A Multimodal Approach to Training COVID-19 Processes Across Four Intensive Care Units.

Moynihan, Katie M; Beke, Dorothy M; Imprescia, Annette; Agus, Michael Sd; Kleinman, Monica; Hansen, Anne; Bullock, Kevin; Taylor, Matt; Smith-Millman, Marlena; Wolbrink, Traci; Weinstock, Peter; Allan, Catherine

Moynihan, Katie M; Beke, Dorothy M; Imprescia, Annette; Agus, Michael Sd; Kleinman, Monica; Hansen, Anne; Bullock, Kevin; Taylor, Matt; Smith-Millman, Marlena; Wolbrink, Traci; Weinstock, Peter; Allan, Catherine.

Moynihan KM; Department of Cardiology, Division of Cardiovascular Critical Care, Boston Children's Hospital Boston, MA.
Beke DM; Harvard Medical School, Boston, MA.
Imprescia A; Department of Neonatology, Boston Children's Hospital, Boston, MA.
Agus MS; Department of Nursing, Cardiovascular Critical Care, Boston Children's Hospital Boston, MA.
Kleinman M; Department of Neonatology, Boston Children's Hospital, Boston, MA.
Hansen A; Department of Nursing, Cardiovascular Critical Care, Boston Children's Hospital Boston, MA.
Bullock K; Department of Neonatology, Boston Children's Hospital, Boston, MA.
Taylor M; Harvard Medical School, Boston, MA.
Smith-Millman M; Division of Medical Critical Care, Boston Children's Hospital, Boston, MA.
Wolbrink T; Department of Neonatology, Boston Children's Hospital, Boston, MA.
Weinstock P; Harvard Medical School, Boston, MA.
Allan C; Department of Anesthesiology, Critical Care, and Pain Medicine, Division of Critical Care Medicine, Boston Children's Hospital, Boston, MA.

Clin Simul Nurs ; 2022 Mar 14.

Article in English | MEDLINE | ID: covidwho-2233511

ABSTRACT

ABSTRACT

Coronavirus disease (COVID-19) required innovative training strategies for emergent aerosol generating procedures (AGPs) in intensive care units (ICUs). This manuscript summarizes institutional operationalization of COVID-specific training, standardized across four ICUs. An interdisciplinary team collaborated with the Simulator Program and OpenPediatrics refining logistics using process maps, walkthroughs and simulation. A multimodal approach to information dissemination, high-volume team training in modified resuscitation practices and technical skill acquisition included instructional videos, training superusers, small-group simulation using a flipped classroom approach with rapid cycle deliberate practice, interactive webinars, and cognitive aids. Institutional data on application of this model are presented. Success was founded in interdisciplinary collaboration, resource availability and institutional buy in.

Keywords

AGPs, aerosol generating procedures; Aerosols; COVID-19; COVID-19, Coronavirus disease; CPR, cardiopulmonary resuscitation; CRM, crisis resource management; Communication; ECMO, Extracorporeal membrane oxygenation; HCPs, health care providers; ICU, intensive care unit; Information Dissemination; Intensive Care Units, Pediatric; Intubation, Intratracheal; PPE, personal protective equipment; Simulation Training

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Full text: Available Collection: International databases Database: MEDLINE Language: English Year: 2022 Document Type: Article Affiliation country: J.ecns.2022.03.001

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Full text: Available Collection: International databases Database: MEDLINE Language: English Year: 2022 Document Type: Article Affiliation country: J.ecns.2022.03.001