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e-Simulation in Action St. Anthony’s Medical Center

e-Simulation in Action St. Anthony’s Medical Center. Bonnie Stegman RN, MSN Staff Development Educator. St. Anthony’s Medical Center. Who We Are. St. Anthony’s Medical Center. 3 rd largest medical center in the St. Louis area 767 licensed beds Over 4000 employees Over 800 medical staff

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e-Simulation in Action St. Anthony’s Medical Center

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  1. e-Simulation in Action St. Anthony’s Medical Center Bonnie Stegman RN, MSN Staff Development Educator

  2. St. Anthony’s Medical Center

  3. Who We Are

  4. St. Anthony’s Medical Center • 3rd largest medical center in the St. Louis area • 767 licensed beds • Over 4000 employees • Over 800 medical staff • Over 700,000 residents served

  5. Objectives • Discuss the use of computer based learning for ACLS & BLS • Identify advantages and barriers for on-line education for healthcare staff • Evaluate learners’ response to on-line method of education • Future plans for expansion of on-line programs

  6. Considerations for BLS • Large number of staff need BLS training • Multiple 3 hour courses per month/12 months a year • 2-3 BLS Instructors needed • Coverage for staff while in course • Just-in-time training for expiring cards

  7. HeartCode BLS • Assigned through HealthStream LMS • Cognitive portion available 24 hours • Skills either per computer or live skills check in fifteen minute sessions

  8. HeartCode BLS • Average time of completion Cognitive & skills 1-2 hours. • Automatic tracking and reporting through full function LMS • Consistent presentation of educational content

  9. HeartCode BLS

  10. SAMC Experience • Able to decrease Healthcare provider courses to one per month first six months of year after implementation of HC BLS • Elimination of live courses January 2010 • End user satisfaction with course • Manager satisfaction with course

  11. Process • Register with Education staff • HC BLS assigned to “My Learning” page in LMS • Part 1 cognitive portion can be completed at any computer work or home • Part 2 completed via live skills session in 15 minutes or • Via computer assisted manikin when skills sessions not scheduled

  12. Process continued • AHA BLS card given after completion of skills • BLS completion immediately on transcript in LMS • BLS completion available to managers via reports in LMS

  13. What our staff think ~ • 84% feel the type of product was perfect/good match • 97% extremely satisfied/satisfied with content • 97% extremely satisfied/satisfied with applicability to daily practice and/or research

  14. What our staff think ~ • 97% extremely satisfied/satisfied with contribution to professional education • 97% extremely satisfied/satisfied with contribution to professional effectiveness • 97% extremely satisfied/satisfied learned what is was designed to teach

  15. What our staff think ~ • 91% very appropriate/appropriate with level of difficulty of program content • 90% very likely/likely to recommend program to colleagues • Sample size 213 from February – September 2009

  16. Comments from staff Positive Negative Not enough explanation on how to move through scenarios I am not computer savvy I’d rather have hands-on and a real person explaining this stuff • Allows easy completion with time restrictions • Able to complete at your convenience • Like working at own pace • Don’t have to go to class • Usually don’t have 3 hours to be away from my job

  17. Considerations for ACLS • Specific critical care units need for ACLS training • Classroom course 8 hours • Multiple Instructors needed for course (1 per 6 students (1 to 3 for BLS station)

  18. Considerations for ACLS • Classes offered twice a month most months of the year • Not enough spaces for everyone • Coverage for staff while in course • Just-in-time training for expiring cards

  19. HeartCode ACLS • Assigned through HealthStream LMS • Cognitive portion available 24 hours • Skills on computer assisted manikin • Average cognitive completion time 4 hours • 5 AHA Textbooks included • ACLS lessons

  20. HeartCode ACLS • ECG rhythms for review and testing • 10 patient cases • Detailed debriefing • Multiple choice exam

  21. SAMC Experience • HC ACLS allows for just-in-time education • Staff satisfaction with course • Manager satisfaction

  22. Process • Register with Education staff • HC ACLS assigned to “My Learning” page in LMS • Part 1 cognitive portion can be completed at any computer work or home • Part 2 completed via computer assisted manikin

  23. Process continued • AHA ACLS card given after completion of skills • ACLS completion immediately on transcript in LMS • ACLS completion available to managers via reports in LMS

  24. Evaluation results • 70% extremely satisfied/satisfied with overall content • 79% extremely satisfied/satisfied with applicability to daily practice and/or research • 75% extremely satisfied/satisfied with contribution to professional education

  25. Evaluation results • 83% extremely satisfied/satisfied with contribution to professional effectiveness • 71% very likely/somewhat likely to recommend program to your colleagues • Sample size 27 from February – September 2009

  26. Comments Positive Negative Program too long Frustrating when the computer mouse is too sensitive Program was unrealistic. As a member of a team you depend on each other. • This was awesome! I will definitely continue to renew on-line!!! • This program helped me learn the algorithms better than classroom courses • Enjoyed this course setting

  27. Future plans • Expand on-line offerings of both ACLS & BLS • Promote HC ACLS internally • Develop tip sheet for users of program • Market to outside groups • Consider ACLS scenarios with SimMan

  28. Discussion & Questions?

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