Perfect Practice Makes Perfect: On-demand, Bedside Task Training to Prepare Caregivers to Care for Children with Tracheostomies (1090-002312) (Developmental Research Projects: Procedure (By Invitation Only))
Start time: Tuesday, February 2, 2021, 3:00 PM End time: Tuesday, February 2, 2021, 4:00 PM Session Type: Research Study Development and Presentation Program Abstracts
The trach rolling refresher cart will help caregivers of children with newly placed tracheostomies (trach) master essential psychomotor skills prior to hospital discharge using bedside task training with deliberate practice and immediate feedback. This method will increase caregiver confidence level and potentially reduce hospital readmission within 30 days of discharge.
A “Trach Rolling Refresher Cart” was created using a child mannequin task trainer that was modified with a tracheostomy. Caregiver(s) were oriented to the equipment and instructed to teach back essential trach skills including open or closed (Ballard) suctioning, trach change, trach tie change, stoma care and rescue breathing via bagging through the trach and bag-mask ventilation (BVM). This served as their baseline performance. A checklist, specific to each skill, was developed and used for assessment. Remediation was done instantly after each skill if needed. Deliberate practice with immediate feedback was used to improve performance of proper technique and retention of skills. Data collection is ongoing.
Caregivers will achieve a passing score with each essential trach skill prior to discharge home. By demonstrating competency, we anticipate a decrease in readmission rates within 30 days to the hospital. This will be achieved by implementation and standardization of tracheostomy care. Results will be analyzed by evaluation of psychomotor skills, passing score on the checklists, and examining hospital readmission rates.