Simulation-based education to improve emergency management skills in caregivers of tracheostomy patients

International Journal of Pediatric Otorhinolaryngology
Kara PrickettKiran B Hebbar

Abstract

Children with tracheostomies are medically complex and may be discharged with limited and variably trained home nursing support. When faced with emergencies at home, caregivers must often take the lead role in management, and many lack experience with troubleshooting these emergencies prior to initial discharge. A high-fidelity simulation-based tracheostomy education program was designed using a programmable mannequin (Gaumard HAL S3004 one-year-old pediatric simulator). At the conclusion of our standard education program, caregivers completed three simulation scenarios: desaturation, mucus plugging, and dislodgement. A trained simulation facilitator graded performance. A self-assessment tool was used to analyze comfort with emergency management at the beginning of training, before and after simulation. Caregivers rated confidence using a 10 cm visual analog scale. All participants completed a post-simulation debriefing session. 39 caregivers completed all three scenarios and returned pre- and post-simulation self-assessments. Mean scores from the caregiver self-assessments increased for all three scenarios, with mean increases of 9 mm for desaturation, 16 mm for mucus plugging, and 10 mm for decannulation. Two patterns of resp...Continue Reading

Citations

Oct 22, 2019·The Annals of Otology, Rhinology, and Laryngology·Mykayla L SandlerRoger C Nuss
Mar 7, 2020·Home Healthcare Now·Bruce EstremRoy Maynard
Jul 17, 2020·Clinical Pediatrics·Katherine MaiRenee M Turchi
Sep 23, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kara D MeisterMichael J Brenner
Oct 12, 2019·Circulation. Cardiovascular Quality and Outcomes·Jeffrey H BarsukKenzie A Cameron
Sep 3, 2020·Current Pediatrics Reports·Ilana Harwayne-GidanskyTensing Maa
Oct 8, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Matthew M SmithCatherine K Hart
Mar 6, 2021·Patient Education and Counseling·Lijing DaiYan-Qiong Ouyang
Jul 27, 2021·Journal of Pediatric Nursing·Aimee L Wooldridge, Kimberly Ferren Carter
Aug 18, 2021·International Journal of Pediatric Otorhinolaryngology·Brian Pettitt-SchieberKara K Prickett

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