In the completed_focus_pdca_-_unit_project.doc you will find my FOCUS PDCA for my unit project on the Turbo Tackle Boxes (aka emergency boxes) for radiology.
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completed_focus_pdca_-_unit_project.doc | |
File Size: | 46 kb |
File Type: | doc |
When I first began this project Dr. Restauri and I ran a mock contrast reaction in the department to assess the baseline knowledge of the residents. We ran two mocks with two different residents. One had no clue which medications to ask for or what to do. One of them asked if we had Epinepherine but did not know the dose. We had a couple of different doses and routes available. When he tried to draw up the Epi, it squirted everywhere and he was unaware of the appropriate dose or route. Dr. Restauri and me knew that training was an important part of these emergency reaction boxes. At first we thought about buying a mannequin for the department and conduct mock contrast reaction exercises, but we were unable to get the funding for this. Our other option was to look into the WELLS Center and use their mannequins. We took a tour of the facility and came up with a plan to put together a training. This was around October of 2012, but was unable to schedule a training session until after the first of the next year (2013). We did not want to mount the boxes on the walls until all of the current residents had been trained. We also wanted to make sure we had the pocket cards and the posters printed so we could hang everything at once. Please see the file below titled pre_and_post_mock_trainingxlsx for the data indicating the pre and post mock contrast training.
The training sessions at the WELLS Center has paid off. Late this afternoon, August 27, 2013, I conducted two mock contrast reactions with much better results. The two residents that participated responded much sooner than before and appeared more confident. I had the floating Turbo Reaction Box available and they both asked for the EpiPen when presented with a patient with bronchospasm and anaphylaxis.
Dr. Restauri and I would like this to be an education and training that happens every six months to a year, especially as new residents come on board. I have conducted the same mocks with the technologists and the nurses. My goal would be to have a training session at the WELLS Center to include the residents, technologists and nurses to assist with team building and I also believe it would make the training more beneficial if everyone could train together.
The training sessions at the WELLS Center has paid off. Late this afternoon, August 27, 2013, I conducted two mock contrast reactions with much better results. The two residents that participated responded much sooner than before and appeared more confident. I had the floating Turbo Reaction Box available and they both asked for the EpiPen when presented with a patient with bronchospasm and anaphylaxis.
Dr. Restauri and I would like this to be an education and training that happens every six months to a year, especially as new residents come on board. I have conducted the same mocks with the technologists and the nurses. My goal would be to have a training session at the WELLS Center to include the residents, technologists and nurses to assist with team building and I also believe it would make the training more beneficial if everyone could train together.
Of course since these boxes have been in place, we have not had a reaction that has required us to access them. Dr. Restauri and I will continue to provide training for the physicians and staff as needed. Our goal is to purchase our own mannequin so that we can do the training in the AOP. Even though we have not had to access the emergency boxes, it is very noticeable that the residents and fellows are quicker to respond and have more confidence. As you will notice in their evaluations of the training course, they feel more comfortable and have more confidence in responding to these types of emergencies.
The monitoring of the effectiveness of these boxes will be an ongoing project to determine if they will help to save lives. We will continue to have contrast reactions and the majority are mild to moderate, however in the case of a patient deteriorating to the point that a code situation is imminent, I truly believe that these boxes will be effective in preventing the situation from progressing to that point.
The attendance sign in sheet from the training of the residents at the WELLS Center is in the file attendance_sheet_from_wells.pdf.
The monitoring of the effectiveness of these boxes will be an ongoing project to determine if they will help to save lives. We will continue to have contrast reactions and the majority are mild to moderate, however in the case of a patient deteriorating to the point that a code situation is imminent, I truly believe that these boxes will be effective in preventing the situation from progressing to that point.
The attendance sign in sheet from the training of the residents at the WELLS Center is in the file attendance_sheet_from_wells.pdf.
The evaluation_data_from_wells_center.xlsx and the wells_center_data.xlsx comes from the evaluations that the residents filled out after the training session.
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graph_for_pre_and_post_mock_contrast_training.docx | |
File Size: | 35 kb |
File Type: | docx |
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attandance_sheet_from_wells.pdf | |
File Size: | 469 kb |
File Type: |
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evaluation_data_from_wells_center.xlsx | |
File Size: | 11 kb |
File Type: | xlsx |
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wells_center_data.xlsx | |
File Size: | 12 kb |
File Type: | xlsx |
The excel_graph.docx contains the results from the question asked of the residents after their training at the WELLS Center: To what extent did the simulation experience improve your ability to deal with contrast reactions? This contains both numbers and also percentages.
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excel_graph.docx | |
File Size: | 36 kb |
File Type: | docx |
The epipen_training.docx is from the EpiPen training we conducted after the mock contrast reactions scenarios at the WELLS Center.
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epipen_training.docx | |
File Size: | 17 kb |
File Type: | docx |
I put the Epipen training documentation into an excel spread sheet in the attached file titled epi_pen_excel_data.pdf.
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epi_pen_excel_data.pdf | |
File Size: | 20 kb |
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