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Published on: January 15, 2017
Simulation-Based Training to Promote Whole Blood Administration Protocol Among Critical Care Transport of Trauma
Olivia C Newbern1, Julee Waldrop2, Michele Kuszajewski3
1Duke University Nurse Anesthesia Program, Durham, NC.
Objective:
Trauma patients often present to emergency departments with coagulopathies. Recognizing the unique challenges of caring for trauma patients and the urgent need for protocol-driven resuscitation is essential.
Methods:
This project used a practice evaluation design that incorporated simulation-based learning (SBL) to educate critical care transport team (CCTT) providers on the existing whole blood administration protocol (WBAP), aiming to enhance protocol adherence and staff preparedness.
Results:
Most participants (77%) successfully adhered to all critical decision points, indicating notable improvements in adherence. Participants reported increased confidence, knowledge, and preparedness following SBL, each with a mean of 2.9 and a median of 3.0, where 1 = do not agree, 2 = somewhat agree, and 3 = strongly agree. Simulation reinforced critical decision-making (mean 3.0) and procedural skills (mean 2.9), aligning with established best practices.
Conclusion:
SBL improved trauma care training, reinforced critical decision-making, and strengthened procedural skills among CCTT providers. Further research is needed to assess multiple aspects of the WBAP during critical care transport missions and the long-term sustainability of educational interventions. Ongoing training, policy enhancements, and continued whole blood use in CCTT care may contribute to improved outcomes for trauma patients.
