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e-Simulation in Action St. Anthony’s Medical Center. Bonnie Stegman RN, MSN Staff Development Educator. St. Anthony’s Medical Center. Who We Are. St. Anthony’s Medical Center. 3 rd largest medical center in the St. Louis area 767 licensed beds Over 4000 employees Over 800 medical staff

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e simulation in action st anthony s medical center

e-Simulation in Action St. Anthony’s Medical Center

Bonnie Stegman RN, MSN

Staff Development Educator

st anthony s medical center1
St. Anthony’s Medical Center
  • 3rd largest medical center in the St. Louis area
  • 767 licensed beds
  • Over 4000 employees
  • Over 800 medical staff
  • Over 700,000 residents served
objectives
Objectives
  • Discuss the use of computer based learning for ACLS & BLS
  • Identify advantages and barriers for on-line education for healthcare staff
  • Evaluate learners’ response to on-line method of education
  • Future plans for expansion of on-line programs
considerations for bls
Considerations for BLS
  • Large number of staff need BLS training
  • Multiple 3 hour courses per month/12 months a year
  • 2-3 BLS Instructors needed
  • Coverage for staff while in course
  • Just-in-time training for expiring cards
heartcode bls
HeartCode BLS
  • Assigned through HealthStream LMS
  • Cognitive portion available 24 hours
  • Skills either per computer or live skills check in fifteen minute sessions
heartcode bls1
HeartCode BLS
  • Average time of completion Cognitive & skills 1-2 hours.
  • Automatic tracking and reporting through full function LMS
  • Consistent presentation of educational content
samc experience
SAMC Experience
  • Able to decrease Healthcare provider courses to one per month first six months of year after implementation of HC BLS
  • Elimination of live courses January 2010
  • End user satisfaction with course
  • Manager satisfaction with course
process
Process
  • Register with Education staff
  • HC BLS assigned to “My Learning” page in LMS
  • Part 1 cognitive portion can be completed at any computer work or home
  • Part 2 completed via live skills session in 15 minutes or
  • Via computer assisted manikin when skills sessions not scheduled
process continued
Process continued
  • AHA BLS card given after completion of skills
  • BLS completion immediately on transcript in LMS
  • BLS completion available to managers via reports in LMS
what our staff think
What our staff think ~
  • 84% feel the type of product was perfect/good match
  • 97% extremely satisfied/satisfied with content
  • 97% extremely satisfied/satisfied with applicability to daily practice and/or research
what our staff think1
What our staff think ~
  • 97% extremely satisfied/satisfied with contribution to professional education
  • 97% extremely satisfied/satisfied with contribution to professional effectiveness
  • 97% extremely satisfied/satisfied learned what is was designed to teach
what our staff think2
What our staff think ~
  • 91% very appropriate/appropriate with level of difficulty of program content
  • 90% very likely/likely to recommend program to colleagues
  • Sample size 213 from February – September 2009
comments from staff
Comments from staff

Positive

Negative

Not enough explanation on how to move through scenarios

I am not computer savvy

I’d rather have hands-on and a real person explaining this stuff

  • Allows easy completion with time restrictions
  • Able to complete at your convenience
  • Like working at own pace
  • Don’t have to go to class
  • Usually don’t have 3 hours to be away from my job
considerations for acls
Considerations for ACLS
  • Specific critical care units need for ACLS training
  • Classroom course 8 hours
  • Multiple Instructors needed for course (1 per 6 students (1 to 3 for BLS station)
considerations for acls1
Considerations for ACLS
  • Classes offered twice a month most months of the year
  • Not enough spaces for everyone
  • Coverage for staff while in course
  • Just-in-time training for expiring cards
heartcode acls
HeartCode ACLS
  • Assigned through HealthStream LMS
  • Cognitive portion available 24 hours
  • Skills on computer assisted manikin
  • Average cognitive completion time 4 hours
  • 5 AHA Textbooks included
  • ACLS lessons
heartcode acls1
HeartCode ACLS
  • ECG rhythms for review and testing
  • 10 patient cases
  • Detailed debriefing
  • Multiple choice exam
samc experience1
SAMC Experience
  • HC ACLS allows for just-in-time education
  • Staff satisfaction with course
  • Manager satisfaction
process1
Process
  • Register with Education staff
  • HC ACLS assigned to “My Learning” page in LMS
  • Part 1 cognitive portion can be completed at any computer work or home
  • Part 2 completed via computer assisted manikin
process continued1
Process continued
  • AHA ACLS card given after completion of skills
  • ACLS completion immediately on transcript in LMS
  • ACLS completion available to managers via reports in LMS
evaluation results
Evaluation results
  • 70% extremely satisfied/satisfied with overall content
  • 79% extremely satisfied/satisfied with applicability to daily practice and/or research
  • 75% extremely satisfied/satisfied with contribution to professional education
evaluation results1
Evaluation results
  • 83% extremely satisfied/satisfied with contribution to professional effectiveness
  • 71% very likely/somewhat likely to recommend program to your colleagues
  • Sample size 27 from February – September 2009
comments
Comments

Positive

Negative

Program too long

Frustrating when the computer mouse is too sensitive

Program was unrealistic. As a member of a team you depend on each other.

  • This was awesome! I will definitely continue to renew on-line!!!
  • This program helped me learn the algorithms better than classroom courses
  • Enjoyed this course setting
future plans
Future plans
  • Expand on-line offerings of both ACLS & BLS
  • Promote HC ACLS internally
  • Develop tip sheet for users of program
  • Market to outside groups
  • Consider ACLS scenarios with SimMan