The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts


Teka Siebenlaer, Rhonda Bakken; University of Minnesota Amplatz Children’s Hospital, Minneapolis, MN

Background: The Cardiopulmonary Service departments at the University of Minnesota Medical Center and the University of Minnesota Amplatz Children’s’ Hospital employs 92 clinical staff. Respiratory therapists are involved in pediatric/neonatal transports, intensive care units, medical and surgical general care units, and provide care for newborn, pediatric and adult patient populations. To enhance our therapists training and bedside skills, we have been using simulation to provide scenario based education on all ventilators, transports and assessing staff readiness after orientation. It was our goal to continue to integrate simulation in all training and encourage more therapists to be engaged in simulation. Method: Interested RT’s were invited to become Simulation Champions. Training on scenario creation, simulation and debriefing was provided. The simulation champions were asked to write scenarios that reflected any clinical knowledge gaps. The scenarios were reviewed by the champion group and then the final 2 were selected. All clinical staff were divided by skill mix and frequency of required simulation attendance and were assigned a sim quarter. Scheduling of the quarters occurred within their existing schedules and overtime was avoided. Department education was distributed to staff regarding the objectives of the simulations, how scheduling of the simulation quarters would be handled and the expectations of the department leadership team. As part of their sim quarter staff were given a simulation appropriate for their skill mix. They were also given time to complete all hospital required learning and participate in a hands on skill lab that included Intra Cranial Pressure ( ICP) monitoring set up, IABP competency, ETT securing and MDI administration using new in line adapters. Results: Staff Evaluation Results Conclusions: This model has been a positive experience for staff and leadership. All hospital required learning is complete and staff actively interacted during simulations. Staff engagement is increasing and feedback is positive. Staff were surveyed and we found that half of the staff that have participated have requested more frequent simulations and would prefer them twice a year. We have been able to effectively train staff and ensure competency in a safe and supportive environment that encourages learning and open dialogue among respiratory therapists. Sponsored Research - None