masterytrainthetrainer
TRANSCRIPT
![Page 1: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/1.jpg)
Improving infant LP skills through simulation-based mastery learning and just-in-time refreshers
POISE 2010-2011
Train-the-trainer: mastery session
![Page 2: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/2.jpg)
HYPOTHESIS• Participation in simulation-based mastery
learning with just-in-time refreshers will lead to improved infant LP success rates
![Page 3: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/3.jpg)
1. Online
Survey & Audiovisual
Training
2. Mastery Learning Session
3. JIT:
Just-in-time RefresherSession
4. Clinical Lumbar
Puncture
4. JIT:
Just-in-time RefresherSession
5. Clinical Lumbar
Puncture
![Page 4: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/4.jpg)
What is mastery training?
• Extreme form of competency based education– Clearly described checklist of component steps– Pre-defined target level of performance (mastery)– ALL participants achieve mastery
• Duration and content of session tailored to specific needs
![Page 5: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/5.jpg)
Mastery Learning Session
3. Skills
Assessment
1. Introduction
2. Orientation
4. Mastery Checklist
5. Coached Training
6. Mastery
Performance
![Page 6: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/6.jpg)
1. Introduction• Introduce yourself to the intern.• Read aloud:
– You are here to learn and practice your infant LP skills using this simulator.
– By the end of this session you will master all of the critical steps to perform this procedure.
![Page 7: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/7.jpg)
2. Simulator OrientationIliac crests- point to spot represented by ridge in plastic
![Page 8: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/8.jpg)
2. Simulator OrientationUmblicus- point to spot where umbilicus would be
![Page 9: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/9.jpg)
2. Simulator OrientationRead aloud• When you insert a needle into the proper interspace you will get
fluid back in the same way you would on a real patient.
• I will serve as both your holder and teacher for this exercise.
• Do you have any questions for me before we begin?
![Page 10: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/10.jpg)
Read introduction aloud• Show me what you know about this procedure.• Treat this simulator as if it is a real baby and start from the
beginning of the procedure as you would in real life.• Don’t worry if you have never done this before- I just want to
get a sense of what you already know to help tailor this session to your needs.
3. Skills assessment
![Page 11: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/11.jpg)
• During this initial attempt encourage the learner to try their best to perform independently
• Let mistakes happen– Help to identify the specific learning needs – Lead to effective learning– Will guide the coached component of training
![Page 12: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/12.jpg)
• Use the mastery checklist to mark any steps – Not done– Where errors were made– The intern required help
• The checklist will provide a guide to tailor the subsequent training to the providers needs
![Page 13: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/13.jpg)
![Page 14: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/14.jpg)
![Page 15: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/15.jpg)
Global rating
• The scale measures level of independence • “Proficient” indicates ability to perform independently• “Expert” level is not expected
![Page 16: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/16.jpg)
– Repetitive deliberate practice– Hands-on practice, kinesthetic learning– Practice-Feedback-Correction-Practice -->
independence/mastery• Customized to learner needs• Time varies to achieve mastery of skill • ALL participants achieve mastery
3. Coached Deliberate Practice
![Page 17: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/17.jpg)
Read aloud:
• Now that you have independently tried this procedure are there any areas that you felt were challenging?
– Address these areas with the learner first
• In a step-by-step fashion coach the learner on any steps from the mastery checklist where they asked for help, an error occurred or that you identified as deficient.
• For each step describe or demonstrate the intern’s error and work with them until they can perform the step independently.
![Page 18: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/18.jpg)
✓✓
✓
![Page 19: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/19.jpg)
Error: Wrong angle on needle insertion (aimed toward feet)
Needle inserted correctly and independently
![Page 20: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/20.jpg)
• The session will end once you and the learner feel that ALL STEPS can be performed without help.
• If the learner does not achieved mastery mark the deficient step(s) and describe the reasons for stopping training
3. Mastery Performance
![Page 21: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/21.jpg)
How to set up the simulator1. Fill bottle with water up to fill-line
2. Insert bottle in pressure bag
3. Inflate bag until pop-off valve hits 150mmHg
![Page 22: Masterytrainthetrainer](https://reader035.vdocument.in/reader035/viewer/2022081403/555f0df3d8b42ae8288b5475/html5/thumbnails/22.jpg)
• POISE aims to improve patient outcomes through the development and dissemination of robust educational interventions