Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication...
Transcript of Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication...
SafetySafety
Human FactorsHuman Factors Infection ControlInfection Control Medication SafetyMedication Safety IntranetIntranet Latex AllergyLatex Allergy Device ManagementDevice Management Abbott PumpAbbott Pump Hill-Rom BedHill-Rom Bed GlucometerGlucometer PCA PumpPCA Pump Quick Signs Quick Signs
Clinical TopicsClinical Topics
Skin and wound careSkin and wound care Ostomy, tubes, and drainsOstomy, tubes, and drains Pain assessment/comfort Pain assessment/comfort
promotionpromotion Point of care testing verificationPoint of care testing verification
Weekly Schedule: Weekly Schedule: Weeks 2 - 9Weeks 2 - 9 Functional Content Review: 4 Functional Content Review: 4
hourshours– Respiratory ManagementRespiratory Management– Tissue Perfusion/VascularTissue Perfusion/Vascular– Tissue Perfusion/CardiacTissue Perfusion/Cardiac– Psychosocial/SpiritualPsychosocial/Spiritual– NeurologicalNeurological– Elimination/NutritionElimination/Nutrition
Weekly Schedule: Weekly Schedule: Weeks 2 – 9 Weeks 2 – 9 Simulation Training to reinforce Simulation Training to reinforce
selected functional focus area: selected functional focus area:
At least 4 hours/weekAt least 4 hours/week
Weekly Schedule: Weekly Schedule: Week 10Week 10 Residency *Testing*Residency *Testing*
– Demonstrate competency in Demonstrate competency in randomly selected events through randomly selected events through simulation exercisessimulation exercises
Weekly Schedule: Weekly Schedule: Weeks 11 - 12Weeks 11 - 12 Unit- based continuation of Unit- based continuation of
residency.residency.
Underlying TenetsUnderlying Tenets
Five, eight hour days through Five, eight hour days through early weeks of residency programearly weeks of residency program
Weekly clinical focus on identified Weekly clinical focus on identified functional areafunctional area
Simulations developed from Simulations developed from actual clinical practiceactual clinical practice
Simulations in Simulations in Medical/Surgical Medical/Surgical ResidencyResidency Selection of ScenariosSelection of Scenarios
– Ability to make scenarios effective Ability to make scenarios effective by incorporating:by incorporating: equipment and processes,equipment and processes, communication and team work, andcommunication and team work, and medication management.medication management.
– Select scenarios that have a Select scenarios that have a potential significant impact on potential significant impact on “failure to rescue” “failure to rescue” conditions/situations.conditions/situations.
Simulations in Medical-Simulations in Medical-Surgical Specialties Surgical Specialties ResidencyResidency RespiratoryRespiratory
– Moderate sedation and airway Moderate sedation and airway managementmanagement
– Chest tube insertion/careChest tube insertion/care– COPD with pneumoniaCOPD with pneumonia– Tracheotomy careTracheotomy care
Peripheral VascularPeripheral Vascular – Heparin protocol/DVTHeparin protocol/DVT– Blood administrationBlood administration
CardiacCardiac– Shockable and non-shockable rhythmsShockable and non-shockable rhythms
Simulations in Medical-Simulations in Medical-Surgical Specialties Surgical Specialties ResidencyResidency
Cardiac (continued)Cardiac (continued)– Acute coronary syndromeAcute coronary syndrome– Hypovolemic shockHypovolemic shock– TachyrhythmsTachyrhythms
NeurologicalNeurological– StrokeStroke– SeizureSeizure ICPICP– Confused patient/restraintsConfused patient/restraints
Nutrition/EliminationNutrition/Elimination– DiabetesDiabetes– Tight glycemic controlTight glycemic control– Renal failureRenal failure
Responses from Responses from ParticipantsParticipants
““At the moment when At the moment when the scenario begins the scenario begins to deteriorate the to deteriorate the simulation feels much simulation feels much like an actual crisis like an actual crisis on the floors. There on the floors. There is confusion, most of is confusion, most of which is related to which is related to my own inexperience. my own inexperience. Repeated Repeated simulations will help simulations will help build confidence as build confidence as well as competency.”well as competency.”