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Improving Students' Knowledge and Skills Through a Tele-ICU Clinical Rotation
Karsten J Roberts1, Karen K Zumstein2, Thomas R Lamphere2
1Department of Respiratory Care, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. karsten.j.roberts@gmail.com.
Respiratory therapy students gained confidence in mechanical ventilation and COVID-19 patient assessment through tele-ICU clinical rotations. This innovative approach enhanced their skills in remote patient monitoring and telemedicine.
Area of Science:
- Medical Education
- Respiratory Therapy
- Telemedicine
Background:
- Clinical rotations are vital for respiratory therapy students.
- Limited clinical sites and COVID-19 pandemic posed challenges for student training.
- Tele-ICU emerged as a solution for remote patient assessment and monitoring.
Purpose of the Study:
- To evaluate the impact of a tele-ICU clinical rotation on respiratory therapy students' knowledge and confidence.
- To assess improvements in understanding mechanical ventilation, telemedicine, and COVID-19 management.
- To explore the effectiveness of remote clinical training in respiratory therapy.
Main Methods:
- Students completed two 4-hour clinical rotations in a tele-ICU setting.
- Performed remote patient-ventilator assessments under supervision.
- Completed pre- and post-rotation surveys on confidence and knowledge.
Main Results:
- Significant increases in self-confidence in mechanical ventilation and waveform assessment.
- Enhanced knowledge of ARDS, spontaneous breathing trials, and lung-protective ventilation.
- Marked improvement in assessing COVID-19 patients and interprofessional communication.
Conclusions:
- Tele-ICU clinical rotations effectively increase students' confidence in remote patient assessment.
- This rotation significantly boosts knowledge related to mechanical ventilation and COVID-19 care.
- Tele-ICU offers a valuable alternative for respiratory therapy clinical education.
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