Abstract
BackgroundMalignant Hyperthermia (MH) is a life-threatening pathology which must be accurately managed by Certified Registered Nurse Anesthetists (CRNAs) (Bin et al., 2022). This pilot project proposes simulation for CRNAs to mitigate skill decay. SampleEight CRNAs employed at a large, mid-Atlantic medical center participated in the project. MethodsCRNAs underwent a blind MH crisis simulation and were evaluated using a Key Action Checklist of MH management guidelines. This was followed by a debrief, MH education, and a postsimulation action-ordering exercise. The exercise was repeated at three months. ResultsThe mean Key Action Checklist score (out of 20) was 13.81. The postsimulation action-ordering exercise had an average score of 6.86 out of 10. At three months, the average score was 6 out of 10. ConclusionData comparison shows trends of skill decay. A larger sample size is needed, however this pilot project identified strengths and challenges for simulation implementation.
Published Version
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