Interdisciplinary pediatric sedation provider course toolkit

1. ALERT Presentation New Project:
Interdisciplinary Pediatric Sedation
Provider Course Toolkit
Nancy Crego, PhD, RN, CCRN, CHSE
Corrie Chumpitazi, MD
Duke University School of Nursing & Society for Pediatric Sedation (SPS)
INSPIRE @ IMSH 2017 – Orlando, FL, USA
International Network for Simulation-based Pediatric Innovation, Research and Education

2. • Sedation is performed by a variety of providers and specialties in
acute & ambulatory settings often by an interdisciplinary team
• When single providers (RN’s alone or MD’s alone) sedate children
they have lower odds (p < .0001) of adverse events (0.46 and 0.53
OR, respectively), compared to RN+MD sedation teams (Crego,
2016)
• Improvements in team communication may improve sedation team
performance and decrease adverse events
• Current pediatric sedation provider course primarily focuses on
physician provider role and has limited content on team
communication
International Network for Simulation-based Pediatric Innovation, Research and Education
Background

3. • Population: Pediatric Sedation Providers (MD, RN, NP)
• Intervention: Develop, test, & evaluate a pediatric sedation
provider course toolkit: including interdisciplinary team
communication with Team Stepps & evidence based sedation safety
practices via on-line content and in-person simulation course
• Control/Comparison: Current provider feedback and content in a
pediatric sedation provider course
• Outcome(s): Interdisciplinary team demonstrates evidence
based safe sedation practice and communication (Pre-
Sedation Time out, SBAR, call out, check back & hand off)
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO / Research Question

4. Approach / Design
• Evaluate Current Course
– Current Course Content
– Participant feedback
• Develop Toolkit
– Interdisciplinary & team
communication simulation &
latest evidenced based sedation
safety practices
– Collaborate with web based
platform for toolkit
– Develop plan for core
providers/facilitators training
• Pilot
– Simulation, content, trained
facilitators through SPS
• Revise
– Content & simulation based
on pilot results
– Evaluation for wide
program dissemination
• Content, Course
providers
• Implement
– Toolkit via e-sim platform
• Disseminate
– Materials to wide audience
International Network for Simulation-based Pediatric Innovation, Research and Education

5. 1.Effective and objective methods to assess
communication beyond self-report & checklists
2.Effective methods to assess team effectiveness
3.Long-term evaluation methods after
dissemination
International Network for Simulation-based Pediatric Innovation, Research and Education
3 questions to improve study

6. At INSPIRE @ IMSH 2017:
• Research symposium to explore
possible metrics
In 2 months:
• Membership of research team
International Network for Simulation-based Pediatric Innovation, Research and Education
Goals to accomplish

7. Name: Nancy Crego
Institution; Duke University
E-mail: nancy.crego@duke.edu
Phone: 571-234-7912
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information