Utilizing Golden Hour Resuscitation Training to Improve Team Response and Neonatal Outcomes in a Low Volume Community Hospital Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/152301
Type:
Presentation
Title:
Utilizing Golden Hour Resuscitation Training to Improve Team Response and Neonatal Outcomes in a Low Volume Community Hospital Setting
Abstract:
Utilizing Golden Hour Resuscitation Training to Improve Team Response and Neonatal Outcomes in a Low Volume Community Hospital Setting
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Bickert, Denise, RN, BA, MS
P.I. Institution Name:ValleyCare Health System
Title:Vice President of Clinical Operations
Co-Authors:Mary Jo Schaarschmidt, RN, MSN, CPNP
[Research Presentation] Effective teamwork, developed by standardizing roles and procedures, has been tied to improved patient outcomes in healthcare. There are challenges to building a strong team in a low volume community hospital. The ValleyCare Medical Center in Pleasanton California utilizes a multidisciplinary team of physicians, registered nurses, and respiratory care practitioners to respond to high-risk deliveries. Our initial process improvement evaluation found there was no consistency in response and no sense of teamwork particularly between the respiratory therapists and the registered nurses. The Golden Hour Resuscitation program was utilized to train the multidisciplinary team. A baseline questionnaire was used to measure role knowledge and comfort in the role. Participants were asked to assess their understanding of and confidence in their role, and to rate overall communication between the team members. They also evaluated whether or not the teamwork was effective in an emergent situation. Training, including mock resuscitation codes, was then conducted with all team members. Questionnaires were repeated after training, and reflected increased understanding and comfort in each person's role. All felt communication between team members was also improved. Training alone does not suffice especially in a small hospital where high-risk deliveries are not routine. We ask all team members to complete questionnaires after every resuscitation. Scores have improved in all areas and retrospective critiques of the codes show improvement in timeliness of interventions. In addition to reviewing all neonatal resuscitations we are conducting ongoing mock drills with the entire multidisciplinary team utilizing a high fidelity simulation baby mannequin. These are timed and critiqued for appropriate resuscitative measures and equipment use. Team members will continue to be involved in the assessment, both as observers and through feedback on their role.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUtilizing Golden Hour Resuscitation Training to Improve Team Response and Neonatal Outcomes in a Low Volume Community Hospital Settingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152301-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Utilizing Golden Hour Resuscitation Training to Improve Team Response and Neonatal Outcomes in a Low Volume Community Hospital Setting</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bickert, Denise, RN, BA, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">ValleyCare Health System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Vice President of Clinical Operations</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dbickert@valleycare.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Jo Schaarschmidt, RN, MSN, CPNP</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Effective teamwork, developed by standardizing roles and procedures, has been tied to improved patient outcomes in healthcare. There are challenges to building a strong team in a low volume community hospital. The ValleyCare Medical Center in Pleasanton California utilizes a multidisciplinary team of physicians, registered nurses, and respiratory care practitioners to respond to high-risk deliveries. Our initial process improvement evaluation found there was no consistency in response and no sense of teamwork particularly between the respiratory therapists and the registered nurses. The Golden Hour Resuscitation program was utilized to train the multidisciplinary team. A baseline questionnaire was used to measure role knowledge and comfort in the role. Participants were asked to assess their understanding of and confidence in their role, and to rate overall communication between the team members. They also evaluated whether or not the teamwork was effective in an emergent situation. Training, including mock resuscitation codes, was then conducted with all team members. Questionnaires were repeated after training, and reflected increased understanding and comfort in each person's role. All felt communication between team members was also improved. Training alone does not suffice especially in a small hospital where high-risk deliveries are not routine. We ask all team members to complete questionnaires after every resuscitation. Scores have improved in all areas and retrospective critiques of the codes show improvement in timeliness of interventions. In addition to reviewing all neonatal resuscitations we are conducting ongoing mock drills with the entire multidisciplinary team utilizing a high fidelity simulation baby mannequin. These are timed and critiqued for appropriate resuscitative measures and equipment use. Team members will continue to be involved in the assessment, both as observers and through feedback on their role.</td></tr></table>en_GB
dc.date.available2011-10-26T11:31:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:31:11Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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