The Science Journal of the American Association for Respiratory Care

2007 OPEN FORUM Abstracts

RCP INTUBATION SUCCESS AFTER INCORPORATING A VIRTUAL EDUCATION AND SIMULATION TECHNOLOGY LAB: ONE YEAR FOLLOW-UP

J. S. Emberger1, F. Gott1, C. Fort2

Background: RCP's are the first line intubators at code and emergent situations at our facility. Last year we reported improved RCP intubation performance after adding a virtual education and simulation technology lab (VEST lab) consisting of nine difficult airway scenarios to our yearly certification process (1). The current study was designed to determine if there is sustained or further improvement as a result of adding the VEST lab scenarios.

Method: We previously reported the six months before and after adding a VEST lab. We have incorporated the VEST lab as a yearly part of the intubation competency. We collected one year of follow-up data, including successful and failed intubations of patients.

Results: One hundred sixty six intubations were identified. Eighty six were identified in the one year follow-up data. We previously reported that the RCP success rate increased from 82.9% to 91.1% with the addition of the VEST lab (1). The one year follow-up shows further improved success to 97.6%.

Conclusions: RCP's intubation success improved in our initial report. The VEST lab was added as a standard part of yearly intubation certification, and the one year follow-up shows further improvement in RCP intubation success rate in patients. Using a virtual education lab for intubation and difficult airway management is valuable in sustaining and improving intubation skills.

1. Respir Care 2006;51(11):1280 OF-06-122

Successful and Failed Intubations by Time Period
Time Period # Successful Intubations # Failed Intubations % Attempts Successful
6 months before VEST Lab 29 6 82.9%
6 months after VEST Lab 41 4 91.1%
Following Year with VEST Lab 84 2 97.6%



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