BCH Critical Care Summit Simulation Poster v2
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Neonates at Boston Children’s Community of Care Network Hospitals Terasa Giovannucci, MSN, RNC-OB, Beverly Hospital; Sharon Pellerin, RN, IBCLC, Milford Regional Medical Center; Li Schultz, MSN, RNC-NIC , South Shore Hospital; Mary Smith, RN, CCRN, South Shore Hospital; Lindsey Elliott, MSN, RN, Boston Children’s Network Clinical Coordinat What is Network Simulation? Depending on the institution, high acuity critical care pediatric patient encounters in the community hospital environment remain an infrequent occurrence. However clinicians are expected to remain competent and confident with their certifications and critical care skill sets for when these situations occur. In situ Simulation was identified as a key method of supporting physicians, and they multidisciplinary teams in which they work within the growing Boston Children’s Network. This allows the clinician opportunities to practice with their native teams and clinical space focusing on clinical education and human factors while in a safe environment away from. In 2014-2015 SIMNetwork facilitators worked with trained local facilitators to deliver 57 simulation courses to 9 participating hospitals touching 356 participating clinical staff members. What is the Boston Children’s Community of Care Network? Boston Children’s Hospital has 396 beds but, as the largest pediatric referral center in the region, maintains a Community of Care (CoC) network, which includes affiliated hospitals, satellite locations, physician office locations, and over 400 pediatricians in the state. What are the latent safety threats identified Within community nurseries? What are In Situ Neonatal Simulation Courses? 23 Neonatal courses were held in patient care spaces from August 5, 2014 to June 2, 2015 at 7 participating nurseries . Courses are delivered by a community hospital-based physician/nurse team trained in simulation facilitation, and a Boston Children’s simulation technician, and supported by senior SIMPeds facilitators. Participants include physicians, nurses, respiratory therapists, and clinical assistants from the following departments. • Level1 Nursery • Level 2A/2B Special Care Nursery • Level 3 NICU • Clinical Knowledge Reinforcement o Chest tube training • Improved Nursing Pediatric Orientation Approach • Current methods of surfactant and prostaglandin delivery within network hospitals • Improved Role Clarity and Development o Role clarity (identity “stickers”) • Improved Equipment Access, Placement, and Logistics o Available neonatal equipment in emergency departments o Available medications o Blood products What is the overall impact already see within network nurseries? • Increased familiarity with use of equipment in code cart • Improved critical thinking skills • Increased confidence • Improved performance in real situations • Preparation for a level IB nursery advancement at Milford Regional • Opened dialogue among staff regarding safety and quality improvement opportunities • Adaptation of South Shore Hospital mock code program o Monthly simulation events on varying shifts involving inter-professional team members • Promotion of effective communication and incorporation of crisis resource management (CRM) principles: o Role clarity, conflict resolution, situational awareness, shared mental model, and advocacy/assertion • Improves efficiency, reliability, and standardization of practice o Routine admission process o Complex resuscitation situations • Increases staff satisfaction and pride in work
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Transcript of BCH Critical Care Summit Simulation Poster v2
Impact of Simulation in the Care of Critically Ill Neonates at Boston Children’s Community of Care Network Hospitals
Terasa Giovannucci, MSN, RNC-OB, Beverly Hospital; Sharon Pellerin, RN, IBCLC, Milford Regional Medical Center; Lisa Schultz, MSN, RNC-NIC , South Shore Hospital;Mary Smith, RN, CCRN, South Shore Hospital; Lindsey Elliott, MSN, RN, Boston Children’s Network Clinical Coordinator
What is Network Simulation?Depending on the institution, high acuity critical care pediatric patient encounters in the community hospital environment remain an infrequent occurrence. However clinicians are expected to remain competent and confident with their certifications and critical care skill sets for when these situations occur. In situ Simulation was identified as a key method of supporting physicians, and they multidisciplinary teams in which they work within the growing Boston Children’s Network. This allows the clinician opportunities to practice with their native teams and clinical space focusing on clinical education and human factors while in a safe environment away from. In 2014-2015 SIMNetwork facilitators worked with trained local facilitators to deliver 57 simulation courses to 9 participating hospitals touching 356 participating clinical staff members.
What is the Boston Children’s Community of Care Network?Boston Children’s Hospital has 396 beds but, as the largest pediatric referral center in the region, maintains a Community of Care (CoC) network, which includes affiliated hospitals, satellite locations, physician office locations, and over 400 pediatricians in the state.
What are the latent safety threats identified Within community nurseries?
What are In Situ Neonatal Simulation Courses?23 Neonatal courses were held in patient care spaces from August 5, 2014 to June 2, 2015 at 7 participating nurseries . Courses are delivered by a community hospital-based physician/nurse team trained in simulation facilitation, and a Boston Children’s simulation technician, and supported by senior SIMPeds facilitators.
Participants include physicians, nurses, respiratory therapists, and clinical assistants from the following departments.
• Level1 Nursery• Level 2A/2B Special Care Nursery• Level 3 NICU
• Clinical Knowledge Reinforcemento Chest tube training• Improved Nursing Pediatric Orientation Approach • Current methods of surfactant and prostaglandin delivery
within network hospitals• Improved Role Clarity and Developmento Role clarity (identity “stickers”)• Improved Equipment Access, Placement, and Logisticso Available neonatal equipment in emergency departmentso Available medicationso Blood products
What is the overall impact already seen within network nurseries?
• Increased familiarity with use of equipment in code cart• Improved critical thinking skills • Increased confidence • Improved performance in real situations • Preparation for a level IB nursery advancement at Milford
Regional• Opened dialogue among staff regarding safety and quality
improvement opportunities• Adaptation of South Shore Hospital mock code programo Monthly simulation events on varying shifts involving
inter-professional team members• Promotion of effective communication and incorporation of
crisis resource management (CRM) principles:o Role clarity, conflict resolution, situational awareness,
shared mental model, and advocacy/assertion• Improves efficiency, reliability, and standardization of
practiceo Routine admission processo Complex resuscitation situations
• Increases staff satisfaction and pride in work
