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Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
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A Multimodal Approach to Training Coronavirus Disease (COVID-19) Processes Across Four Intensive Care Units
Katie M Moynihan1,2, Dorothy M Beke3,4, Annette Imprescia3,5,4
1Department of Cardiology, Division of Cardiovascular Critical Care, Boston Children's Hospital, Boston, MA, USA.
Clinical Simulation in Nursing
|March 21, 2022
Summary
This study details a COVID-19 training model for intensive care units, focusing on aerosol generating procedures. The interdisciplinary approach successfully standardized critical care practices during the pandemic.
Area of Science:
- Medical Education
- Intensive Care Medicine
- Infectious Disease Control
Background:
- COVID-19 necessitated novel training for aerosol-generating procedures in ICUs.
- Standardized training protocols were developed across four intensive care units.
Purpose of the Study:
- To describe the operationalization of a COVID-specific training program.
- To share lessons learned in implementing emergency training during a pandemic.
Main Methods:
- Utilized process maps, walkthroughs, and simulation for logistical refinement.
- Employed a multimodal approach: videos, superuser training, simulation, webinars, and cognitive aids.
- Implemented a flipped classroom model with rapid cycle deliberate practice for skill acquisition.
Main Results:
- Successfully trained healthcare teams in modified resuscitation and technical skills.
- Demonstrated institutional application of the developed training model.
Conclusions:
- Interdisciplinary collaboration was key to successful training implementation.
- Resource availability and institutional support were critical success factors.
Keywords:
AGPs, aerosol generating proceduresAerosolsCOVID-19COVID-19, Coronavirus diseaseCPR, cardiopulmonary resuscitationCRM, crisis resource managementCommunicationECMO, Extracorporeal membrane oxygenationHCPs, health care providersICU, intensive care unitInformation disseminationIntensive care units, pediatricIntubation, intratrachealPPE, personal protective equipmentSimulation training
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