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Implementing a Cardiac Skills Orientation and Simulation Program.

Maureen W Hemingway, Patrice Osgood, Mildred Mannion

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    A new simulation program enhances training for perioperative nurses in complex cardiac surgical procedures. This initiative boosts staff confidence and proficiency in the scrub person role, improving patient care.

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    Area of Science:

    • Nursing Education
    • Cardiovascular Surgery
    • Medical Simulation

    Background:

    • Perioperative nurses require advanced skills for patients undergoing cardiac surgery.
    • Challenges in orienting new staff include high patient acuity, staffing variability, and unpredictable surgical schedules, particularly for cardiac transplantation.
    • Existing orientation methods at an academic medical center hindered safe, active learning for the scrub person role.

    Purpose of the Study:

    • To develop a program to enhance new staff members' skills, confidence, and proficiency in the scrub person role for complex cardiac procedures.
    • To increase the number of staff proficient in scrubbing complex cardiac surgeries.
    • To provide a safe learning environment for hands-on scrubbing experience.

    Main Methods:

    • A simulation program was designed to offer practical scrubbing experience.
    • The program aimed to reduce the need for direct supervision of orientees.
    • Focus on increasing staff confidence and competence in performing the scrub person duties.

    Main Results:

    • The simulation program provided essential scrubbing experience in a controlled setting.
    • It contributed to decreased supervision time for new staff members.
    • The initiative successfully increased staff members' confidence in their ability to perform the scrub person role.

    Conclusions:

    • Simulation offers a viable solution for training perioperative nurses in complex cardiac surgical roles.
    • This approach enhances learning efficiency and confidence, addressing challenges in high-acuity environments.
    • The program effectively improved staff proficiency and readiness for the scrub person role in cardiac surgery.