improving resuscitation through blended learning

Improving Resuscitation through Blended Learning

Improving Resuscitation through Blended Learning

Goal of this interaction:Discuss how blending eLearning and

simulation can improve resuscitation by improving the efficiency and

effectiveness of your resuscitation training programs.

Improving Resuscitation through Blended Learning

Outcomes of this interaction…

We will discuss how Blended Learning can:

• can improve skills and teamwork

• increase training efficiency

• reduce costs

• train more people in less time with fewer instructors

• improve confidence and competence

• save lives!

Improving Resuscitation through Blended Learning

Who am I? Why am I here?

• ICU/Trauma/Burn RN for 29 years

• Global Clinical Educator for 6 years

• AHA TCF and RF for BLS, ACLS, PALS

• Training Center Coordinator for AHA TC-22 UMHC

• Coordinate all BLS, ACLS, PALS and HeartCode training for MU HealthCare

• Assist with simulation training for the CED Skills Lab and The Shelden Clinical Simulation Center.

Improving Resuscitation through Blended Learning

University of Missouri Health Care…• Level 1 Trauma Center for large area of Missouri-rural

• Schools of Medicine, Nursing, Health Professions

• Simulation Center and Skills Lab

• 475 beds

• >500 medical staff members

• >1600 nurses

• AHA Training Center

• Outside participants from all over the state

Improving Resuscitation through Blended Learning

Training at University of Missouri Health Care

>2000 participants trained annually for BLS-total

>500 participants trained annually for ACLS-live classes

>250-300 participants trained annually for ACLS-HeartCode

>450 participants trained annually for PALS-live classes

Improving Resuscitation through Blended Learning

Training at University of Missouri Health Care

Goal is to implement

and provide a diverse number

of training options for

for all learning styles and work schedules.

Improving Resuscitation through Blended Learning

Approach

1. Live training/traditional classroom

2. eLearning with HeartCode-

Self Directed Learning

3. Simulation

Improving Resuscitation through Blended Learning

Live training/traditional classroom

Familiar environment, more comfortable for some

Training costs can be higher

May improve knowledge but not necessarily practice

Need space, instructors, time

Improving Resuscitation through Blended Learning

In “these tough economic times” there is a constant struggle with time constraints, training dollars, space limitations and more and more required training and certifications.

How/can this be done more efficiently?

Improving Resuscitation through Blended Learning

Yes! It can!

Improving Resuscitation through Blended Learning

eLearning with HeartCode

Self-Directed Learning

eLearning lets the participant learn at their own pace and convenience-independently

No certified instructor needed

This is the age of technology and computers!

Improving Resuscitation through Blended Learning

Simulation

Reduce errors

Improve skills

Practice in safe environment

Right patient at the right time

Learn and practice teamwork!

Improving Resuscitation through Blended Learning

Having knowledgeable instructors, computer

programs and thousands of dollars worth of simulation

equipment doesn’t guarantee successful program

outcomes nor improve patient outcome.

Improving Resuscitation through Blended Learning

It takes cooperation and a

blended approach to learning, using all of the training options

available.

Learn-Practice-Apply

Improving Resuscitation through Blended Learning

Blended Learning

is the link to improving

resuscitation and reduce

death and disability.

Improving Resuscitation through Blended Learning

Top Ten Things Blended Learning Can Do:

10. decrease stress in an inherently stressful environment.

9. improve confidence.

8. improve critical thinking in a safe and controlled environment.

7. allow participants to learn from their mistakes without impacting patients negatively.

6. provides standard learning situations for everyone.

Improving Resuscitation through Blended Learning

5. allow learning from peers. (model behavior)

4. work on time management and priority setting.

3. allows updating of new information and technology quickly and seamlessly.

2. bridge the student nurse, medical student, new resident, returning to practice employee transition to the workplace.

And the #1 thing Blended Learning can do…

Improving Resuscitation through Blended Learning

1. improve resuscitation, patient care and patient outcomes!

Improving Resuscitation through Blended Learning

eLearning with HeartCode

Self-Directed LearningHeartCode: (all AHA approved)

ACLS

BLS

PALS!

Improving Resuscitation through Blended Learning

HeartCode:

o Link between “book learning” and simulation.

o Helps efficiently maintain compliance and competence for otherwise experienced employees that don’t necessarily need live training to maintain a certification.

Improving Resuscitation through Blended Learning

2 Part Process >>> course completion

• Cognitive-BLS, ACLS, PALS

• Skills Test with VAM- BLS, ACLS

• Receive Course Completion Card

Improving Resuscitation through Blended Learning

Benefits to Learner:

Self directed learningShorter than live classPotential availability 24/7Instant, objective feedback

Improving Resuscitation through Blended Learning

Benefits to Organization

Reduced costsClear cost structureConsistent and standardized trainingDiversifies training options

Improving Resuscitation through Blended Learning

Implementing HeartCode

at University of Missouri HealthCare

Improving Resuscitation through Blended Learning

pictures

Improving Resuscitation through Blended Learning

BLS Training OptionsLive AHA BLS class - (2 live classes per month)

3.5-4 hours 6-8 instructors 24 students/class

(plus set up and take down time and instructor costs)

Improving Resuscitation through Blended Learning

BLS Training OptionsAHA BLS Online + Live skills checks-(2- 4 hour sessions per month)

2 hr online portion1 hr skill check = about 3 hour total4 instructors36 participants per 4 hour skill check session

Improving Resuscitation through Blended Learning

pictures

Improving Resuscitation through Blended Learning

BLS Training OptionsAHA BLS HeartCode(Available daily)

<1.5 hours per student9 students per day per available No instructors neededNo set up or take down time

Improving Resuscitation through Blended Learning

pictures

Improving Resuscitation through Blended Learning

pictures

Improving Resuscitation through Blended Learning

ACLS Training OptionsLive AHA ACLS class - (1-2 live classes per month initial & renewal

9 hours (renewal) 16 hours (initial)6-8 instructors each day @ $25/hr24 students/class(plus set up and take down time)

Improving Resuscitation through Blended Learning

ACLS Training OptionsAHA ACLS HeartCode(Available daily)

6 hours per student-average4 students per day per available No instructors neededNo set up or take down time

Improving Resuscitation through Blended Learning

pictures

Improving Resuscitation through Blended Learning

PALS Training OptionsLive AHA PALS class - (1-2 live classes per month initial & renewal

9 hours (renewal) 16 hours (initial)6-8 instructors each day @ $25/hr24 students/class(plus set up and take down time)

Improving Resuscitation through Blended Learning

PALS Training OptionsNEW! AHA PALS HeartCode (pilot program this month)

?? hours per student-average1-2 students per day per available computerNo instructors needed-computerLive skill check required-time???No set up or take down time-computerSet up and take down time plus instructor costs

Improving Resuscitation through Blended Learning

Improving Resuscitation through Blended Learning

Barriers to using HeartCode …(student)

Fear of technology Lack of team support found in live classes Frustration

Improving Resuscitation through Blended Learning

Barriers to using HeartCode …(institution)

Concern about quality of training Equipment and software costs Administration costs

Improving Resuscitation through Blended Learning

COSTS

Traditional Classroom Costs Include:

• Lungs• Cleaning supplies• Equipment• Class time/room costs• Instructor costs

Improving Resuscitation through Blended Learning

Calculated Costs at Missouri Health Care:

Live BLS= $90 per studentLive ACLS= $342 per student for initial class

$210 per student for renewal classLive PALS= $342 per student for initial class

$210 for renewal classHeart Code BLS or ACLS= cost of licenses!

(+small incidental costs)

Improving Resuscitation through Blended Learning

Savings using HeartCode???

• Decreased class room time

• Decreased employee costs

• Decreased instructor time & cost

• Decreased maintenance supplies

Improving Resuscitation through Blended Learning

Additional benefits noticed at University of Missouri Health Care:

• Offering multiple opportunities outside the structured classroom- staff satisfaction!• Address all learning styles• Last minute recerts!• Critical thinking in a safe environment-teaching

environment• Can use over and over to review-”practice makes perfect”

Improving Resuscitation through Blended Learning

SIMULATION AT

UNIVERSITY OF MISSOURI HEALTHCARE

Improving Resuscitation through Blended Learning

Traditional classes + e-Learning =

improved training opportunities and training environments and takes pressure off of the instructors to conduct more traditional classes

Improving Resuscitation through Blended Learning

Traditional classes + e-Learning +

Simulation=

Opportunities to improve skills and build teamwork!

Improving Resuscitation through Blended Learning

Traditional classes + e-Learning + Simulation =

“Blended Learning” =

MORE LIVES SAVED!

Improving Resuscitation through Blended Learning

University of Missouri Health CareThere are multiple simulation opportunities for our students and staff.

• Center for Education and Development Skills Lab

• Shelden Clinical Simulation Center

• Sinclair School of Nursing Simulation Lab

Improving Resuscitation through Blended Learning

Improving Resuscitation through Blended Learning

Improving Resuscitation through Blended Learning

Improving Resuscitation through Blended Learning

Sinclair School of Nursing and Shelden Clinical Simulation Center

begin processes of learning by simulation by working with nursing

and medical students as well as new physician residents.

“pre-employee stage”

Improving Resuscitation through Blended Learning

“pre-employee stage”BUT…

These people are on patient care units, caring for patients

daily and they need to be prepared for resuscitation

emergencies!

Improving Resuscitation through Blended Learning

The Center for Education and Development Skills Lab and

Shelden Clinical Simulation Center continue the training efforts by

working with students and staff.

“employee stage”

Improving Resuscitation through Blended Learning

Just as a code team needs both skills and teamwork to work effectively, the

different simulation centers and groups are working together collaboratively to

meet student and staff needs.

Improving Resuscitation through Blended Learning

At MUHC simulation is a large part of the student learning process, new

employee orientation process, ongoing learning & training

processes for all staff and is a collaborative effort to provide safe

patient care.

Improving Resuscitation through Blended Learning

One example of an interdisciplinary effort to improve resusication through

Blended Learning is

Mock Code Monday.

Improving Resuscitation through Blended Learning

Mock Code Monday0730-0900 every Monday

• Interdisciplinary Mock Code practice• Internal medicine physicians• Nursing• Respiratory Therapy• Nursing students• NEW! Anesthesia physician

• Uses ACLS instructors• Uses simulation manikin in simulated setting• Includes debriefing

Improving Resuscitation through Blended Learning

MeetMr. Cedrick Simman!

Improving Resuscitation through Blended Learning

Improving Resuscitation through Blended Learning

Improving Resuscitation through Blended Learning

Improving Resuscitation through Blended Learning

Introducing…Cedrick Simman!

we have a clip…….

Improving Resuscitation through Blended Learning

Simulation is not just for the skills lab at MUHC. Cedrick is an avid traveler. . . .

Some recent trips…

Training for Pediatric Transport team at the MU Children’s Hospital

Training for the flight team for the Helicopter Service

Improving Resuscitation through Blended Learning

In the future he plans to travel to:MUHC’s remote facilities that don’t experience codes very often but need to be able to respond.

Cedrick is also scheduled to assist with some of the other mandatory training required for MUHC as a Level 1 Trauma Center, wherever it needs to happen.

Improving Resuscitation through Blended Learning

To sum it up…

Improving Resuscitation through Blended Learning

Healthcare providers need to

respond to the changes in training requirements, address different

learning styles, consider challenging schedules and workloads and use training

facilitators and dollars effectively and efficiently!

Improving Resuscitation through Blended Learning

Blended Learning can be the key to maintaining certifications and improving resuscitation!

Improving Resuscitation through Blended Learning

Thanks!