A15b Use of Simulation for Practice Competencies Patricia A. Scott, DNP, APN, NNP-BC, C-NPT Advanced Practice Coordinator Pediatrix Medical Group of Tennessee, Nashville, TN The speaker has signed a disclosure form and indicated she has no significant financial interest or relationship with companies or the manufacturer(s) of any commercial product/service that will be discussed as part of this presentation. Session Summary Practice competency for nurse practitioners is being discussed frequently in the current literature. This presentation will discuss practical tips for helping to make practice competency a reality in your practice. Session Objectives Upon completion of this presentation, the participant will: understand the value of simulation to practicing clinicians; understand the skills that simulation may be helpful for building and/or maintaining; describe one way to construct an air leak evacuation trainer. References American Academy of Pediatrics (2011). An interactive tool for facilitation of simulation-based learning.. NRP Instructor DVD. APRN Consensus Work Group, National Council of State Boards of Nursing APRN Advisory Committee. Consensus model for APRN regulation: Licensure, accreditation, certification & education. July 7, 2008. APRN joint dialogue group report. https://www.ncsbn.org/7_23_08_consensue_aprn_final.pdf. Accessed January 4, 2012. Cates, L.A., Wilson. D. (2011). Acquisition and maintenance of competencies through simulation for neonatal nurse practitioners. Advances in Neonatal Care, 11(5): 321-327. Licensure, Accreditation, Certification and Education. APRN consensus model frequently-asked questions. http://www.nann.org/uploads/files/lace_faq_august_19_2010.pdf. Accessed January 4, 2012. Murphy, A.A. & Halamek, L.P. (2005). Simulation-based training in neonatal resuscitation. Neo Reviews, 8: e489-e492. National Association of Neonatal Nurses (2010). Competencies and orientation tool kit for neonatal nurse practitioners (Appendix F), Glenview, IL. Session Outline See handout on the following pages. A15b: USE OF SIMULATION FOR PRACTICE COMPETENCIES Page 1 of 6
Use of Simulation for Practice Competencies Patricia i A. Scott, DNP, APN, NNP-BC, C-NPT Pediatrix Medical Group of Tennessee Advanced Practitioner Coordinator Nashville, Tennessee Pediatrix Medical Group of Tennessee Centennial Practice Our group consists of: 10 neonatologists 17 nurse practitioners In 2012, we provide in-patient care in 7 Middle Tennessee nurseries Ranging from Level I to Level III care In-house 24 hour coverage at 3 facilities 10 hour in-house with 24 hour on-call coverage at 2 facilities As needed in-house care at 2 facility with 24 hour on-call coverage Vanderbilt University School of Nursing Faculty, NNP and DNP Programs Nashville, Tennessee Pediatrix Medical Group of Tennessee Centennial Practice Nurse Practitioner Role Patient care Neonatal transport Clinic coordination Education Quality Improvement NP Role: Patient Care Assist with 24 hour coverage at 4 of our facilities Provide in-house coverage at our Level II facilities NP Role: Transport Service NP/RN/RT configuration Service the Middle Tennessee and Southern Kentucky areas Approximately 200 infants transported per year Accounting for 24% of the NICU admissions in 2011 NP Role: Clinic Coordination Developmental Follow-up Clinic Average of 13 patients per month RSV Clinic Average of 30 patients t per season A15b: USE OF SIMULATION FOR PRACTICE COMPETENCIES Page 2 of 6
NP Role: Staff Education Simulation Neonatal Resuscitation Program The S.T.A.B.L.E. Program Low Risk Neonatal Nursing Course High Risk Neonatal Nursing Course The S.T.A.B.L.E. Program Cardiac Module Physician Courses Individually developed courses Conception in late 2009 Delivery in May of 2011 Background Uses for Simulation Staff development Community outreach Practice competency Taking great care of the patient Staff Development: NRP Staff Development: Respiratory Care A15b: USE OF SIMULATION FOR PRACTICE COMPETENCIES Page 3 of 6
Community Outreach Impact of this Education S.T.A.B.L.E. Provider and Renewal courses 535 Cardiac Module once per year 52 NRP Instructor once per year 18 Low Risk Neonatal Nursing 62 Course offered twice per year High Risk Neonatal Nursing Course offered twice per year NRP Provider and Renewal 292 81 Physician Courses 29 Practice Competency Divided into 3 categories New graduate NNP Experienced NNP Practicing NNP with no or limited exposure to specific skills Practice Competency: New Graduate NNP New graduate NNP whose clinical experience did not include all the procedures that our practice requires Evacuation of Air Leaks Circumcision Bladder tap Practice Competency: Experienced NNP Experienced NNP who has been away from bedside for more than 2 years Requires refresher for all procedures required within our practice Practice Competency A15b: USE OF SIMULATION FOR PRACTICE COMPETENCIES Page 4 of 6
Circumcision Bladder Tap Life/Form Neonatal Circumcision Bladder Tap Air Leak Manikin Air Leak Evacuation: Needle Aspiration Air Leak Evacuation: Chest Tube A15b: USE OF SIMULATION FOR PRACTICE COMPETENCIES Page 5 of 6
Air Leak Evacuation: Chest Tube Air Leak Evacuation: Chest Tube Lab Checklist Practice Competency: Practicing NNP Practicing NNP with no or limited exposure to specific skills Bladder tap Evacuation of Air Leaks Codes A15b: USE OF SIMULATION FOR PRACTICE COMPETENCIES Page 6 of 6