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Published on: March 29, 2019
Airborne Isolation Cardiac Arrest: A Simulation Program for Interdisciplinary Code Blue Team Training.
Alexandra C Collis1, Andrew P Wescott2, Sheryl Greco3
1Clinical Instructor, Division of General Internal Medicine, University of Washington Medical Center.
A simulation training program effectively prepared healthcare teams for in-hospital cardiac arrest events during COVID-19. The training improved knowledge, skills, and confidence in managing airborne isolation code blue situations.
Area of Science:
- Medical Education
- Emergency Medicine
- Infectious Disease Control
Background:
- COVID-19 presents unique challenges for in-hospital cardiac arrest management.
- Airborne precautions for COVID-19 can impede patient care and increase provider risk.
- Healthcare teams require efficient training for airborne isolation code blue events.
Purpose of the Study:
- To evaluate the effectiveness of a simulation-based educational program for airborne isolation code blue protocols.
- To assess improvements in healthcare providers' knowledge, skills, and confidence in managing these critical events.
Main Methods:
- A "talk-through walk-through" scripted simulation was used with a CPR manikin.
- Participants included internal medicine residents, nurses, and code blue responders.
- Pre- and post-training surveys assessed knowledge, skills, and confidence using a 5-point Likert scale.
Main Results:
- 100 participants were trained, with 43 completing surveys.
- Statistically significant increases (p < .001) were observed in knowledge, skills, and confidence post-training.
- Participants reported improved ability to provide care while maintaining safety.
Conclusions:
- Simulation training is a feasible method to educate large numbers of healthcare providers.
- The program effectively enhanced participants' preparedness for airborne isolation code blue events.
- Simulation improved self-assessed knowledge, skills, and confidence in delivering safe, quality care.
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