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Progress Report Presentation:
Using Simulation to improve parent preparedness for
medically complex infants at discharge f...
Aim(s) - Revised
•

P: For primary caregivers of high risk ventilator dependent infants being
discharged from the NICU wit...
Progress since Jan 2013
•

January – June 2013 :
•

Scenarios and outcome tools developed:
• Multidisciplinary input inclu...
Progress since Jan 2013
March 2013IRB
submission

After IRB approval:
July – Dec 2013 :
Phase 1 :retrospective data Phase ...
Needs / Challenges
1.

Invite and incorporate other centers

2.

Recruitment

3.

Brainstorm other outcomes and data
colle...
How can INSPIRE help?
1.

@ IMSH 2014:
Share and brainstorm with colleagues a proposal for multicenter
project

2.

In 3 m...
Contact Information
Shilpa Hundalani

Jennifer Arnold
Institution: Baylor College of medicine
E-mail: jlarnold@bcm.edu;
hu...
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Alert 2014-progress-arnold-hundalani

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Alert 2014-progress-arnold-hundalani

  1. 1. Progress Report Presentation: Using Simulation to improve parent preparedness for medically complex infants at discharge from the NICU ‘PEP-TALC’ – Parent emergency preparedness in tracheostomy assisted living and care Shilpa Hundalani, Jennifer Arnold Baylor College of Medicine, Texas Children’s Hospital IMSH 2014: San Francisco, CA / USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. Aim(s) - Revised • P: For primary caregivers of high risk ventilator dependent infants being discharged from the NICU with tracheostomies • I: Does a Simulation-based training program regarding common airway and tracheostomy emergencies parent’s encounter at home • C: Compared to current bedside discharge teaching • O: 1. Improve caregiver preparedness for discharge from the NICU by a. Improved cognitive, technical, and behavioral skills in their ability to manage tracheostomy related airway emergencies in a simulation based environment as assessed by a performance checklist of critical behaviors b. Increased self-efficacy as assessed by a survey pre and post simulation training 2. Decrease unnecessary hospital re-admissions within 1 week related to tracheostomy emergencies as assessed by EPIC chart review and survey follow up at 4-6 weeks post discharge International Network for Simulation-based Pediatric Innovation, Research and Education
  3. 3. Progress since Jan 2013 • January – June 2013 : • Scenarios and outcome tools developed: • Multidisciplinary input including parent feedback and review from the Center for Advancing Perinatal Education (CAPE) simulation research group • Funding obtained: • Baylor Advancing Clinical Excellence (ACE) Health care Trainee Grant: $2500 • Internal support for purchase of SimBaby manikin • Manikin modified with a tracheostomy: •Special Thanks to the Bristol Pediatric Simulation Center • Scenario practice sessions with parents of infants with tracheostomies and tracheostomy education nurses International Network for Simulation-based Pediatric Innovation, Research and Education
  4. 4. Progress since Jan 2013 March 2013IRB submission After IRB approval: July – Dec 2013 : Phase 1 :retrospective data Phase 2: parent review enrollment for simulation intervention Jan – June 2014 : Phase 3: follow up surveys; and data analysis • Pilot Project: Approved by IRB June 2013 • Phase 1: complete: Retrospective Review of discharged infants with tracheostomies – Submitted abstracts to PAS and SRM – Manuscript under preparation • Phase 2: Pilot Project for 10 patients at Texas Children’s Hospital • Recruitment phase: 6 patients since August 2013 • Phase 3: Prospective follow up post discharge International Network for Simulation-based Pediatric Innovation, Research and Education
  5. 5. Needs / Challenges 1. Invite and incorporate other centers 2. Recruitment 3. Brainstorm other outcomes and data collection options 1. Self efficacy: Pre and post survey 1. Preliminary data on 6 patients: Parents rate themselves high 2. Difference: providing CPR, assessing respiratory rate and trouble shooting ventilator 3. No difference: suctioning, changing tube, assessing color, trouble breathing 2. Video review 3. Any other outcome measures? International Network for Simulation-based Pediatric Innovation, Research and Education
  6. 6. How can INSPIRE help? 1. @ IMSH 2014: Share and brainstorm with colleagues a proposal for multicenter project 2. In 3 months: Online support for sharing & collaboration amongst centers participating in multicenter project 3. Over 1 year: Aid with data analysis and feedback on project progress International Network for Simulation-based Pediatric Innovation, Research and Education
  7. 7. Contact Information Shilpa Hundalani Jennifer Arnold Institution: Baylor College of medicine E-mail: jlarnold@bcm.edu; hundalan@bcm.edu Phone:832-824-1480 Website / QR Code www.texaschildrens.org International Network for Simulation-based Pediatric Innovation, Research and Education

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