A Cognitive Aid for Perioperative Defibrillation: Development and Testing Using a High Fidelity Simulator

2.50
Hdl Handle:
http://hdl.handle.net/10755/161827
Category:
Abstract
Type:
Presentation
Title:
A Cognitive Aid for Perioperative Defibrillation: Development and Testing Using a High Fidelity Simulator
Author(s):
Valdez, Christine; Devlin, Laura
Author Details:
Christine R. Valdez, MN/CNS-BC, RN, CNOR, US Department of Veteran Affairs, Portland VA Medical Center, Portland, Oregon, USA; Laura Devlin, MS, CRNA
Abstract:
Poster presented at AORN's 58th Annual Congress: In the operating room (OR), the anesthesia provider is often the only Advanced Cardiac Life Support (ACLS)-trained individual. If the patient in the OR requires resuscitation, non-ACLS trained OR personnel are called upon to operate the defibrillator while the anesthesia provider serves as the team leader. Description of the Team: OR staff and Advanced Practice Nurses Preparation and Planning: Cognitive aids have been used effectively to produce performance improvement in procedures which are infrequently done, and in situations where performance pressure is high. To improve resuscitation team function, a cognitive aid for defibrillation was developed and tested. Assessment: In the OR, the anesthesia provider is often the only Advanced Cardiac Life Support (ACLS)-trained individual. Adverse incidents at our facility drew attention to the need for improvement in the performance of defibrillation by OR personnel. Implementation/Objectives: 1. Develop a cognitive aid to improve defibrillation performance by staff; 2. Use the resultant cognitive aid correct steps and safety precautions for effective defibrillation; and 3. Have a permanently-available single-page cognitive aid by the defibrillator. In a simulated patient care environment, we used the Laerdal Sim man to create a scenario for immediate defibrillation. Outcomes: Among individuals able to use the defibrillator and those unable, errors tended to be repeated for the two attempts at defibrillation without the cognitive aid. Scenarios were videotaped for analysis of procedure success/failure and categorization of types of errors made and measurement of time to defibrillation. Implications to Perioperative Nursing: Correct defibrillation procedure and time to defibrillation is related to success of resuscitation efforts.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Cognitive Aid for Perioperative Defibrillation: Development and Testing Using a High Fidelity Simulatoren_GB
dc.contributor.authorValdez, Christineen_US
dc.contributor.authorDevlin, Lauraen_US
dc.author.detailsChristine R. Valdez, MN/CNS-BC, RN, CNOR, US Department of Veteran Affairs, Portland VA Medical Center, Portland, Oregon, USA; Laura Devlin, MS, CRNAen_US
dc.identifier.urihttp://hdl.handle.net/10755/161827-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: In the operating room (OR), the anesthesia provider is often the only Advanced Cardiac Life Support (ACLS)-trained individual. If the patient in the OR requires resuscitation, non-ACLS trained OR personnel are called upon to operate the defibrillator while the anesthesia provider serves as the team leader. Description of the Team: OR staff and Advanced Practice Nurses Preparation and Planning: Cognitive aids have been used effectively to produce performance improvement in procedures which are infrequently done, and in situations where performance pressure is high. To improve resuscitation team function, a cognitive aid for defibrillation was developed and tested. Assessment: In the OR, the anesthesia provider is often the only Advanced Cardiac Life Support (ACLS)-trained individual. Adverse incidents at our facility drew attention to the need for improvement in the performance of defibrillation by OR personnel. Implementation/Objectives: 1. Develop a cognitive aid to improve defibrillation performance by staff; 2. Use the resultant cognitive aid correct steps and safety precautions for effective defibrillation; and 3. Have a permanently-available single-page cognitive aid by the defibrillator. In a simulated patient care environment, we used the Laerdal Sim man to create a scenario for immediate defibrillation. Outcomes: Among individuals able to use the defibrillator and those unable, errors tended to be repeated for the two attempts at defibrillation without the cognitive aid. Scenarios were videotaped for analysis of procedure success/failure and categorization of types of errors made and measurement of time to defibrillation. Implications to Perioperative Nursing: Correct defibrillation procedure and time to defibrillation is related to success of resuscitation efforts.en_GB
dc.date.available2011-10-27T08:41:17Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:41:17Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.