Improving Resuscitation through Blended Learning


Goal of this interaction:Discuss how blending eLearning and

simulation can improve resuscitation by improving the efficiency and

effectiveness of your resuscitation training programs.


Outcomes of this interaction…We will discuss how Blended Learning can:• can improve skills and teamwork• increase training efficiency• reduce costs• train more people in less time with fewer instructors• improve confidence and competence• save lives!


Who am I? Why am I here?• ICU/Trauma/Burn RN for 29 years• Global Clinical Educator for 6 years• AHA TCF and RF for BLS, ACLS, PALS• Training Center Coordinator for AHA TC-22 UMHC• Coordinate all BLS, ACLS, PALS and HeartCode training for MU

HealthCare• Assist with simulation training for the CED Skills Lab and The

Shelden Clinical Simulation Center.


University of Missouri Health Care…• Level 1 Trauma Center for large area of Missouri-rural• Schools of Medicine, Nursing, Health Professions• Simulation Center and Skills Lab• 475 beds• >500 medical staff members• >1600 nurses• AHA Training Center• Outside participants from all over the state


Training at University of Missouri Health Care

>2000 participants trained annually for BLS-total

>500 participants trained annually for ACLS-live classes

>250-300 participants trained annually for ACLS-HeartCode

>450 participants trained annually for PALS-live classes


Training at University of Missouri Health Care

Goal is to implement and provide a diverse number

of training options for for all learning styles and work schedules.


Approach

1. Live training/traditional classroom2. eLearning with HeartCode- Self Directed Learning3. Simulation


Live training/traditional classroom

Familiar environment, more comfortable for some Training costs can be higher May improve knowledge but not necessarily practice Need space, instructors, time


In “these tough economic times” there is a constant struggle with time constraints, training dollars, space limitations and more and more required training and certifications.

How/can this be done more efficiently?


Yes! It can!


eLearning with HeartCode

Self-Directed Learning

eLearning lets the participant learn at their own pace and convenience-independently

No certified instructor needed This is the age of technology and computers!


Simulation

Reduce errorsImprove skillsPractice in safe environmentRight patient at the right timeLearn and practice teamwork!


Having knowledgeable instructors, computer

programs and thousands of dollars worth of simulation

equipment doesn’t guarantee successful program

outcomes nor improve patient outcome.


It takes cooperation and a

blended approach to learning, using all of the training options

available.

Learn-Practice-Apply


Blended Learning

is the link to improving resuscitation and reduce

death and disability.


Top Ten Things Blended Learning Can Do:

10. decrease stress in an inherently stressful environment.

9. improve confidence.

8. improve critical thinking in a safe and controlled environment.

7. allow participants to learn from their mistakes without impacting patients negatively.

6. provides standard learning situations for everyone.


5. allow learning from peers. (model behavior)

4. work on time management and priority setting.

3. allows updating of new information and technology quickly and seamlessly.

2. bridge the student nurse, medical student, new resident, returning to practice employee transition to the workplace.

And the #1 thing Blended Learning can do…


1. improve resuscitation, patient care and patient outcomes!


eLearning with HeartCode

Self-Directed LearningHeartCode: (all AHA approved)

ACLSBLS

PALS!


HeartCode:o Link between “book learning” and

simulation.o Helps efficiently maintain compliance

and competence for otherwise experienced employees that don’t necessarily need live training to maintain a certification.


2 Part Process >>> course completion

• Cognitive-BLS, ACLS, PALS

• Skills Test with VAM- BLS, ACLS

• Receive Course Completion Card


Benefits to Learner:

Self directed learningShorter than live classPotential availability 24/7Instant, objective feedback


Benefits to Organization

Reduced costsClear cost structureConsistent and standardized trainingDiversifies training options


Implementing HeartCode

at University of Missouri HealthCare


pictures


BLS Training OptionsLive AHA BLS class - (2 live classes per month)

3.5-4 hours 6-8 instructors 24 students/class

(plus set up and take down time and instructor costs)


BLS Training OptionsAHA BLS Online + Live skills checks-(2- 4 hour sessions per month)

2 hr online portion1 hr skill check = about 3 hour total4 instructors36 participants per 4 hour skill check session


pictures


BLS Training OptionsAHA BLS HeartCode(Available daily)

<1.5 hours per student9 students per day per available No instructors neededNo set up or take down time


pictures


ACLS Training OptionsLive AHA ACLS class - (1-2 live classes per month initial & renewal

9 hours (renewal) 16 hours (initial)6-8 instructors each day @ $25/hr24 students/class(plus set up and take down time)


ACLS Training OptionsAHA ACLS HeartCode(Available daily)

6 hours per student-average4 students per day per available No instructors neededNo set up or take down time


pictures


PALS Training OptionsLive AHA PALS class - (1-2 live classes per month initial & renewal

9 hours (renewal) 16 hours (initial)6-8 instructors each day @ $25/hr24 students/class(plus set up and take down time)


PALS Training OptionsNEW! AHA PALS HeartCode (pilot program this month)

?? hours per student-average1-2 students per day per available computerNo instructors needed-computerLive skill check required-time???No set up or take down time-computerSet up and take down time plus instructor costs


Barriers to using HeartCode …

(student)

Fear of technology Lack of team support found in live classes Frustration


Barriers to using HeartCode …

(institution)

Concern about quality of training Equipment and software costs Administration costs


COSTS

Traditional Classroom Costs Include:

• Lungs• Cleaning supplies• Equipment• Class time/room costs• Instructor costs


Calculated Costs at Missouri Health Care:

Live BLS= $90 per studentLive ACLS= $342 per student for initial class

$210 per student for renewal classLive PALS= $342 per student for initial class

$210 for renewal classHeart Code BLS or ACLS= cost of licenses!

(+small incidental costs)


Savings using HeartCode???

• Decreased class room time

• Decreased employee costs

• Decreased instructor time & cost

• Decreased maintenance supplies


Additional benefits noticed at University of Missouri Health Care:

• Offering multiple opportunities outside the structured classroom- staff satisfaction!• Address all learning styles• Last minute recerts!• Critical thinking in a safe environment-teaching

environment• Can use over and over to review-”practice makes perfect”


SIMULATION AT

UNIVERSITY OF MISSOURI HEALTHCARE


Traditional classes + e-Learning =

improved training opportunities and training environments and takes pressure off of the instructors to conduct more traditional classes


Traditional classes + e-Learning +Simulation=

Opportunities to improve skills and build teamwork!


Traditional classes + e-Learning + Simulation =

“Blended Learning” =

MORE LIVES SAVED!


University of Missouri Health CareThere are multiple simulation opportunities for our students and staff.

• Center for Education and Development Skills Lab• Shelden Clinical Simulation Center• Sinclair School of Nursing Simulation Lab


Sinclair School of Nursing and

Shelden Clinical Simulation Center begin processes of learning by

simulation by working with nursing and medical students as well as

new physician residents.

“pre-employee stage”


“pre-employee stage”BUT…

These people are on patient care units, caring for patients

daily and they need to be prepared for resuscitation

emergencies!


The Center for Education and Development Skills Lab and

Shelden Clinical Simulation Center continue the training efforts by

working with students and staff.

“employee stage”


Just as a code team needs both skills and teamwork to work effectively, the

different simulation centers and groups are working together collaboratively to

meet student and staff needs.


At MUHC simulation is a large part of the student learning process, new

employee orientation process, ongoing learning & training

processes for all staff and is a collaborative effort to provide safe

patient care.


One example of an interdisciplinary effort to improve resusication through

Blended Learning is

Mock Code Monday.


Mock Code Monday0730-0900 every Monday

• Interdisciplinary Mock Code practice• Internal medicine physicians• Nursing• Respiratory Therapy• Nursing students• NEW! Anesthesia physician

• Uses ACLS instructors• Uses simulation manikin in simulated setting• Includes debriefing


MeetMr. Cedrick Simman!


Introducing…Cedrick Simman!

we have a clip…….


Simulation is not just for the skills lab at MUHC. Cedrick is an avid traveler. . . .

Some recent trips…

Training for Pediatric Transport team at the MU Children’s Hospital

Training for the flight team for the Helicopter Service


In the future he plans to travel to:MUHC’s remote facilities that don’t experience codes very often but need to be able to respond.

Cedrick is also scheduled to assist with some of the other mandatory training required for MUHC as a Level 1 Trauma Center, wherever it needs to happen.


To sum it up…


Healthcare providers need to

respond to the changes in training requirements, address different

learning styles, consider challenging schedules and workloads and use training

facilitators and dollars effectively and efficiently!


Blended Learning can be the key to maintaining certifications and improving resuscitation!


Thanks!

Improving Resuscitation through Blended Learning

Documents

Transcript of Improving Resuscitation through Blended Learning