Simulating a Vertical Evacuation of a NICU and PICU to Examine the Relationship Between Training and Preparedness
| Autor: | Patricia M. Roblin, Bonnie Arquilla, Pia Daniel, Ramon E Gist, Nizar Tejani, Stephan Kohlhoff, Adam R. Aluisio, Andrew Grock |
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| Rok vydání: | 2021 |
| Předmět: |
Pediatric intensive care unit
Neonatal intensive care unit business.industry Public Health Environmental and Occupational Health Infant Newborn Disaster Planning Emergency department Odds ratio medicine.disease University hospital Intensive Care Units Pediatric Training (civil) Confidence interval Disasters Preparedness Intensive Care Units Neonatal medicine Humans Medical emergency business Child Emergency Service Hospital |
| Zdroj: | Disaster medicine and public health preparedness. 16(5) |
| ISSN: | 1938-744X 1935-7893 |
| Popis: | Objective:The aim of this study was to implement pediatric vertical evacuation disaster training and evaluate its effectiveness by using a full-scale exercise to compare outcomes in trained and untrained participants.Methods:Various clinical and nonclinical staff in a tertiary care university hospital received pediatric vertical evacuation training sessions over a 6-wk period. The training consisted of disaster and evacuation didactics, hands-on training in use of evacuation equipment, and implementation of an evacuation toolkit. An unannounced full-scale simulated vertical evacuation of neonatal intensive care unit (NICU) and pediatric intensive care unit (PICU) patients was used to evaluate the effectiveness of the training. Drill participants completed a validated evaluation tool. Pearson chi-squared testing was used to analyze the data.Results:Eighty-four evaluations were received from drill participants. Forty-three (51%) of the drill participants received training and 41 (49%) did not. Staff who received pediatric evacuation training were more likely to feel prepared compared with staff who did not (odds ratio, 4.05; confidence interval: 1.05-15.62).Conclusions:There was a statistically significant increase in perceived preparedness among those who received training. Recently trained pediatric practitioners were able to achieve exercise objectives on par with the regularly trained emergency department staff. Pediatric disaster preparedness training may mitigate the risks associated with caring for children during disasters. |
| Databáze: | OpenAIRE |
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