- Email: [email protected]
Clinical Practice: In-Person and Home Monitoring of Cardiac Rhythm Devices in Pediatric and Congenital Heart Patients
812 physicians, hospital administration, nursing leaders and clinical nurses. Staff representatives from the lead hospital provided onsite training to clinical staff at each hospital. Success stories, barriers/ challenges and lessons learned were discussed between all partnering facilities. Each hospital implemented the tool at different times providing them with the opportunity to modify their education plan based on shared experiences. Evaluation of Learning Objectives: Learning objectives were evaluated through implementation of the IEADT, documentation and inter-rater reliability to validate measurement, and evaluation of safety events to determine ongoing educational needs. View a PDF of this poster presentation at http://www.pedsnurses.org/d/ do/832.
Selected Abstracts from the 2015 SPN Conference Results: The findings of this study hold promise that pediatric mock code simulation increases the overall comfort level of registered nurses. There was statistical significance (pb0.05) in two areas that were surveyed. • Nurse confidence in drawing up medications during a code • Nurse perceptions that mock code experiences help with real-
life codes Conclusion: Pediatric mock code simulation is an effective tool to utilize in the pediatric setting. Teamwork, collaboration and communication are positively affected by code proficiencies. Simulation is an area to practice safe nursing skills and increases nurses comfort and confidence in reallife situations. View a PDF of this poster presentation at http://www.pedsnurses.org/d/ do/855.
http://dx.doi.org/10.1016/j.pedn.2015.06.018 http://dx.doi.org/10.1016/j.pedn.2015.06.017
Education: The Impact of Mock Code Simulations in Pediatrics Sally Nord MSN, RN
Evidence-based Practice: Prep for Success: How to Best Prepare Skin Before Capillary Blood Glucose Checks Ruth Jacobson BSN, RN, Sanje Woodsorrel BSN, RN Children's Hospital Los Angeles
Omaha Children's Hospital & Medical Center Abstract Background: Mock code simulation is an area of practice that is growing throughout health care. Numerous references support the validity of this method of education. However, what is lacking in these references is the effect mock codes have on nurses. Objective of Study: This project was conducted in a freestanding children's hospital in a PICU (pediatric intensive care unit). The facilitator aspired to learn the effect of interventions that measure teamwork, confidence, and comfort level among nurses. Methodology: In this project the nurses were given a pretest and posttest to evaluate their attitudes and comfort level for different aspects of a code. Answers on the pretest were compared to posttest answers following the mock code simulation. Questions included comfort level with drawing up code medications, performing compressions, administering medications, documentation, debriefing, MD-RN communication, RN to RN communication, one MD leading a code, overall comfort in a code and mock codes help with real-life codes. Framework/Model: Patricia Benner's theory on novice to expert lays the foundation for moving nurses effectively through mock code scenarios by providing firsthand experience with high-risk situations. The objective in a mock code is to move a nurse further along this model towards an expert nurse.
Abstract Practice Problem: Many inpatient pediatric patients require capillary blood glucose measurements to appropriately monitor glucose levels and allow for prompt response if needed. Variations in site preparation and collection of the sample may interfere with the accuracy of these findings and potentially result in under or overdosing of insulin or glucose, as well as increased pain and risk of infection for the patient. Purpose: What is the best practice for site preparation during point of care glucometer use? Summary of Literature: Variation was noted in policy between hospitals in the Los Angeles area, and evidence-based research on best practices to promote accurate measurements was examined using the Johns Hopkins Nursing Evidence-Based Practice Model: Diabetes educators were consulted. Hospital policy on glucometer use, as well as glucometer user manuals was reviewed. Additionally, variation in results between first and second drops of blood was compared. Finally, an informal study was conducted to determine any variation in results based on site preparation. Outcomes: Current research recommends washing the hands with soap and water and thoroughly drying for the most accurate glucometer readings. Use of alcohol wipes prior to lancing has
Selected Abstracts from the 2015 SPN Conference Results: The findings of this study hold promise that pediatric mock code simulation increases the overall comfort level of registered nurses. There was statistical significance (pb0.05) in two areas that were surveyed. • Nurse confidence in drawing up medications during a code • Nurse perceptions that mock code experiences help with real-
life codes Conclusion: Pediatric mock code simulation is an effective tool to utilize in the pediatric setting. Teamwork, collaboration and communication are positively affected by code proficiencies. Simulation is an area to practice safe nursing skills and increases nurses comfort and confidence in reallife situations. View a PDF of this poster presentation at http://www.pedsnurses.org/d/ do/855.
http://dx.doi.org/10.1016/j.pedn.2015.06.018 http://dx.doi.org/10.1016/j.pedn.2015.06.017
Education: The Impact of Mock Code Simulations in Pediatrics Sally Nord MSN, RN
Evidence-based Practice: Prep for Success: How to Best Prepare Skin Before Capillary Blood Glucose Checks Ruth Jacobson BSN, RN, Sanje Woodsorrel BSN, RN Children's Hospital Los Angeles
Omaha Children's Hospital & Medical Center Abstract Background: Mock code simulation is an area of practice that is growing throughout health care. Numerous references support the validity of this method of education. However, what is lacking in these references is the effect mock codes have on nurses. Objective of Study: This project was conducted in a freestanding children's hospital in a PICU (pediatric intensive care unit). The facilitator aspired to learn the effect of interventions that measure teamwork, confidence, and comfort level among nurses. Methodology: In this project the nurses were given a pretest and posttest to evaluate their attitudes and comfort level for different aspects of a code. Answers on the pretest were compared to posttest answers following the mock code simulation. Questions included comfort level with drawing up code medications, performing compressions, administering medications, documentation, debriefing, MD-RN communication, RN to RN communication, one MD leading a code, overall comfort in a code and mock codes help with real-life codes. Framework/Model: Patricia Benner's theory on novice to expert lays the foundation for moving nurses effectively through mock code scenarios by providing firsthand experience with high-risk situations. The objective in a mock code is to move a nurse further along this model towards an expert nurse.
Abstract Practice Problem: Many inpatient pediatric patients require capillary blood glucose measurements to appropriately monitor glucose levels and allow for prompt response if needed. Variations in site preparation and collection of the sample may interfere with the accuracy of these findings and potentially result in under or overdosing of insulin or glucose, as well as increased pain and risk of infection for the patient. Purpose: What is the best practice for site preparation during point of care glucometer use? Summary of Literature: Variation was noted in policy between hospitals in the Los Angeles area, and evidence-based research on best practices to promote accurate measurements was examined using the Johns Hopkins Nursing Evidence-Based Practice Model: Diabetes educators were consulted. Hospital policy on glucometer use, as well as glucometer user manuals was reviewed. Additionally, variation in results between first and second drops of blood was compared. Finally, an informal study was conducted to determine any variation in results based on site preparation. Outcomes: Current research recommends washing the hands with soap and water and thoroughly drying for the most accurate glucometer readings. Use of alcohol wipes prior to lancing has