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Simulation based training for intraoperative cardiac arrest
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Vittoria, Carly. Simulation based training for intraoperative cardiac arrest. Retrieved from https://doi.org/doi:10.7282/t3-wjzv-ba36

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TitleSimulation based training for intraoperative cardiac arrest
NameVittoria, Carly (author); McCartney-Anderson, Mauren (co-chair); Castleman, Tracy (co-chair); Rutgers University; RBHS School of Nursing
Date Created2023
Other Date2023-05 (degree)
SubjectNursing, Emergency, Intraoperative cardiac arrest, Quality improvement, Simulation, Simulation-based learning
Extent51 pages : illustrations
DescriptionPurpose of Project: To develop multiple simulation scenarios for perioperative staff to practice and increase competency levels in managing intraoperative cardiac arrest.
Methodology: This quality improvement project took place from October 2022 to December 2022 at a medical center in Eastern Central, New Jersey. Perioperative staff participated in simulations that took place over two days and consisted of a pre-brief, scenario, and debrief session. Both scenarios focused on intraoperative cardiac arrest, specifically with patients in the prone position. Five simulations were done simultaneously with nine participants in each group. Groups were evaluated as a whole, using a checklist developed by the Association of periOperative Registered Nurses (AORN), and given a score based on how many data points were successfully performed. A total of 21 data points were collected from the checklists, with each data point having a potential score of 1.
Results: A total of 45 participants comprised five groups that were evaluated on the two days of simulation. The mean scores for day one and day two were 13.6 and 17.9, with standard deviations of 1.0 and 1.1, respectively. Statistical analysis illustrated a statistically significant change in scores between simulation day 1 and simulation day 2 (Z = -5.902, p <.001).
Implications: While the main objective of this quality improvement project was to increase competency levels of perioperative staff, other areas of potential research were discovered. During debriefing sessions, the importance of delineation of roles, use of emergency manuals, and closed-loop communication were brought to light. The medical center has expressed interest in continuing the simulation program implemented during this project and will continue to apply the methods used to other low-frequency/high-risk scenarios.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-wjzv-ba36
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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