simulation-based assessment of ecmo critical event management mark shepard rn,bsn,ccp st louis...
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Simulation-based Assessment of ECMO Critical Event ManagementMark Shepard RN,BSN,CCPSt Louis Children’s Hospital
ECMO Program
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Simulation of ECMO [Extracoporeal Membrane Oxygenation]Clinical Specialist Nurses/8 Scenarios • Air Entrainment• Agitation/Arterial Occlusion• Hypovolemia/Venous Occlusion• Bleeding/Venous Occlusion• Hemodilution• Hyperventilation• Ventricular Tachycardia• Pneumothorax 2
Setup of Simulation Circuit
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Setup of CDI
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ECMO Simulation
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Arterial Bleeding
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Learning Objective• ECMO specialist will utilize previous experience and water lab skills to properly troubleshoot scenarios• Grade sheet based on meeting specific key actions – i.e. Recognizes negative venous line pressure• 1-3 (Unsatisfactory), 4-6 (Satisfactory), 7-9 (Superior)
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Grading Sheet
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Percent of Key Actions Completed
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Hypovolemia Agitation Bleeding Air Entrainment V Tach Pneumothorax Hyperventilation Hemodilution0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0.80
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