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Use Of A Defined Role/Responsibility
Chart And A Color-Coded Floor Code
Map As An Innovative Tool To Improve
Role Clarity ...
• The simulation center at Texas Children's Hospital is
expanding a Comprehensive In Situ Simulation
Program to the neonat...
• Population: all NICU faculty & staff
• Interventions: 1. A “Roles and Responsibilities”
chart for each team member role ...
Utilizing a modified Delphi methodology our team:
1. Performed a close inspection of the NICU layout and
equipment
2. Desi...
• ALERT Presentation: January 2017
• IRB Submission: Revision in progress
• Recruitment / Data Collection: Nov 2016-March ...
1. Other ideas for evaluating role clarity?
2. Other assessment tools for infant position during a
code and for the floor ...
At INSPIRE @ IMSH 2017:
Obtain expert opinion/ suggestions for
study improvement
International Network for Simulation-base...
Name: Mona Khattab, MD
Institution: Baylor College of Medicine
E-mail, Phone: khattab@bcm.edu
International Network for Si...
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Alert 2017 kUse of a defined role/responsibility chart and a color coded floor code map as an innovative tool to improve role clarity during in-situ simulationshattab use of a defined role

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Use of a defined role/responsibility chart and a color coded floor code map as an innovative tool to improve role clarity during in-situ simulations

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Alert 2017 kUse of a defined role/responsibility chart and a color coded floor code map as an innovative tool to improve role clarity during in-situ simulationshattab use of a defined role

  1. 1. Use Of A Defined Role/Responsibility Chart And A Color-Coded Floor Code Map As An Innovative Tool To Improve Role Clarity During In-Situ Simulations Mona Khattab, MD, Nathan Sundgren, MD, Leigh Ann Cates, PhD, APRN, NNP-BC, Kellie Kainer, RN, Leisa McMullen, BSN, MS, Joseph Hagan, and Jennifer Arnold, MD, MSc. Baylor College of Medicine, Texas Children's Hospital, Houston, Texas USA INSPIRE @ IMSH 2017 – Orlando, FL, USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. • The simulation center at Texas Children's Hospital is expanding a Comprehensive In Situ Simulation Program to the neonatal ICU (NICU) • Through a needs assessment survey, role clarity and effective communication during codes were identified as crucial areas for improvement. • There is little research related to the appropriate roles and positions for effective management of a neonatal resuscitation. • Little is known about the optimal positioning of the infant for a neonatal resuscitation in the NICU. International Network for Simulation-based Pediatric Innovation, Research and Education Background
  3. 3. • Population: all NICU faculty & staff • Interventions: 1. A “Roles and Responsibilities” chart for each team member role 2. Patient positioning during a code; head at foot of bed vs. side of the bed • Control/Comparison: 1. Routine codes with no floor code map. 2. head at foot of bed vs. side of the bed • Outcome(s): 1. Improve role clarity during a code 2. minimize multi-tasking and optimize perceptions of workload. 3. Decrease mental, physical demand and frustration during a code International Network for Simulation-based Pediatric Innovation, Research and Education PICO / Research Question
  4. 4. Utilizing a modified Delphi methodology our team: 1. Performed a close inspection of the NICU layout and equipment 2. Designed a color-coded floor code map that can be easily and optimally integrated into the existing NICU environment 3. Created a “Roles and Responsibilities” chart for each team member role typically involved in a code 4. Implemented high fidelity multidisciplinary simulations to evaluate potential roles and positions 5. Focused debriefings 6. NASA-TLX to evaluate mental, physical, and temporal demands, effort, and frustration within the roles and responsibilities as well as their physical location on the floor map. International Network for Simulation-based Pediatric Innovation, Research and Education Approach / Design
  5. 5. • ALERT Presentation: January 2017 • IRB Submission: Revision in progress • Recruitment / Data Collection: Nov 2016-March 2017 • Data Analysis: April 2017 • Abstract Presentation: IMSH 2018 IPSSW 2018 • Manuscript Preparation: June 2018 International Network for Simulation-based Pediatric Innovation, Research and Education Timeline
  6. 6. 1. Other ideas for evaluating role clarity? 2. Other assessment tools for infant position during a code and for the floor code map? 3. Collaborators from other NICUs? International Network for Simulation-based Pediatric Innovation, Research and Education 3 questions to improve study
  7. 7. At INSPIRE @ IMSH 2017: Obtain expert opinion/ suggestions for study improvement International Network for Simulation-based Pediatric Innovation, Research and Education Goals to accomplish
  8. 8. Name: Mona Khattab, MD Institution: Baylor College of Medicine E-mail, Phone: khattab@bcm.edu International Network for Simulation-based Pediatric Innovation, Research and Education Contact Information

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