The Science Journal of the American Association for Respiratory Care

2007 OPEN FORUM Abstracts

SIMULATED EVALUATION TO INDENTIFY RESPIRATORY CARE PRACTIONERS (RCP) KNOWLEDGE OF THE JOINT COMMISIONS NATIONAL PATIENT SAFETY GUIDELINES.

M. L. Murphy1, F. Gott1, J. M. Brown1, J. S. Emberger1

Background: Our department completes bi-annual competency testing of critical skills for all RCPs (respiratory care practioners). This year we incorporated a patient safety module based on the National Patient Safety Guidelines. Testing is normally completed with the use of surveys, observation or adjuncts such as watching educational videos. We decided to use a scenario based simulation to test the RCP’s knowledge of the National Patient Safety Guidelines.

Methods: Our simulated scenario was conducted as follows: Each RCP was given an Arterial Blood Gas with critical values and asked to report them to a physician via telephone. The RCP was evaluated on the reporting and documentation of the critical test results. Then a physician gave the RCP verbal orders to transcribe onto the order sheet. The written verbal orders were evaluated for the appropriate use of abbreviations and documentation of indication for PRN (as needed) therapy. The data was collected and it was determined that there was a need to reeducate staff on these skills. Random retesting was done once the education was completed.

Conclusion: The use of a scenario style simulation to evaluate this skill highlighted opportunities for improvement. After reviewing the data from this assessment tool we believe it offered us a unique way to evaluate the staff’s knowledge of the National Patient Safety Guidelines. The simulation was well received by the RCPs and we plan to continue to find new ways to integrate it into our annual testing.

 RCP's Appropriate Use of Abbreviations Indication for PRN Therapy Documented Correct Reporting / Documentation of Critical Test Results
Pre 78 35 (45%) 13 (17%) 39 (50%)
Post 21 15 (71%) 17 (81%) 17 (81%)



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