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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Improving Stroke Care in Times of the COVID-19 Pandemic Through Simulation: Practice Your Protocols!
Martin W Kurz1,2, Johanna Maria Ospel3, Kathinka Daehli Kurz4,5,6
1Department of Neurology, Neuroscience Research Group (M.W.K.), Stavanger University Hospital, Stavanger, Norway.
Insights
Simulation training effectively prepared stroke teams for coronavirus disease 2019 (COVID-19) treatment protocols. This approach identified safety threats and improved staff preparedness for infectious disease control during acute stroke care.
Area of Science:
- Neurology
- Infectious Disease Control
- Medical Simulation
Background:
- The coronavirus disease 2019 (COVID-19) pandemic introduced significant challenges to acute stroke care.
- Healthcare professionals faced uncertainty due to rapidly evolving infectious disease control protocols.
Purpose of the Study:
- To describe the experience and effectiveness of simulation training for managing acute stroke patients during the COVID-19 pandemic.
- To evaluate simulation's role in identifying safety threats and adapting clinical protocols.
Main Methods:
- Implemented a one-week simulation training program focused on COVID-19 stroke treatment protocols.
- Trained physicians, nurses, and technicians on essential tasks, including personal protective equipment (PPE) usage and waste disposal.
Main Results:
- Simulation training successfully identified numerous latent safety threats within existing protocols.
- Medical teams practiced critical tasks, enhancing their ability to minimize infectious exposure.
- Staff confidence and adaptability to the new clinical environment improved.
Conclusions:
- Simulation training is a valuable tool for preparing stroke teams for infectious disease outbreaks like COVID-19.
- Hospitals are encouraged to adopt simulation to enhance patient safety and healthcare worker protection during pandemics.
Abstract:
During the coronavirus disease 2019 (COVID-19) pandemic, infectious disease control is of utmost importance in acute stroke treatment. This is a new situation for most stroke teams that often leads to uncertainty among physicians, nurses, and technicians who are in immediate contact with patients. The situation is made even more complicated by numerous new regulations and protocols that are released in rapid succession. Herein, we are describing our experience with simulation training for COVID-19 stroke treatment protocols. One week of simulation training allowed us to identify numerous latent safety threats and to adjust our institution-specific protocols to mitigate them. It also helped our physicians and nurses to practice relevant tasks and behavioral patterns (eg, proper donning and doffing PPE, where to dispose potentially contaminated equipment) to minimize their infectious exposure and to adapt to the new situation. We therefore strongly encourage other hospitals to adopt simulation training to prepare their medical teams for code strokes during the COVID-19 pandemic.
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