Does Simulation Training for Critical Care Nurse Practioners Improve Comfort Levels in a Code Blue?

Abstract

SESSION TITLE: Medical Education SESSION TYPE: Original Investigation Poster PRESENTED ON: Wednesday, November 1, 2017 at 01:30 PM - 02:30 PM PURPOSE: The role of critical care nurse practitioners is increasing in Intensive Care Units (ICUs). They may be the first code captain to respond. Simulation training was performed, and its affect on comfort levels was assessed. METHODS: Critical care nurse practitioners (18) who respond to code blues at Baylor University Medical Center in Dallas, underwent simulation training using a 3G Sim Man in a simulation lab. Pre-training comfort levels were assessed via anonymous survey, followed by a mock code after which feedback was provided. A lecture and tools were given to facilitate actions during a code. Participants then repeated a mock code and anonymous assessments. RESULTS: A total of 83% had prior simulation training. When first asked about comfort level in participating in a code, 22% were slightly comfortable, 33.5% were moderately comfortable, 33.5% were very comfortable, and 11% were extremely comfortable. When asked to rate their comfort level as a code captain, 28% were not at all comfortable, 22% were slightly comfortable, 33% were moderately comfortable, 11% were very comfortable, and 6% were extremely comfortable. When asked about anxiety levels at having to be a code captain, 28% indicated their anxiety level was minimal, 44% as moderate, 17% as high, and 11% as very high. Post training, 78% of participants indicated the simulation experience changed their perceived comfort level in participating in a code. 61% reported that the simulation experience improved their anxiety levels, while 6% indicated the simulation experience increased their anxiety levels and 33% indicated their anxiety levels remained the same. When asked about comfort level in participating in a code as a code captain, 6% were not at all comfortable, 22% were slightly comfortable, 39% was moderately comfortable, 27% were very comfortable, and 6% were extremely comfortable. Simulation training was found to be valuable by 100% of respondents. CONCLUSIONS: Survey assessment showed improved comfort and reduced anxiety levels for nurse practitioners participating as code captains. Simulation was found to be valuable by all participants and many wanted continued drills. CLINICAL IMPLICATIONS: Code blue simulation training is a valuable tool for reducing anxiety levels and increasing comfort levels for nurse practitioners as they play an increasingly important role in many ICU settings. DISCLOSURE: The following authors have nothing to disclose: John Watson, Courtney Coker, Maren Wiseheart, Lizzy Wooley, Ginger Tsai-Nguyen, Adam Mora No Product/Research Disclosure Information