Abstract
Poster presentation
Session D presented Monday, September 30, 2:30-3:30 pm
Purpose: To optimize care of traumatically injured patients, emergency department (ED) and intensive care unit (ICU) nurses must work cohesively as a team. Nurses must have an understanding of one another’s roles, expectations, and care priorities. Simulation training has been shown to improve patient care. Utilizing Joint education with high-fidelity simulation provides insight and understanding of the care the two departments provide. Awareness and respect between departments can improve communication, teamwork, and patient care.
Design: A quality improvement pilot project was designed to increase communication and define roles between the ED and Trauma/Neuro ICU nurses when caring for trauma patients across the continuum.
Setting: The setting was a community hospital located in the southeastern United States. The Trauma Level II ED is a 70 bed department, that treats approximately 110,000 patients per year. The Trauma/Neuro ICU is an 18 bed department. Simulations were conducted at the Nursing Education Center for the health system. The Simulation Center operates multiple high-fidelity manikins that allow assessments and skills to be performed.
Participants/Subjects: Participants included nurses from the ED and Trauma/Neuro ICU who are routinely involved in care of trauma patients. Facilitators included the Clinical Nurse Specialist for Trauma Services (CNS), and clinical bedside leaders from the ICU and ED. The Trauma Medical Director was involved in scenario development and was a facilitator during simulations and debriefing.
Methods: Scenarios were developed in collaboration with the Trauma Medical Director, CNS, clinical bedside leaders from the ED and ICU, and the simulation coordinator. A pre-test/post/test was developed, consisting of 10 multiple-choice questions, as well as a demographics data form. The four-hour simulation began in the emergency department setting, with the arrival of a patient with multiple trauma. The ED nurses and Trauma Medical Director cared for the patient as the ICU nurses viewed live video feed in the adjoining debriefing room. A second scenario followed the patient to the ICU, where ICU nurses continued care while the ED nurses viewed. Each scenario was followed by a comprehensive debriefing, with group discussion about roles, care priorities, and rationales for interventions. The goal was to develop a deeper understanding of patient care across the continuum.
Results/Outcomes: Results showed improved understanding for each role and care priorities. Nurses requested shadowing opportunities with their counterparts in an effort to improve patient care. As nurses gained insight and understanding of the trauma continuum, nurses collaborated to improve the inter-department hand-off process. Incidental findings from a pre and post test demonstrated increased confidence in caring for trauma patients. Analysis of the responses provided an opportunity for the project team to evaluate validity and structure of each question.
Implications: Simulation provided greater understanding of expectations and priorities when caring for the traumatically injured patient in the ED and ICU. Nurses developed an appreciation for their colleagues and began open dialogues about collaboration to improve patient care. This pilot study laid the groundwork for a larger project to examine how joint simulation education improves trauma care.
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Interdisciplinary Communication, Quality Improvement, Role Definition
Recommended Citation
Fonshill, Linda; Clark, Sarah; Satterfield, Heather; Simmons, Nicole; Easley, Jessica; and Brown, Emily Morgan, "Simulation improves trauma care across the continuum" (2020). General Submissions: Presenations (Oral and Poster). 106.
https://www.sigmarepository.org/gen_sub_presentations/2019/posters/106
Conference Name
Emergency Nursing 2019
Conference Host
Emergency Nurses Association
Conference Location
Austin, Texas, USA
Conference Year
2019
Rights Holder
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Simulation improves trauma care across the continuum
Austin, Texas, USA
Poster presentation
Session D presented Monday, September 30, 2:30-3:30 pm
Purpose: To optimize care of traumatically injured patients, emergency department (ED) and intensive care unit (ICU) nurses must work cohesively as a team. Nurses must have an understanding of one another’s roles, expectations, and care priorities. Simulation training has been shown to improve patient care. Utilizing Joint education with high-fidelity simulation provides insight and understanding of the care the two departments provide. Awareness and respect between departments can improve communication, teamwork, and patient care.
Design: A quality improvement pilot project was designed to increase communication and define roles between the ED and Trauma/Neuro ICU nurses when caring for trauma patients across the continuum.
Setting: The setting was a community hospital located in the southeastern United States. The Trauma Level II ED is a 70 bed department, that treats approximately 110,000 patients per year. The Trauma/Neuro ICU is an 18 bed department. Simulations were conducted at the Nursing Education Center for the health system. The Simulation Center operates multiple high-fidelity manikins that allow assessments and skills to be performed.
Participants/Subjects: Participants included nurses from the ED and Trauma/Neuro ICU who are routinely involved in care of trauma patients. Facilitators included the Clinical Nurse Specialist for Trauma Services (CNS), and clinical bedside leaders from the ICU and ED. The Trauma Medical Director was involved in scenario development and was a facilitator during simulations and debriefing.
Methods: Scenarios were developed in collaboration with the Trauma Medical Director, CNS, clinical bedside leaders from the ED and ICU, and the simulation coordinator. A pre-test/post/test was developed, consisting of 10 multiple-choice questions, as well as a demographics data form. The four-hour simulation began in the emergency department setting, with the arrival of a patient with multiple trauma. The ED nurses and Trauma Medical Director cared for the patient as the ICU nurses viewed live video feed in the adjoining debriefing room. A second scenario followed the patient to the ICU, where ICU nurses continued care while the ED nurses viewed. Each scenario was followed by a comprehensive debriefing, with group discussion about roles, care priorities, and rationales for interventions. The goal was to develop a deeper understanding of patient care across the continuum.
Results/Outcomes: Results showed improved understanding for each role and care priorities. Nurses requested shadowing opportunities with their counterparts in an effort to improve patient care. As nurses gained insight and understanding of the trauma continuum, nurses collaborated to improve the inter-department hand-off process. Incidental findings from a pre and post test demonstrated increased confidence in caring for trauma patients. Analysis of the responses provided an opportunity for the project team to evaluate validity and structure of each question.
Implications: Simulation provided greater understanding of expectations and priorities when caring for the traumatically injured patient in the ED and ICU. Nurses developed an appreciation for their colleagues and began open dialogues about collaboration to improve patient care. This pilot study laid the groundwork for a larger project to examine how joint simulation education improves trauma care.