| Autor: |
Stark, Phillip, Group, Kimberly, Harshberger, Mandy, Grim, Ashley, Reed, Janelle, Rudegcair, James, Scicchitano, Emily |
| Předmět: |
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| Zdroj: |
Respiratory Care; Oct2016, Vol. 61 Issue 10, pOF23-OF23, 1/4p, 1 Chart |
| Abstrakt: |
Background: Effectively managing a pre-existing surgical airway should be an essential skill for any respiratory therapist. We wanted to assess our own therapists' performance in managing such an airway in an emergent condition. We also wanted to ensure that situational awareness, critical thinking, and appropriate interventions in managing this situation were well understood and executed. Method: A high fidelity medical mannequin was altered for a surgical airway with a complete upper airway obstruction (i.e. laryngectomy). The mannequin was then placed in respiratory arrest. A simulation scenario was then enacted where the respiratory therapist was a first responder to manage this medical emergency. The participants had no prior knowledge as to the scenario. Ten clinical objectives for managing this situation were established and measured (see diagram). The scenario was video recorded for review during a detailed, individual debriefing. Results: In all, sixty-nine (69) therapists participated in this study. Response times for each objective were averaged for the study group. Standard deviations were also derived for each objective. Conclusion: Response times were longer than we anticipated with a large standard deviation. An opportunity clearly presented itself for individual, as well as departmental improvement. Simulation based education and the power of an effective debriefing gave the ability for any deficiencies of knowledge or skill to be addressed and corrected on an individual basis. We will continue to provide simulation based education and evaluation as a measure of individual and departmental effectiveness. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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