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Neonatal Transport Ventilation: Simulation to Improve Knowledge and Skills.
Orna Rosen1, Babina Nayak2, Jose Olivera3
1Assistant Professor, Department of Pediatrics, Albert Einstein College of Medicine; Attending Physician, Division of Neonatology, The Children's Hospital at Montefiore.
Mededportal : the Journal of Teaching and Learning Resources
|October 17, 2022
Summary
Simulation training significantly improved neonatal transport team members' knowledge and troubleshooting skills for specialized ventilators. This enhances patient care during critical neonatal transports.
Area of Science:
- Neonatal intensive care
- Transport medicine
- Medical simulation
Background:
- Neonatal transport teams function as mobile intensive care units, utilizing specialized equipment like transport incubators with built-in ventilators.
- Effective management and troubleshooting of this equipment are crucial for optimizing patient care during transit.
Purpose of the Study:
- To assess the impact of simulation-based training on the knowledge and skills of neonatal transport providers in managing and troubleshooting transport ventilators.
- To improve patient care during neonatal transports through enhanced provider competency.
Main Methods:
- Developed simulation scenarios using specific institutional equipment: AirBorne Voyager transport incubator with Crossvent 2i+ ventilator, AirBorne TXP-2D high-frequency ventilator, and AeroNOx inhaled nitric oxide system.
- Assessed equipment and troubleshooting knowledge via pre- and post-simulation tests, analyzing score changes with paired t-tests.
- Collected learner feedback on confidence and comfort through surveys and facilitated debriefing.
Main Results:
- Ten learners participated, completing all knowledge assessments.
- Statistically significant improvements in mean knowledge scores were observed at all postsimulation time points compared to presimulation scores.
- Learner feedback indicated positive changes in confidence and comfort with the transport equipment.
Conclusions:
- Semiannual simulation training effectively improved neonatal transport team members' ventilator knowledge and troubleshooting abilities.
- This simulation program is a valuable tool for optimizing patient care during neonatal transports.
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