2.50
Hdl Handle:
http://hdl.handle.net/10755/162448
Type:
Presentation
Title:
Utilizing In Sit Mock Codes to Enhance Teamwork and Leadership in the ED
Abstract:
Utilizing In Sit Mock Codes to Enhance Teamwork and Leadership in the ED
Conference Sponsor:Emergency Nurses Association
Conference Year:2011
Author:Vanek, Florence, RN, BSN
P.I. Institution Name:Hospital of the University of Pennsylvania
Title:Emergency Department Staff Nurse
Contact Address:3401 Spruce Street, Philadelphia, PA, 19105, USA
Contact Telephone:215-662-3920
Co-Authors:AnnMarie Papa, RN, DNP, CEN, FAEN; Leigh Anne Schmidt, RN, BSN; Colleen Donovan, MD
[ENA Leadership Conference] Evidence-based Practice Presentation: Utilizing In Situ Mock Codes to Enhance Teamwork and Leadership in the ED

Purpose: To explore creative alternatives to promote teamwork and leadership during cardiopulmonary resuscitations.

Design: This was a quality improvement project to focus on improving ED staff proficiency during cardiopulmonary resuscitation in the ED. Effective teamwork and leadership were promoted through the use of in situ mock codes. Conducting the mock codes provided increased opportunity for staff to gain knowledge and experience while enhancing their comfort level during resuscitations.

Setting: Emergency Department of an urban level one Trauma Center.

Participants: A multidisciplinary Emergency Department team including; RNÆs, ED Techs, Pharmacists, Attending Physicians, Residents and Clerical Staff participated in the project.

Methods: A multidisciplinary team was assembled to determine a way to promote organization, teamwork and leadership in the ED focusing on the setting of cardiopulmonary resuscitation. As a level one Trauma Center, the ED staff was very accustomed to an organized and effective team response during trauma resuscitation; however, this method was not mirrored during medical resuscitations. Staff often expressed frustration concerning lack of designated leadership, role confusion and the absence of post resuscitation follow up. After discussion, the team decided to conduct interdisciplinary mock codes for the ED staff. Continued dialogue determined that an in situ model would be utilized to best replicate the real life operational experience. A review of the literature was conducted to determine current use and effectiveness of mock codes. Topics considered included; staff comfort levels, general overall use, use of in situ design for simulation, and their use in the emergency setting. There was a dearth of literature regarding the use of in situ mock codes in the ED. The mock codes were called into the ED as an actual ED patient report so that the team would be able to observe the entire process from preparation through debriefing. Staff discovered the mock situation upon arrival of the team with the simulation mannequin. The resuscitation was conducted as a reality based situation with no prompting from the team. Upon completion, the team facilitated debriefing to discuss the strengths and opportunities identified. Feedback was given concerning what knowledge was applicable for future situations.

Outcomes: Based on verbal feedback, anonymous staff survey, and video review of mock codes, we determined that the in situ mock codes provided staff with an increased level of confidence during resuscitation. In situ codes afforded the staff an opportunity to practice skills, ask questions, and suggest alternatives in a non threatening yet realistic environment. Staff recognized and valued defined leadership and team participant roles.

Implications: In situ codes provided an opportunity to recognize problems with leadership and teamwork during resuscitation. Real time situational practice enabled staff to gain comfort with a variety of roles and teams. Based on the findings, there are implications for the use of in situ mock codes to build multidisciplinary teamwork and promote cohesiveness amongst ED staff. Because this model is easily replicable and economical, it has the capacity to be applied in a variety of pre-hospital, urgent care and ED settings.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUtilizing In Sit Mock Codes to Enhance Teamwork and Leadership in the EDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162448-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Utilizing In Sit Mock Codes to Enhance Teamwork and Leadership in the ED</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Vanek, Florence, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Hospital of the University of Pennsylvania</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Emergency Department Staff Nurse</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3401 Spruce Street, Philadelphia, PA, 19105, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">215-662-3920</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">florencevanek@gmail.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">AnnMarie Papa, RN, DNP, CEN, FAEN; Leigh Anne Schmidt, RN, BSN; Colleen Donovan, MD</td></tr><tr><td colspan="2" class="item-abstract">[ENA Leadership Conference] Evidence-based Practice Presentation: Utilizing In Situ Mock Codes to Enhance Teamwork and Leadership in the ED<br/><br/>Purpose: To explore creative alternatives to promote teamwork and leadership during cardiopulmonary resuscitations.<br/><br/>Design: This was a quality improvement project to focus on improving ED staff proficiency during cardiopulmonary resuscitation in the ED. Effective teamwork and leadership were promoted through the use of in situ mock codes. Conducting the mock codes provided increased opportunity for staff to gain knowledge and experience while enhancing their comfort level during resuscitations.<br/><br/>Setting: Emergency Department of an urban level one Trauma Center.<br/><br/>Participants: A multidisciplinary Emergency Department team including; RN&AElig;s, ED Techs, Pharmacists, Attending Physicians, Residents and Clerical Staff participated in the project.<br/><br/>Methods: A multidisciplinary team was assembled to determine a way to promote organization, teamwork and leadership in the ED focusing on the setting of cardiopulmonary resuscitation. As a level one Trauma Center, the ED staff was very accustomed to an organized and effective team response during trauma resuscitation; however, this method was not mirrored during medical resuscitations. Staff often expressed frustration concerning lack of designated leadership, role confusion and the absence of post resuscitation follow up. After discussion, the team decided to conduct interdisciplinary mock codes for the ED staff. Continued dialogue determined that an in situ model would be utilized to best replicate the real life operational experience. A review of the literature was conducted to determine current use and effectiveness of mock codes. Topics considered included; staff comfort levels, general overall use, use of in situ design for simulation, and their use in the emergency setting. There was a dearth of literature regarding the use of in situ mock codes in the ED. The mock codes were called into the ED as an actual ED patient report so that the team would be able to observe the entire process from preparation through debriefing. Staff discovered the mock situation upon arrival of the team with the simulation mannequin. The resuscitation was conducted as a reality based situation with no prompting from the team. Upon completion, the team facilitated debriefing to discuss the strengths and opportunities identified. Feedback was given concerning what knowledge was applicable for future situations.<br/><br/>Outcomes: Based on verbal feedback, anonymous staff survey, and video review of mock codes, we determined that the in situ mock codes provided staff with an increased level of confidence during resuscitation. In situ codes afforded the staff an opportunity to practice skills, ask questions, and suggest alternatives in a non threatening yet realistic environment. Staff recognized and valued defined leadership and team participant roles.<br/><br/>Implications: In situ codes provided an opportunity to recognize problems with leadership and teamwork during resuscitation. Real time situational practice enabled staff to gain comfort with a variety of roles and teams. Based on the findings, there are implications for the use of in situ mock codes to build multidisciplinary teamwork and promote cohesiveness amongst ED staff. Because this model is easily replicable and economical, it has the capacity to be applied in a variety of pre-hospital, urgent care and ED settings.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:28:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:23Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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