Background: Advanced Cardiac Life Support (ACLS) and emergency resuscitation is a critical role for anesthesia providers. The application of a clinical ACLS simulation to a patient under anesthesia is important to provide educational review and determine if the knowledge and skill of managing emergency events deteriorates over time. Method: A surgical ACLS simulation training session was completed to test ACLS knowledge retention and provider skill. High-fidelity simulation was used with a pre-test and post-test design. Results: The data obtained demonstrated several knowledge gaps in ACLS fundamentals. Conclusions: The simulation demonstrated that key concepts and skills deteriorate when not utilized regularly. Simulation in nurse anesthesia continuing education can improve clinical skill and adequately prepare providers for emergency resuscitation.
Vascular access is critical in the perioperative arena and is a requirement for most surgical procedures. The goals of this project were to increase knowledge among certified registered nurse anesthetists (CRNAs) by providing a focused didactic and simulation course on ultrasound-guided peripheral intravenous access and to assess the confidence and comfort levels of performing ultrasound-guided peripheral intravenous access before and after the course. A combined didactic and simulation ultrasound-based education course was developed to train CRNAs in ultrasound-guided peripheral intravenous access. The training module consisted of a didactic presentation followed by a simulation with fabricated and human models. All participants showed competency during the training course by identifying upper extremity and lower extremity sonographic vascular anatomy on a human model and performing ultrasound-guided intravenous access on fabricated models. Mean correct pretest response was 1.57 (95% confidence interval) compared with 3.53 (95% confidence interval) on the posttest. The findings show improvement in performance of ultrasound-guided peripheral intravenous access by CRNAs after a focused ultrasound education session.
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J Contin Educ Nurs.
2021;52(10):489–492.]
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