address when developing an education plan for their staff.  This dilemma may be caused by the complicated task of balancing the management's perception of education issues versus the staff perception of educational issues.  In order to remedy this issue we developed a tool using a staff self assessment and a simulated case scenario performance lab to clarify education opportunities.
 
Methods:  We developed a list of 26 critical care objectives including: COPD Management in the ER, COPD Ventilator Management, ARDS Management, and Weaning and Extubation.  These objectives were then incorporated into a staff self assessment tool and a case scenario performance lab.  The self assessment and case scenario were scored with the following one through four scale: 1= unable to perform objective, 2= able to perform objective with instruction, 3= able to perform objective with a reference, 4= able to perform objective.  The results from the staff self assessment was electronically collected by the staff development personnel.  All RCP's who scored themselves less than three were sent an education packet on that topic.  The RCP had a time period to review the education materials and then the performance labs were scheduled.  Both the assessment and performance lab scenario were scored and the results were compiled. 

Results:  83 out of 83 ICU eligible RCP's completed both segments of the evaluation tool.  Each performance lab session took an approximately 90 mins. (Min 50mins - Max 110min).  All objectives that were scored less than 3 on either tool were identified as departmental education opportunities.  

Conclusion:  Using a Critical Care Self Assessment and a Clinical Scenario can be an effective tool to accurately identify the education opportunities of a Respiratory Care Department.  In addition, we were able to objectively assess the skill level of our department and increase departmental moral by assuring the staff of the competence of their co-workers.  

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