37 - Bronchoscopy Mentor: Utilizing the Simulation Based Learning Environment for the RNFA

Description: A simulation-based experience should be developed with measurable objectives designed to achieve expected outcomes. Knowledge deficiencies and educational gaps were discovered within our first assistant group regarding bronchoscopy training for our role in tracheostomy placement and evaluation of the airway during procurement of lungs for transplantation. A comprehensive plan was developed employing department educators and simulation learning activities to increase staff skill, tactile competency and to decrease adverse patient safety events. Objectives of the simulated learning activity were: 1. The ability to evaluate the patient's airway in a non-threatening setting; 2. The ability to demonstrate basic first assistant responsibilities regarding management of the airway during tracheostomy insertion, therapeutic and surveillance bronchoscopy; 3. The ability to perform appropriate actions based on RSI protocol and discuss the importance of airway protection in the operative setting.
The goals of the simulation learning exercise were to standardize practice across the department, increase the confidence of the staff member in the position of the bronchoscopist and increase patient safety by decreasing the need for intraoperative, real-time education in the patient care setting. New hires are taught critical skills in a low stress environment before they are expected to perform the function independently on a real patient in an emergent or high stress situation, when competency with the skill is critical.
Our poster reflects the overall goal and objectives of the simulation learning activity, assessment tools for evaluating the simulation performance and the methods used to gauge the learner's ability to implement what they learned into their day-to-day practice. Lastly, a portion of the poster will be dedicated to the learners' feedback on the simulation learning experience and their response to its validity in their continued practice.