The Science Journal of the American Association for Respiratory Care

2008 OPEN FORUM Abstracts


Elsie M. Collado-Koman1, Richard Ford1, Herb French1

Background: We developed a WEB based application tutorial to provide the clinicians with a point of care access to information necessary to manage patients on Airway Pressure Release Ventilation. Development was driven by the need to assure safe and timely implementation of this mode on the Burn and Surgical Care Units. We created customized computer tutorials using wireless mobile PCs devices already in use for Clinivision Mobile Patient Charting (Boulder CO),which would allow for real point of care charting and training.

Methods: We provided a series of inservices on the management of patients on APRV using two different ventilators, the Puritan Bennett 840 and the Drager Evita XL. We then identified the need for immediate references being available on how to apply APRV using either ventilator. Using Power Point (Microsoft)application we captured all the steps necessary to start a patient on APRV on each of the ventilators. We included pictures of both ventilators' controls, screen shots, and integrated text instructions on each screen. Decision algorithms were also included. Once the tutorials content was completed they were made available on the existing department web site. We provided a link to the web based tutorials with a shortcut icon on each of the bedside workstations. Workstations were Fujitsu ST5030 Series (Tokyo, Japan) mobile slates.

Results: In early 2007 we made two point-of-care computer tutorials available to our 90 staff members who could access information 24/7at two hospital sites.Information on patient assessment, indication, contraindications, physician orders, and specific application, as well as clinical coordinators contact information was included. We demonstrated existing technology for charting could effectively provide a platform to build tutorials and that this information served as helpful references accessible to staff in the set up and management of APRV.

Conclusion: The use of a web-site point-of-care tutorial functions as an effective adjunct tool to facilitate the application of new procedures at the bedside.The designing of detailed web-based tutorial requires taking into consideration the ability of the hardware and network to support the application. Also important is making it easy for the busy RCP to access the information and use it in a timely manner.The use of web-site point-of-care tutorials provides clinicians with an additional way to enhance RC practice by having training materials available.