2011 SUN eLearning eSimulation in Action

2011 SUN eLearning

eSimulation in Action


Goal of this Interaction:Discuss implementation and deployment of a successful

eSimulation program leading to improvement in efficiency, skills

retention and employee satisfaction at MU Health Care.


Outcomes of this interaction…We will discuss how eLearning and eSimulation at MUHC :

Improved skills and teamwork

Increased training efficiency

Reduced costs

Trained more people in less time with fewer instructors

Improved employee satisfaction, confidence and competence

Saved lives!

In the Heart of

the Midwest

eSimulation in ActionMU Health Care…

Level 1 Trauma Center for large area of Missouri-rural

Schools of Medicine, Nursing, Health Professions

Shelden Clinical Simulation Center, CED Skills Lab, SON Simulation Lab

Chest Pain Center

JC Primary Stroke Center

AHA Training Center

Missouri University Health System 475 beds MUHC

>500 medical staff members MUHC

1600 nurses MUHC

Includes MU Health Care, Missouri Rehabilitation Center, Women’s and Children’s Hospital, Missouri Orthopedic Center. Missouri University Psychiatric Center, Ellis Fischel Cancer Hospital, Internal and Outside Clinics

eSimulation in ActionTraining at MU Health Care

>2100 participants trained annually for BLS (live classes, BLS Online, BLS HC)

>900 participants trained annually for ACLS (live classes, ACLS HC)

>450 participants trained annually for PALS (live classes, PALS HC)

>750-1000 participants annually- Mock Code Training

>2500 participants annually Simulation Classes

eSimulation in ActionTraining at MU Health Care

>80-100 participants trained annually for AACN ECCO

>500 participants trained annually for Stroke Education

>50,000 In house WBT annual training

>80,000 EMR annual training

>275 NRP training annually- online after 2011


Training at MU Health Care

Goal is to implement and provide a diverse number of training options for all learning styles and work schedules, to improve efficiency in skills training, to

improve skill retention and staff satisfaction and to save lives.


Approach To Training

1.Live training/traditional classroom2.eLearning with HeartCode, BLS Online,

other self directed online learning 3.Simulation4.Blending eLearning and eSimulation

approaches


Live training/traditional classroom

Familiar environment, more comfortable for some

Training costs can be higher

May improve knowledge but not necessarily practice

Need space, instructors, time


eLearning & eSimulation

Focus today on:

Heartcode eLearning Mock Code eSimulation

Other simulation at MU Health Care


eLearning with HeartCodeSelf-Directed Learning

eLearning lets the participant learn at their own pace and convenience-independently

No certified instructor needed (except PALS HC)

This is the age of technology and computers!MU Health Care has used some form of eLearning since the mid to late 80’s. It wasn’t called eLearning back then, but it was the beginning of eLearning.


eSimulation

Reduce errors

Improve skills

Practice in safe environment

Right patient at the right time

Learn and practice teamwork! MU Health Care purchased Sim Man in 2005.


“Having knowledgeable

instructors, computer programs and thousands of dollars worth of simulation equipment doesn’t guarantee successful program outcomes nor improve patient

outcome.”Author Unknown


It takes cooperation and a blended approach to learning, using all of

the training options available.

Learn-Practice-Apply


Top Ten Things eLearning and eSimulation Can Do:

10. decrease stress in an inherently stressful environment.

9. improve confidence.

8. improve critical thinking in a safe and controlled environment.

7. allow participants to learn from their mistakes without impacting patients negatively.

6. provides standard learning situations for everyone.


5. allow learning from peers. (model behavior)

4. work on time management and priority setting.

3. allows updating of new information and technology quickly and seamlessly.

2. bridge the student nurse, medical student, new resident, returning to practice employee transition to the workplace.


And the #1 thing

eLearning and eSimulation can do


1. improve resuscitation, patient care and patient outcomes!


eLearning with HeartCode

Self-Directed LearningHeartCode: (all AHA approved)

ACLSBLS

PALS!

UMHC used the Actronics system until 2004 and upgraded to Heartcode ACLS. Due to popularity, ACLS use grew and BLS was added in 2008 and PALS added this year.


HeartCode: Link between “book learning” and simulation. Helps efficiently maintain compliance and competence for otherwise experienced employees that don’t necessarily need live training to maintain a certification.


2 Part Process >>> course completion

Cognitive-BLS, ACLS, PALSSkills Test with VAM- BLS, ACLS

(PALS-Live skill check with AHA PALS Instructor)

Receive Course Completion Card (Laerdal is AHA TC and will issue BLS and ACLS Provider cards)


Benefits to Learner:

Self directed learningShorter than live classPotential availability 24/7Instant, objective feedback


Benefits to Organization

Reduced costsClear cost structureConsistent and standardized trainingDiversifies training options


BLS Live BLS BLS Online = Skill check

BLS HC

Hours to complete

3.5-4* 2.5 total* (1.5 hr for online part, 1 hr skill check)

<1.5 hr average**

# Instructors needed

6-8 3 + 1 non-instructor for check in/check out

NONE

# Participants trained/session

24/4 hr(48/month)

36/4 hr(72/month)

9/day (180/month potential)

*set up and take down/clean up time-

45min- 1 hr

*set up and take down/clean up time-45min- 1 hr

**<10 minute clean up of computer room


pictures


ACLS Live ACLS ACLS HC

Hours to complete 14-16 hrs Initial*8-9 hrs Renewal*

6-7 hr avg

# Instructors needed

8-16 /2 day Initial class8 Renewal class

NONE


24 Initial/month24 Renewal/month

4/day (208/month potential)

*set up and take down/clean up time-2 hr

**<10 minute clean up of computer room


pictures


PALS Live PALS PALS HC

Hours to complete 14-16 hrs Initial*8-9 hrs Renewal*

6-7 hr avg (online portion )3 hours (live skill check)

9-10 hours total

# Instructors needed 8-16 /2 day Initial class8 Renewal class

NONE -online portion2-3 skill check


24 Initial/month24 Renewal/month

12/month(12 participants/

1 skill check/month)

*set up and take down/clean up time 2 hr

*set up and take down/clean up time-45min- 1 hr

eSimulation in ActionHEARTCODE THROUGH THE YEARS

2007 2008 2009 2010

BLS HC NA Start Nov 2008

94/yr136

Jan-Sept

ACLS HC 252/yr 273/ yr 328/yr310

Jan-Sept

PALS HC NA NA NA12

May-Sept


Barriers to using HeartCode …

(student)

Fear of technology Lack of team support found in live classes Frustration


Barriers to using HeartCode …

(institution)

Concern about quality of training Equipment and software costs Administration costs


COSTS Live Classes HeartCode Online + Skill Check

BLS $90/studentno instructor costs

Cost of licenseno instructor costs

Cost of access codeno instructor costs$35/student/skill check

ACLS $342/student/Initial*$210/student/Renewal

Cost of licenseno instructor costs

NA

PALS $342/student/Initial*$210/student/Renewal

Cost of license$25/hour/instructor

NA

*includes instructor costs at $25/hour/instructor

No charge to staff at MUHC-outside participants pay student cost as calculated


Additional benefits noticed at Missouri University Health Care:

Offering multiple opportunities outside the structured classroom staff satisfaction!Address all learning stylesLast minute recerts!Critical thinking in a safe environment-teaching environmentCan use over and over to review-”practice makes perfect”


SIMULATION AT

MISSOURI UNIVERSITY HEALTH CARE


At MUHC simulation is collaborative effort to help provide safe and

effective patient care. Students

New Staff Current Staff


Missouri University Health CareThere are multiple simulation opportunities for our students and staff.

Center for Education and Development Skills LabShelden Clinical Simulation CenterSinclair School of Nursing Simulation Lab

Missouri University Health Care’s Journey…

One paw print at a time

The beginning was rough…

When Sim Man was first purchased, he sat in Linda's shared office for months until they got tired tripping over the boxes.No space had been designated to “keep” Sim Man so the boxes were moved to storage.When finally opened he was already due for an upgrade!The search for a home commenced.


The first simulation course with CEDrick was an interdisciplinary effort

to improve resuscitation.

Mock Code Monday


Mock Code Monday0730-0900 (46)

Interdisciplinary Mock Code practice Internal Medicine Residents Nursing (New and Current Staff) Respiratory Therapists and Respiratory Therapy Students Nursing Students Anesthesia Residents

ACLS instructors using ACLS Scenarios Uses simulation manikin in simulated setting Includes debriefing

eSimulation in ActionUsing Simulation for Interdisciplinary Code Blue Training: 2

Year Experience

178 ACLS Professionals -1 ½ hour of Simulated COde Team training (SCOT)

Moderately ConfidentInterpreting rhythms-35%Follow ACLS Protocols-30%Drug Selection-28%

eSimulation in ActionConclusions:Lack of confidence among certified ACLS providers.

Simulation can be used to foster interdisciplinary teamwork and focus on common educational objectives, thereby reducing duplication of cost and time associated with training.

85% agreed that the simulated code training was useful or extremely useful and would return for more training.

Poster Session Presented at IMSH 2010


Trauma Nursing Update

Unit Based Mock Code Classes

Introduction of Simulation

Trauma Update 2009

Building the Program

Introduction of Simulation

Partnering Sim Center and SON


Just as a code team needs both skills and teamwork to work effectively, the

different simulation centers and groups are working together collaboratively to

meet student and staff needs.


Purchased Mobile Unit with recording and data collection capabilities


Pre and Post Evaluation Data Collection

Metrics


2010

Mock Code Training for Women's and Children’s Hospital (Formerly CRH)

Training for Pediatric Transport team

Training for the Helicopter Flight team

Missouri Psychiatric Center Emergency Response training

eSimulation in Action2010

Missouri Orthopedic Institute training for staff and evaluation of emergency protocols

Added Simulation to New Staff Orientation

Mock Code Stroke Insitu training for evaluation of ER and Inpatient Stroke protocols

Patient and Family Centered Care Model Videos


Future Plans

Increasing Insitu Simulations

Increasing Simulation in New Staff Orientation

And about a MILLION other requests….


To sum it up…


Healthcare providers need to

respond to the changes in training requirements, address different

learning styles, consider challenging schedules and

workloads.

Missouri University Health Care’s Journey…

One paw print at a time

QUESTIONS?

2011 SUN eLearning eSimulation in Action

Documents

Transcript of 2011 SUN eLearning eSimulation in Action