EVAC: Evacuation of Vulnerable and Critical Pediatric Patients for Nurses

Anita Thomas1, Megan M Gray2, Brian Burns3

  • 1Pediatrics, Seattle Children's Hospital, Seattle, USA.

Cureus
|July 1, 2020
PubMed

Insights

This study developed a simulation for nurses to practice evacuating critically ill infants during earthquakes. This hands-on training improves disaster preparedness for neonatal intensive care units.

Area of Science:

  • Medical Simulation
  • Disaster Medicine
  • Neonatal Intensive Care

Background:

  • Disasters like earthquakes disrupt healthcare, necessitating patient evacuation.
  • Critically ill neonates present unique evacuation challenges due to their complex needs.
  • Traditional lecture-based training may not adequately prepare staff for these scenarios.

Purpose of the Study:

  • To create and evaluate a simulation-based curriculum for neonatal intensive care unit (NICU) nurse evacuation during an earthquake.
  • To provide realistic training for managing critically ill, septic neonates in disaster scenarios.
  • To enhance nurses' ability to assess safety and prioritize equipment during emergency evacuations.

Main Methods:

  • Development of a simulation-based curriculum focused on evacuating a critically ill, septic neonate.
  • Inclusion of a single nurse participant scenario set during an earthquake.
  • Emphasis on rapid safety assessment and equipment prioritization.

Main Results:

  • The simulation provided a realistic training environment for disaster evacuation.
  • Participants gained experience in assessing safety and prioritizing essential equipment.
  • This method offers a more practical alternative to traditional lecture-based education.

Conclusions:

  • Simulation-based training is effective for preparing NICU nurses for disaster evacuations.
  • This curriculum enhances critical thinking and decision-making skills in emergency situations.
  • Improved training can lead to safer and more efficient evacuation of vulnerable neonates during disasters.

Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.0K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
138
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.6K
Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.7K
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.2K
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
4.4K