Improving the Effectiveness ofBag and Mask Ventilation Training in an Academic Center NICU Jim Barry Medical Director, University of Colorado Hospital NICU
Background• BMV is a simple skill that is simply done wrong frequently• Simulation and Learning (and not forgetting) Theory – Retrieval based testing/learning improves short and long term memory- THE WAY WE TEST MATTERS – Partial task trainers and deliberate practice can improve skill attainment in trainees (LP)• Knowledge Gaps – Can the combination of deliberate practice and retrieval testing improve skill acquisition and retention for BMV ?
PICO Question• Population – Primary- 2011- 2012 Pediatric Residents from Univ Co – Secondary- other NICU staff: RNs, RTs, NNPs, MDs• Intervention – Formal training: deliberate practice, knowledge (retrieval vs recognition), spacing• Comparison – Subjects in 3 groups varied by testing: Recognition, Retrieval, Retrieval+Practice• Outcome – Changes in BMV Knowledge and Skill at 1 month and 6-12 months later
Approach• Randomized controlled study 1. Randomize teams monthly into 1 of 3 study groups 2. Knowledge evaluation with pre/post-test (Retrieval or Recognition) beginning/end of month and 6-12 months 3. Pretest, questionnaire to determine BMV experience and career choice 4. Evaluate BMV skill and equipment knowledge with video-recorded session using apneic neonatal partial task trainer 5. BMV scoring tool and mastery learning applied 6. Pre/PostData collected: Knowledge, BMV skill
3 Questions• What would be the best format/time to evaluate long(er) term retention? 3,6,9 months• Currently at single center, could this be replicated at other sites?• How could this education/intervention be applied to patient outcomes?