2.50
Hdl Handle:
http://hdl.handle.net/10755/162743
Type:
Presentation
Title:
Development of a Glasgow Coma Scale Teaching Video
Abstract:
Development of a Glasgow Coma Scale Teaching Video
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:Day, Suzanne, RN, MA
P.I. Institution Name:LDS Hospital
Contact Address:Eighth Avenue & C Street, Salt Lake City, UT, 84143, USA
Contact Telephone:(801) 408-3631
Clinical Topic: Quality review of all trauma patients revealed discrepancies in documentation of the Glasgow Coma Scale (GCS). A simple quiz was developed and administered to hospital personnel (nurses, house staff, attending physicians, flight team and emergency medical services personnel) to determine the level of knowledge and ability to properly administer the GCS. Survey results clearly demonstrated a need for more education.

Implementation: A task force was convened to create an instructive, standardized teaching tool which demonstrated application of the GCS to both adult and pediatric patients. A video format was chosen for instruction. A visual demonstration of the process was shown along with the teaching points that were stressed throughout the video. Also shown was the application of the scale in various patient settings and detailed instructions on what to avoid. The intended audiences for this video were: attending physicians, medical/surgical house staff, nurses, flight personnel, Emergency Medical Services personnel and students. The final product was a 32 minute video. Instructor guidelines were developed for use with the video, along with a pre-test and a post-test, using patient situations that were shown on the video.

Outcomes: After implementation: (1) overall documentation of GCS improved; (2) education of floor nurses to use the scale, allowed us to admit simple closed head injured patients to the floor which decreased hospital costs and freed up needed ICU beds for more acutely ill patients; (3) the video was used in orientation of both new and existing staff; and (4) we found that it decreased the need for repetitive lectures, utilizing instructors for hands on demonstration only.

Recommendations: Use of this tool has improved accuracy and frequency of GCS documentation. Additional recommendations for use in the emergency department are to: (1) include the GCS scale on pre-printed emergency documentation forms or computer based programs, (2) use the video for training health care provider who may use the scale in their practice, and (3) collect GCS outcome data for use in protocols and research. [Clinical Poster Presentation]
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.titleDevelopment of a Glasgow Coma Scale Teaching Videoen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162743-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of a Glasgow Coma Scale Teaching Video</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">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Day, Suzanne, RN, MA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">LDS Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Eighth Avenue &amp; C Street, Salt Lake City, UT, 84143, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(801) 408-3631</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sday@ihc.com</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Quality review of all trauma patients revealed discrepancies in documentation of the Glasgow Coma Scale (GCS). A simple quiz was developed and administered to hospital personnel (nurses, house staff, attending physicians, flight team and emergency medical services personnel) to determine the level of knowledge and ability to properly administer the GCS. Survey results clearly demonstrated a need for more education.<br/><br/>Implementation: A task force was convened to create an instructive, standardized teaching tool which demonstrated application of the GCS to both adult and pediatric patients. A video format was chosen for instruction. A visual demonstration of the process was shown along with the teaching points that were stressed throughout the video. Also shown was the application of the scale in various patient settings and detailed instructions on what to avoid. The intended audiences for this video were: attending physicians, medical/surgical house staff, nurses, flight personnel, Emergency Medical Services personnel and students. The final product was a 32 minute video. Instructor guidelines were developed for use with the video, along with a pre-test and a post-test, using patient situations that were shown on the video.<br/><br/>Outcomes: After implementation: (1) overall documentation of GCS improved; (2) education of floor nurses to use the scale, allowed us to admit simple closed head injured patients to the floor which decreased hospital costs and freed up needed ICU beds for more acutely ill patients; (3) the video was used in orientation of both new and existing staff; and (4) we found that it decreased the need for repetitive lectures, utilizing instructors for hands on demonstration only.<br/><br/>Recommendations: Use of this tool has improved accuracy and frequency of GCS documentation. Additional recommendations for use in the emergency department are to: (1) include the GCS scale on pre-printed emergency documentation forms or computer based programs, (2) use the video for training health care provider who may use the scale in their practice, and (3) collect GCS outcome data for use in protocols and research. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:24Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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