Attaining Competency in Assessing Pain

1. Attaining Competency inAssessing Pain Michael J. Mintzer, Chairperson Steering Committee Florida’s Teaching Nursing Home

2. Attaining Competency inAssessing Pain Value • Focuses on skills • Competency at the bedside • Model of a method for skills training • Simulation

3. habitually The Goal: Competency The ability to apply particular … knowledge, skills, and attitudes … to the standard of performance required … in a specified context

4. Attaining Competency inAssessing Pain What is this PIC? • A DVD-based curriculum • Also usable on computer • Designed for adult learners • Uses blended-learning • Uses simulation as instructional method • Geared for trainers, helpful for learners

5. Target: Instructors and learners • Designed to show instructors how to use a (new) method to teach skills: simulation • Assessing pain • Giving feedback • This is highly interactive training! • Students can view it to learn what is expected of them during training

6. Highly Aligned Performance Improvement Curriculum in Assessing Pain • Learning Objectives • Instructional Material • Blended Learning • Multimedia • Web access • Student assessment • Written • Supervisor observed

7. Pain Curriculum Learning Objectives • You will recognize that pain is a significant problem in nursing home residents by asking if pain is present • You will show empathy toward residents in pain by using appropriate language • You will choose an appropriate pain-rating tool from among three rating-tool options • You will appropriately administer and score each of the three pain-rating tools

8. Traditional Learning Blended Learning E-learning Adult Learnersand Blended Learning • Adults learn what they need to know when they need to know it! • Efficient at improving KSAs • Cost-effective • Attractive (satisfaction) • Diverse learning styles

9. Instruction MethodSimulation – Role Playing Learning new skills using simulation: • Allows the learner to make errors • Mistakes are expected! • The culture of education needs to change • No patients are harmed or inconvenienced during the training • Learners can focus on acquiring skills • Students do it until they get it right!

10. Competency Assessmentat the Bedside

13. Play DVD (Scene 8)

15. Summary – PIC in Assessing Pain • It is a curriculum for teaching a skill • It demonstrates pain assessment and feedback skills • It is a model for other skills training • It has high level expectations • It includes the supervisors assessment tool • It is best used when high value skills outcomes are needed

16. Role-Playing Tips • Mistakes ARE expected • When a mistake happens, be encouraging • Laugh a lot – with, not at the learner • The script is important but don’t memorize it • For a first time learner, guarantee success by using a simple introduction as the first role-play exercise • Keep it short – 20-30 seconds seems like an eternity for a learner • Stay “in role” during the training. The learner is “learning” when they are uncertain • Give feedback positively • Even for the smallest error, the entire exercise is repeated • Remind learners that they are doing this to become better care providers for their residents