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Published on: April 7, 2023
EVAC: Evacuation of Vulnerable and Critical Pediatric Patients for Nurses
Anita Thomas1, Megan M Gray2, Brian Burns3
1Pediatrics, Seattle Children's Hospital, Seattle, USA.
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.
Abstract:
Disasters such as earthquakes can interrupt healthcare delivery by forcing the evacuation of intensive care patients. Critically ill neonates are particularly vulnerable due to their complexity and thus can be difficult to safely and efficiently evacuate in a disaster. In general, most education surrounding this is based on lectures. This technical report describes the creation and use of a simulation-based curriculum focusing on the evacuation of a critically ill, septic neonate by a single nurse participant in the setting of an earthquake. This simulation provides learners the experience of expediently assessing safety in the setting of a disaster and prioritizing equipment when evacuating a critically ill neonate, which may provide a more realistic training environment than traditional lectures.
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