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ALERT Presentation: Title Shilpa Hundalani, Jenny Gonzales, Jennifer ArnoldBaylor College of Medicine, Texas Children’s Ho...
Background •   Some survivors of neonatal intensive care are left with comorbid     conditions that require dependence on ...
PICO Question • P: For primary caregivers    of high risk technology dependent infants    being discharged from the NICU w...
Approach / Design • 3 phases :    – 1. Retrospective chart Review         •   Indications, surgical timing, length of stay...
3 Questions to improve study 1. What might be the best outcome measures to help    identify the study aims? 2. Ideas relat...
Contact InformationName Jennifer ArnoldInstitution Baylor College of MedicineE-mail, Phone jlarnold@bcm.edu/ 832-  824-148...
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Simulation to teachmanagement of tracheostomy emergencies for new parents

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Dr Jennifer Arnold (Baylor Coll)

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Simulation to teachmanagement of tracheostomy emergencies for new parents

  1. 1. ALERT Presentation: Title Shilpa Hundalani, Jenny Gonzales, Jennifer ArnoldBaylor College of Medicine, Texas Children’s Hospital IMSH 2013: Orlando, Florida / USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. Background • Some survivors of neonatal intensive care are left with comorbid conditions that require dependence on medical devices for transition out of the hospital. – Special subset : Infants requiring tracheostomies (1) • More parents caring for sick infants in their home environments (2) – Advanced home technology – Family centered care – Increases in insurance and hospital costs – Absence of chronic care facilities • Caregiver education gap in dealing with tracheostomy emergencies International Network for Simulation-based Pediatric Innovation, Research and Education
  3. 3. PICO Question • P: For primary caregivers of high risk technology 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: Improve skills and ability to manage tracheostomy related airway emergencies in the simulated environment, improve parental confidence and decrease parental anxiety and stress, and ultimately decrease unnecessary hospital re-admissions within 72hrs related to tracheostomy emergencies International Network for Simulation-based Pediatric Innovation, Research and Education
  4. 4. Approach / Design • 3 phases : – 1. Retrospective chart Review • Indications, surgical timing, length of stay, and discharge dispositions and early readmission rates of infants discharged from NICU with tracheostomies over last year. – 2. Simulation based intervention training for caregivers with infants being discharged home with tracheostomies. (current proposal for a multicenter study) – 3. Prospective follow up post discharge : to evaluate impact of the simulation training program. • Inclusion criteria – Parents or primary caregivers of infants who have never been home and whose infant is being discharged from the NICU with a tracheostomy. International Network for Simulation-based Pediatric Innovation, Research and Education
  5. 5. 3 Questions to improve study 1. What might be the best outcome measures to help identify the study aims? 2. Ideas related to logistics of involving parents as subjects of simulation-based training? 3. Could this be a multi-centered project? 4. Refining study design International Network for Simulation-based Pediatric Innovation, Research and Education
  6. 6. Contact InformationName Jennifer ArnoldInstitution Baylor College of MedicineE-mail, Phone jlarnold@bcm.edu/ 832- 824-1480Website / QR Code www.texaschildrenshospital.org International Network for Simulation-based Pediatric Innovation, Research and Education

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