The Science Journal of the American Association for Respiratory Care

2010 OPEN FORUM Abstracts

RESPIRATORY THERAPIST USE OF A PEDIATRIC TRACHEOSTOMY TRAINING MANUAL FOR HOME CAREGIVERS

Leane Soorikian; Respiratory Csre, The ChildrenÂ’s Hospital of Philadelphia, Philadelphia, PA

Introduction: At The ChildrenÂ’s Hospital of Philadelphia, 50 patients with a new tracheostomy tube are discharged to home annually. Prior to discharge, Respiratory Therapists (RT) shared participation in training home caregivers of mechanically ventilated and patients with tracheostomy tubes to assure a safe transition to home. During a comprehensive revitalization of teaching methods and content by the multidisciplinary Airway Advisory Committee, it was discovered that staff did not use standard prompts or teaching methods. Method: Staff was tested for familiarity and use of current patient family education tools. A Likert scale survey was distributed via Survey Monkey to RTs who perform tracheostomy home caregiver training. The survey consisted of 9 questions to assess knowledge of the old tracheostomy teaching manual. The Airway Advisory Committee reviewed existing patient family education materials, established best practices for home support by family caregivers, and actual content delivered by staff educators. Existing education materials were revised and new materials developed to create Breathe Easy: Caring for Your Child with a Tracheostomy at Home. During a skills fair, RTs received education on the contents of Breathe Easy and their responsibilities. 5 months after Breathe Easy implementation, the survey was re-distributed to assess use of the new manual. Results: 53 RTs responded to the pre-survey and 44 to the post-survey. Awareness of a tracheostomy training manual for caregivers increased by 45%. The Likert scale question assessing use of Breathe Easy when teaching increased to Most of the Time/Always by 33%. Review of the manual before a teaching session with a caregiver increased to Most of the Time/Always by 40%. Use of Breathe Easy as a self learning tool increased to Most of the Time/Always by 33%. Rating for user friendliness increased to Most of the Time/Always by 50%. Conclusion: RT knowledge and use of a uniform training manual increased after an education program. RT involvement in the discharge planning process has significantly increased. Use of standard materials reduced content disparities by discipline providing education. Sponsored Research - None