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Related Experiment Videos

CORTRAK Superuser Competency Assessment and Training Recommendations.

Annette M Bourgault1, Laura Gonzalez2, Lillian Aguirre2

  • 1Annette M. Bourgault is an assistant professor and Laura Gonzalez is an associate clinical professor and simulation coordinator at University of Central Florida College of Nursing, Orlando, Florida. Bourgault is also a nurse scientist at Orlando Health, Orlando, Florida. Lillian Aguirre is a clinical nurse specialist in trauma and critical care at Orlando Regional Medical Center, Orlando, Florida. Joseph A. Ibrahim is trauma medical director at Orlando Health. annette.bourgault@ucf.edu.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|January 3, 2019
PubMed
Summary
This summary is machine-generated.

Electromagnetic feeding tube placement requires practice for competency. Nurses need multiple CORTRAK Enteral Access System insertions to gain confidence and interpret tracings accurately.

Related Experiment Videos

Area of Science:

  • Medical Devices
  • Gastroenterology
  • Clinical Skills Training

Background:

  • Blind feeding tube insertion poses safety risks.
  • Electromagnetic placement systems like CORTRAK offer real-time guidance.
  • Concerns exist regarding user expertise and potential complications with CORTRAK.

Purpose of the Study:

  • To identify factors influencing nurse competency in CORTRAK-assisted feeding tube insertion.
  • To assess the learning curve and confidence levels associated with using the CORTRAK system.

Main Methods:

  • A prospective, observational pilot study involving 20 nurses.
  • Data collected on demographics, self-confidence, clinical judgment, and self-efficacy.
  • Feeding tube insertions were simulated using Anatomical Box and CORMAN task trainers.

Main Results:

  • Nurses estimated needing 8 CORTRAK insertions for superuser competency and 10 for tracing confidence.
  • High self-efficacy (mean 35/40) and confidence scores (mean 4.6/5) were reported.
  • Some nurses continued traditional auscultation, indicating challenges with CORTRAK tracing interpretation.

Conclusions:

  • Competency assessment for CORTRAK insertion requires at least 3 observations, individualized per operator.
  • Mastering CORTRAK tracing interpretation is complex and necessitates extensive practice.
  • Adequate training and supervised experience are crucial for safe and effective CORTRAK use.