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Remote Laboratory Management: Respiratory Virus Diagnostics
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Using Video-Reflexive Methods to Develop a Provider Down Protocol for the New South Wales Biocontainment Center.

Mary Wyer1, Su-Yin Hor2, Patricia E Ferguson3

  • 1Mary Wyer, PhD, RN, is a Nurse Educator, New South Wales Biocontainment Centre (NBC) at Westmead Hospital, Westmead, New South Wales (NSW), Australia; Mary Wyer is also a Postdoctoral Researcher at the Sydney Infectious Diseases Institute, The University of Sydney, Westmead, NSW, Australia.

Health Security
|August 12, 2024
PubMed
Summary
This summary is machine-generated.

Developing safe protocols for healthcare providers in personal protective equipment (PPE) is crucial. Video-reflexive simulations effectively refined a "provider down" protocol for high-consequence infectious disease (HCID) scenarios.

Keywords:
BiocontainmentInfection prevention and controlProvider down protocolSimulationVideo-reflexive methodsViral hemorrhagic fever

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Area of Science:

  • Infection Control and Prevention
  • Occupational Health and Safety
  • Healthcare Simulation

Background:

  • High-consequence infectious disease (HCID) facilities require robust safety protocols.
  • Existing procedures for HCID, including personal protective equipment (PPE) use, are established.
  • A significant gap exists in protocols for managing a collapsed healthcare provider within a contaminated zone.

Purpose of the Study:

  • To develop and optimize a safe protocol for responding to a healthcare provider collapse in full PPE within a contaminated zone.
  • To assess the effectiveness of video-reflexive methods in enhancing clinician understanding of infection prevention and control in rare, complex scenarios.

Main Methods:

  • Adaptation of an existing "provider down" protocol.
  • Iterative simulation and video recording of the adapted protocol within a biocontainment facility.
  • Collaborative analysis of video recordings through researcher-facilitated reflexive discussions.
  • Testing and refinement of protocol modifications until consensus was achieved.

Main Results:

  • Six adaptations and simulations were necessary to reach consensus on the final protocol.
  • The final protocol significantly differed from the initial version.
  • Video-reflexive sessions identified risks missed in initial protocol development and debriefs.
  • Participants identified and tested alternative perspectives on safe procedures.

Conclusions:

  • Video-reflexivity is a valuable method for context-sensitive, consensus-based policy and procedure co-design in specialized healthcare units.
  • This approach enhances clinician awareness and understanding of infection prevention and control for complex, rare events.
  • The process fosters teamwork, preparedness, and confidence in managing crises.