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Simulation-based Assessment of ECMO Critical Event Management

Simulation-based Assessment of ECMO Critical Event Management. Mark Shepard RN,BSN,CCP St Louis Children’s Hospital ECMO Program. Simulation of ECMO [ Extracoporeal Membrane Oxygenation]. Clinical Specialist Nurses/8 Scenarios Air Entrainment Agitation/Arterial Occlusion

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Simulation-based Assessment of ECMO Critical Event Management

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  1. Simulation-based Assessment of ECMO Critical Event Management Mark ShepardRN,BSN,CCP St Louis Children’s Hospital ECMO Program

  2. Simulation of ECMO [Extracoporeal Membrane Oxygenation] Clinical Specialist Nurses/8 Scenarios • Air Entrainment • Agitation/Arterial Occlusion • Hypovolemia/Venous Occlusion • Bleeding/Venous Occlusion • Hemodilution • Hyperventilation • Ventricular Tachycardia • Pneumothorax

  3. Setup of Simulation Circuit

  4. Setup of CDI

  5. ECMO Simulation

  6. Arterial Bleeding

  7. Learning Objective • ECMO specialist will utilize previous experience and water lab skills to properly troubleshoot scenarios • Grade sheet based on meeting specific key actions – i.e. Recognizes negative venous line pressure • 1-3 (Unsatisfactory), 4-6 (Satisfactory), 7-9 (Superior)

  8. Grading Sheet

  9. Percent of Key Actions Completed

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