The Science Journal of the American Association for Respiratory Care

2007 OPEN FORUM Abstracts

MECHANICAL VENTILATION SIMULATION: TRANSITIONING PATIENT FROM CRITICAL CARE VENTILATOR TO HOME CARE VENTILATOR

D. M. Selhorst1, D. Marckese1, A. Zamora1, A. Stump1, J. Rendle1, D. Tearl1


INTRODUCTION: Critical care ventilators offer many modes of ventilation with sophisticated software that makes successful transition to a home care ventilator difficult. A Mechanical Ventilation Simulation Lab (MVSL) using a high fidelity human patient simulator (HPS) was developed to enhance Respiratory Care Practitioners’ (RCP) knowledge of transitioning pediatric patients to home care ventilators. The primary goal for MVSL participants was to learn in a more realistic environment. The goal of the Preceptors was to gain knowledge for future education.

Methods: Prior to the lab, participants were provided with lab objectives, functionality of the HPS, a pre-test and pre-lab self-evaluation. In the lab, participants were given an orientation to the lab, a review of the expectations and a scored patient scenario that required a response to clinical information. Each scenario involved one RCP and two Respiratory Care preceptors who facilitated, scored and evaluated each RCP. At the conclusion of the scenario, a debriefing session occurred. The RCP then completed a post-lab evaluation to rate their comfort level after participating in the MVSL.

Results: Of the 46 participants, the average score from the clinical evaluation was 1.92 out of a possible 3.0. The average scores across all three shifts were day shift = 2.01, evening shift = 1.9 and night shift = 1.85.

Conclusions: The MVSL proved to enhance the knowledge and ability of the RCPs to appropriately transition pediatric patients from a critical care ventilator to a home care ventilator. The use of the HPS proved to be an asset that required the RCP to make real time decisions. Written feedback from the RCP was positive in regards to use of the HPS. We conclude day shift scored the highest on the clinical evaluation tool because the majority of the transitions from critical care ventilators to home care ventilators occur during this shift when there is a higher level of surveillance. A summation of all key learnings was compiled in an educational handout given to all participants.

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