A Modified Simulation Program Addressing a Staff Nurse Educational Need Identified by a Student Clinical Nurse Specialist Across Three Shifts in a Cardiac Step-Down Unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/164339
Category:
Abstract
Type:
Presentation
Title:
A Modified Simulation Program Addressing a Staff Nurse Educational Need Identified by a Student Clinical Nurse Specialist Across Three Shifts in a Cardiac Step-Down Unit
Author(s):
Grady, Christine; Griffith, Catherine A.
Author Details:
Christine Grady, BSN, RN, Massachusetts General Hospital, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Catherine A. Griffith, MSN, RN, CCCRN, APRN, BC
Abstract:
Purpose: This program was designed by a student clinical nurse specialist (CNS) to address a comfort level and knowledge level deficit with emergency and code situations among new graduate staff nurses and nurses having fewer than 3 years of experience working on a cardiac step-down unit. Significance: Bedside staff nurses, whose judgment is critical to early identification of patients showing signs of clinical decompensation, historically gain expertise with emergency situations through random repeated exposure to cardiac arrest and code situations during their scheduled shifts. Disaster-management and emergency resource-management literature describe success of structured communication process and simulation in training medical personnel for managing disasters. Applying these concepts while using low-tech resources, CNSs can raise comfort levels and knowledge levels of staff nurses faced with unexpected emergency situations. Methods/Description: Using the staff time-plan, groups of staff nurses were formed and presented a case study resulting in a theoretical emergency situation. Using a training code cart and an adult dummy, the "mock code" was repeated two times with a debriefing of the experience between simulations. The concepts of structured communication and the roles of medical personnel usually present at a code were reviewed. Emphasis was on the role of the bedside nurse as the universal constant and first responder. Pre- and post-mock code surveys have been done with each session, showing a raised comfort and confidence level after participation in the simulated sessions. Findings/Outcomes: Survey results indicate a consistent raised comfort and confidence level post-simulation. Differences were noted with respect to years and types of prior experience.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
CNS Leadership: Soaring to New Heights
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Salt Lake City, Utah, USA
Description:
Conference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, USA
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 Modified Simulation Program Addressing a Staff Nurse Educational Need Identified by a Student Clinical Nurse Specialist Across Three Shifts in a Cardiac Step-Down Uniten_GB
dc.contributor.authorGrady, Christineen_US
dc.contributor.authorGriffith, Catherine A.en_US
dc.author.detailsChristine Grady, BSN, RN, Massachusetts General Hospital, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Catherine A. Griffith, MSN, RN, CCCRN, APRN, BCen_US
dc.identifier.urihttp://hdl.handle.net/10755/164339-
dc.description.abstractPurpose: This program was designed by a student clinical nurse specialist (CNS) to address a comfort level and knowledge level deficit with emergency and code situations among new graduate staff nurses and nurses having fewer than 3 years of experience working on a cardiac step-down unit. Significance: Bedside staff nurses, whose judgment is critical to early identification of patients showing signs of clinical decompensation, historically gain expertise with emergency situations through random repeated exposure to cardiac arrest and code situations during their scheduled shifts. Disaster-management and emergency resource-management literature describe success of structured communication process and simulation in training medical personnel for managing disasters. Applying these concepts while using low-tech resources, CNSs can raise comfort levels and knowledge levels of staff nurses faced with unexpected emergency situations. Methods/Description: Using the staff time-plan, groups of staff nurses were formed and presented a case study resulting in a theoretical emergency situation. Using a training code cart and an adult dummy, the "mock code" was repeated two times with a debriefing of the experience between simulations. The concepts of structured communication and the roles of medical personnel usually present at a code were reviewed. Emphasis was on the role of the bedside nurse as the universal constant and first responder. Pre- and post-mock code surveys have been done with each session, showing a raised comfort and confidence level after participation in the simulated sessions. Findings/Outcomes: Survey results indicate a consistent raised comfort and confidence level post-simulation. Differences were noted with respect to years and types of prior experience.en_GB
dc.date.available2011-10-27T11:46:33Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:46:33Z-
dc.conference.date2006en_US
dc.conference.nameCNS Leadership: Soaring to New Heightsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionConference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, USAen_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.en_US
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