Simulation-Based Learning During COVID-19: A Teaching Strategy for Protected Code Blues

Silver, Sarabeth; Amaral, Nely; Heng, Diana; Mundle, William

doi:10.3928/00220124-20200812-04

Cited by 3 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although cost-effective, a whiteboard is limited to visual communication and requires team members to keep looking at the board to read the written messages while performing time-sensitive procedures. Cheruku et al [6] used hospital-based mobile phones and networked videoconferencing, whereas Silver et al [7] used baby monitors. The 3 studies indicated the success of these communication strategies.…”

Section: Principal Findingsmentioning

confidence: 99%

“…In light of these challenges, the American Heart Association (AHA), in collaboration with other professional societies, has recommended modifications to the standard CPR algorithms [1] and issued a COVID-19-related Interim Resuscitation Guideline (thereafter referred to as the AHA COVID-19 Resuscitation Guideline) [2]. Studies that applied the AHA COVID-19 Resuscitation Guideline and similar European guidelines are scarce [3][4][5][6][7]. In response to these gaps, our simulation-based study aimed to develop and test a protocol based on the AHA COVID-19 Resuscitation Guideline for adult patients in hospital settings.…”

Section: Introductionmentioning

confidence: 99%

“…Careful integration of the AHA COVID-19 Resuscitation Guideline into the code blue workflow and testing different case scenarios based on institutional policies and available resources are crucial to the efficacy, efficiency, and safety of CPR. For example, Foong et al [5], Cheruku et al [6], and Sliver et al [7] proposed 3 different workflow models depicting the placement of code blue teams and equipment and used different communication tools between the in-room (inside the patient room) and out-of-room teams to maximize infection control measures. According to Foong et al [5], some of the unanticipated problems experienced in the new workflow were related to infection control, the conduct of resuscitation, resources, and poor communication between the teams.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Developing and Testing a Protocol for Managing Cardiopulmonary Resuscitation of Patients with Suspected or Confirmed COVID-19: In Situ Simulation Study

Sowan¹,

Heins²,

Dayton³

et al. 2022

JMIR Nursing

View full text Add to dashboard Cite

Background Resuscitating patients with suspected or confirmed COVID-19 imposes unique challenges to organizations and code blue teams. Studies that applied the American Heart Association (AHA) COVID-19–related Interim Resuscitation Guideline and similar European guidelines are scarce. Objective This study aimed to develop and test a cardiopulmonary resuscitation protocol based on the AHA COVID-19–related Interim Resuscitation Guideline. Methods The study was conducted as an in situ simulation in a medical intensive care unit. The COVID-19 cardiopulmonary resuscitation protocol was created and validated by 11 health care team members and tested using 4 simulation sessions where 46 code blue team members participated. During the simulation, we observed role clarity, the effectiveness of communication, team dynamics, infection control measures, and the availability of essential supplies and equipment. Results The main issues identified in each simulation session were debriefed to the code blue teams and used to further revise the protocol. These include the assignment of tasks, availability of equipment and supplies, and failure of communication between the in-room and out-of-room teams. Solutions included changes in the placement of team members and roles and responsibilities; the creation of an isolation code medication package, a respiratory therapy kit, and an isolation code blue bag; and the use of two-way radios and N-95 masks with eye goggles to enhance communication between the teams. Conclusions This study shed light on the challenges to implement the AHA COVID-19–related Interim Resuscitation Guideline. The in situ simulation was an effective approach for rapid training, identifying unreliable equipment and ineffective and inefficient workflow, and managing the complexity of the physical environment.

show abstract

Section: Principal Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Developing and Testing a Protocol for Managing Cardiopulmonary Resuscitation of Patients with Suspected or Confirmed COVID-19: In Situ Simulation Study

Sowan¹,

Heins²,

Dayton³

et al. 2022

JMIR Nursing

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Developing and Testing a Protocol for Managing Cardiopulmonary Resuscitation of Patients with Suspected or Confirmed COVID-19: In Situ Simulation Study (Preprint)

Sowan¹,

Heins²,

Dayton³

et al. 2022

Preprint

View full text Add to dashboard Cite

BACKGROUND Resuscitating patients with suspected or confirmed COVID-19 imposes unique challenges to organizations and code blue teams. Studies that applied the American Heart Association (AHA) COVID-19-related Interim Resuscitation Guideline and similar European guidelines are scarce. OBJECTIVE This study aimed to develop and test a cardiopulmonary resuscitation (CPR) protocol based on the AHA COVID-19-related Interim Resuscitation Guideline. METHODS The study was conducted as an in-situ simulation in a medical intensive care unit. The COVID-19 CPR protocol was created and validated by 11 healthcare team members and was tested using four simulation sessions where 46 code blue team members participated. During the simulation, we observed role clarity, effectiveness of the communication, team dynamics, infection control measures, and availability of essential supplies and equipment. RESULTS The main issues identified in each simulation session were debriefed to the code blue teams and were used to further revise the protocol. These include assignment of tasks, availability of equipment and supplies, and failure of communication between the in-room and out-of-room teams. Solutions included changes in placement of team members and roles and responsibilities; creation of isolation code medication package, a respiratory therapy kit, and isolation code blue bag; and utilization of two-way radios and N-95 with eye goggles to enhance the communication between the teams. CONCLUSIONS The study shed the light on challenges to implement the AHA COVID-19-related Interim Resuscitation Guideline. The in-situ simulation was an effective approach for rapid training and identifying unreliable equipment, ineffective and inefficient workflow, and managing the complexity of the physical environment.

show abstract

Pivoting Continuing Professional Development During the COVID-19 Pandemic: A Narrative Scoping Review of Adaptations and Innovations

Soklaridis,

Chowdhury,

Turco

et al. 2024

J Contin Educ Health Prof

View full text Add to dashboard Cite

Introduction: Most formal continuing professional development (CPD) opportunities were offered in person until March 2020 when the COVID-19 pandemic disrupted traditional structures of CPD offerings. The authors explored the adaptations and innovations in CPD that were strengthened or newly created during the first 16 months of the pandemic. Methods: The objectives of the narrative review were to answer the following questions: (1) what types of adaptations to CPD innovations are described? and (2) what may shape future innovations in CPD? The following databases were searched: Medline, Embase, CINAHL, and ERIC to identify the literature published between March 2020 to July 2021. The authors conducted a comprehensive search by including all study types that described adaptations and/or innovations in CPD during the stated pandemic period. Results: Of the 8295 citations retrieved from databases, 191 satisfied the inclusion criteria. The authors found three categories to describe adaptations to CPD innovations: (1) creation of new online resources, (2) increased use of the existing online platforms/software to deliver CPD, and (3) use of simulation for teaching and learning. Reported advantages and disadvantages associated with these adaptations included logistical, interactional, and capacity building elements. The review identified five potential future CPD innovations: (1) empirical research on the effectiveness of virtual learning; (2) novel roles and ways of thinking; (3) learning from other disciplines beyond medicine; (4) formation of a global perspective; and (5) emerging wellness initiatives. Discussion: This review provided an overview of the adaptations and innovations that may shape the future of CPD beyond the pandemic.

show abstract

Simulation-Based Learning During COVID-19: A Teaching Strategy for Protected Code Blues

Cited by 3 publications

References 3 publications

Developing and Testing a Protocol for Managing Cardiopulmonary Resuscitation of Patients with Suspected or Confirmed COVID-19: In Situ Simulation Study

Developing and Testing a Protocol for Managing Cardiopulmonary Resuscitation of Patients with Suspected or Confirmed COVID-19: In Situ Simulation Study

Developing and Testing a Protocol for Managing Cardiopulmonary Resuscitation of Patients with Suspected or Confirmed COVID-19: In Situ Simulation Study (Preprint)

Pivoting Continuing Professional Development During the COVID-19 Pandemic: A Narrative Scoping Review of Adaptations and Innovations

Contact Info

Product

Resources

About