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• W2894846043 abstract "SESSION TITLE: Critical Care 2 SESSION TYPE: Original Investigation Posters PRESENTED ON: 10/10/2018 01:00 PM - 02:00 PM PURPOSE: To developed an adult mock code training curriculum and assess its development, feasibility, and acceptability for housestaff in the medical intensive care unit. METHODS: The mock code training program consists of online training materials for independent review and a 90-minute integrated didactic and simulation session. Trainees participate in a single mock code then rotate through four didactic modules: bag-mask ventilation, effective chest compressions, identification and treatment of shockable rhythms, and effective communication techniques. Finally, trainees participate in three additional mock code scenarios. Performance was evaluated for each mock code using an 11 item checklist based on learning objectives from the didactic material. Residents were evaluated on whether they performed or did not perform each learning objective. We also created a feedback survey based on program learning objectives to assess residents’ perceived confidence level in their ability to manage a cardiopulmonary arrest, as well as their confidence in skills taught during the didactic session. Confidence was measured on a 5 point Likert scale. Trainees completed the survey prior to and immediately following the training session. RESULTS: Over 4 months, 21 residents have participated in and evaluated the mock code training program. Resident performance increased from correctly performing 50% of the learning objectives during the first mock code to correctly performing 95% of the learning objectives during the last mock code. There was an increase in resident confidence between baseline and immediately after the session for all skills. The mean overall confidence in managing a cardiopulmonary arrest increased from 1.91 to 3.19. Mean confidence using an oral airway increased from 2.68 to 4.14. Mean confidence using a bag-valve mask increased from 3.10 to 3.81. Mean confidence performing effective chest compressions increased from 3.50 to 4.10. Mean confidence identifying shockable rhythms increased from 2.95 to 3.48. Mean confidence with defibrillation increased from 2.59 to 3.81. Mean confidence using effective communication techniques increased from 2.91 to 4.10. CONCLUSIONS: Preliminary results suggest that the mock code training program is feasible and acceptable to housestaff. Residents’ ability to manage cardiopulmonary arrest increased in both objective measurement and perceived confidence. Future work includes analyzing objective data on CPR effectiveness, bag-mask ventilation effectiveness, and time to defibrillation, as well as collecting six month follow up data. CLINICAL IMPLICATIONS: Management of cardiopulmonary arrests requires a high level of physician skill; however, their infrequent nature makes it hard to obtain the necessary exposure to develop that skill. We have developed a mock code training program that helps residents develop that skill. DISCLOSURES: No relevant relationships by Ian Barbash, source=Web Response No relevant relationships by Jared Chiarchiaro, source=Web Response No relevant relationships by Steven Fox, source=Web Response No relevant relationships by Phillip Lamberty, source=Web Response No relevant relationships by Stephanie Maximous, source=Web Response No relevant relationships by Rachel Pace, source=Web Response" @default.
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• W2894846043 date "2018-10-01" @default.
• W2894846043 modified "2023-09-24" @default.
• W2894846043 title "MICU CRISIS, COMMUNICATION, AND SKILLS WORKSHOP: DEVELOPMENT AND EVALUATION OF A MOCK CODE TRAINING PROGRAM" @default.
• W2894846043 doi "https://doi.org/10.1016/j.chest.2018.08.227" @default.
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