Track: Education: quality improvement; best practice; curricular changes; student outcomes; and/or innovative projects educators use with any type of learners
CPR coach competency: Training pilot for acute care pediatric nurse practitioners
Many children who sustain an in-hospital cardiac arrest will not survive. Studies in simulated arrests show visual assessment of cardiopulmonary resuscitation [CPR] quality alone overestimates chest compression rate, depth, and proportion of time in target range. High quality CPR impacts survival and neurological outcomes. Evidence is emerging that shows improved compliance to American Heart Association CPR metrics with incorporation of a feedback device and a CPR Coach on the Code Team in simulated arrests. These CPR metrics are based on the best available evidence that support improved outcomes following an arrest. The CPR Coach functions independently from the Team Leader and provides timely, verbal feedback of CPR performance directly to the chest compressor with the goal of high quality CPR, and additionally redirects the mental workload of the Team Leader toward higher level functions. Many institutions are implementing this role on Code Teams however no standardized training currently exists. An educational intervention for CPR Coach Competency Training was designed using Kern’s 6-step approach to curriculum development and utilizes a variety of educational strategies, including best practice simulation-based education, specifically rapid cycle deliberate practice. Learners were evaluated using a combination of summative and formative methods, including pre/post-tests of knowledge acquisition, evidence- and theory-based debriefing. The learning activity in isolation achieves Kirkpatrick Level 1 (Reaction), Level 2 (Learning), and Level 3 (Behavior) outcomes in a simulated setting. Further work regarding remediation, retention, knowledge and skill decay, higher level and patient level outcomes, and generalizability to other learner disciplines and institutions is needed.
By the end of this session, participants will be able to describe the role and responsibilities and one potential benefit of a CPR Coach.
Upon completion, participants will be able to consider how this curricular approach could be utilized to implement the CPR Coach or a similar competency-based role in your own institution.
Upon completion, participants will be able to summarize one or more summative/formative/hybrid evaluation methods used in the CPR Coach curriculum and reflect on whether it was successful measure of competence.