COVID Code Blue: An Interdisciplinary and Inter-professional Simulation Training Program (1090-002297) (Developmental Research Projects: Resuscitation, Clinical Outcomes, Cultural Fluency (By Invitation Only))
Start time: Thursday, February 4, 2021, 3:00 PM End time: Thursday, February 4, 2021, 4:00 PM Session Type: Research Study Development and Presentation Program Abstracts
With the dawn of the COVID era, front line workers across the globe have faced unprecedented practice challenges. Guidelines and best practices have been changed significantly over the last few weeks. Using best evidence from New York City, Italy and Washington state and latest WHO guidelines an interdisciplinary, inter-professional simulation program was launched with the objective of providing not only clinical training but also introducing critical safety concepts as well as crucial communication and teamwork concepts and reinforcing the need for PPE and staff and scene safety. This project examines the effects of the in situ COVID Code Blue simulation program on the identification of latent safety threats, healthcare provider wellness and improvement in communication and teamwork.
This will be a pre- post intervention study. The intervention is the three tiered COVID Preparedness Simulation Curriculum. We will examine the use of specific resources: (glideoscope/ Hi-Flow/CPAP) as well as use of intubation barrier devices, therapies like awake proning, before and after the curriculum is launched. We will also look at end points like COVID ICU admissions and subsequent discharges to home as well as mortality. Finally we hope to analyze a 6 month survey on perceived impact of training after actual clinical experience with Covid.
Outcome measures being recorded: 1. Intubation in persons under investigation (PUI) or COVID positive patients- expect a decreased in ED intubations 2. Use of CPAP/Hi-Flo in COVID positive/PUI- anticipate an increase in NIPPV with filter devices. 3. Use of intubation barrier devices - tracked via smart phrases- Anticipate an increase in barrier devices. 4. Mortality of COVID positive patients after implementation of simulation curriculum - 5. Recognition of latent safety threats (if any are noted during simulation and debriefing). 6. Examine the usage of virtual work flows for breaking bad news and involving family in decision making. 7. Examine the advanced directive discussion early (from the ER). 8. We expect to identify some latent safety threats.