Training program design of a screen based simulator for neonatal cerebral function monitoring.

Abstract

The cerebral function monitor (CFM) is a device to monitor the cerebral function of newborns at the neonatal intensive care unit (NICU). This relatively new device is used by nurses, residents and doctors of the neonatology department. Their experience in these types of signals is limited and training is needed for an optimal use of the monitor in performance and interpretation of the signals. In the training program design of this screen based simulator, we address subsequently a theoretical introduction, placement of the electrodes, the quality of the signal, recognition of artefacts and interpretation of signals of specific pathologies. In each section the trainee will be tested by his/her actions and by multiple choice questions. Positive feedback and explanations of answers will be given by the program. The scenarios included in the program are birth asphyxia and movements that could be seizures. In addition, attention will be paid to differences in clinical course of disease and effects of medication, with respect to the occurrence of seizures and change in back ground pattern. Different types of artefacts are included as well. The program features different levels of skills for doctors and nurses as well as a review mode where the theoretical introduction, placement of electrodes and the questions will be left out. Using this program, we aim to improve the adequate use of the CFM and hence increase the quality of care in the NICU.