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Recommended Citation
Judge K, Sheeler C, Setliff E. Improving ETCO2 Device Utilization During Emergency Department Adult Resuscitations. Evidence Based Practice poster presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Presentation Notes
Evidence Based Practice poster presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Abstract
Background:
Failing to provide high quality cardiopulmonary resuscitation can decrease survival rates by 30%. Per Advanced Cardiovascular Life Support guidelines, healthcare providers should confidently rely on end-tidal carbon dioxide monitoring to ensure cardiopulmonary resuscitation is high-quality. In a large tertiary care hospital-based emergency department, end-tidal carbon dioxide monitoring was not consistently utilized during resuscitations, despite workers having proper Advanced Cardiovascular Life Support training and access to end-tidal carbon dioxide monitoring devices.
Purpose:
The purpose of this project was to determine if high-fidelity simulation training on the use and value of end-tidal carbon dioxide monitoring during resuscitation affected emergency department staff’s resuscitation self-efficacy and end-tidal carbon dioxide device application during clinical resuscitations.
Implementation plan:
Following the IOWA Model, 28 interprofessional emergency department healthcare workers participated in high-fidelity adult cardiac arrest simulation scenarios. A presurvey-postsurvey design was used to evaluate participant’s resuscitation self-efficacy. Post simulation, end-tidal carbon dioxide device utilization in adult emergency department cardiac arrests was retrospectively monitored for a period of three months.
Outcomes:
Mean comparison of pre- and post-simulation resuscitation self-efficacy survey scores were analyzed. Results showed a significant pre-post survey total average resuscitation self-efficacy improvement from 3.99 to 4.52 (t= 6.83, p < .001). Participant role difference did not impact statistical significance (ps > .590). 10 pre-simulation and 20 post-simulation adult emergency department cardiac arrests events were analyzed for device utilization. Results showed a statistically non-significant improvement in device utilization from 20% to 45% (t= -1.96, p= .081).
Implications for practice:
High-fidelity simulation can have a significant improvement in overall resuscitative confidence of emergency department healthcare workers. While high-fidelity simulation with improved resuscitation self-efficacy may not significantly improve device utilization in adult emergency department resuscitations, it can be impacted.
Document Type
Poster
Publication Date
11-13-2024
Improving ETCO2 Device Utilization During Emergency Department Adult Resuscitations
Background:
Failing to provide high quality cardiopulmonary resuscitation can decrease survival rates by 30%. Per Advanced Cardiovascular Life Support guidelines, healthcare providers should confidently rely on end-tidal carbon dioxide monitoring to ensure cardiopulmonary resuscitation is high-quality. In a large tertiary care hospital-based emergency department, end-tidal carbon dioxide monitoring was not consistently utilized during resuscitations, despite workers having proper Advanced Cardiovascular Life Support training and access to end-tidal carbon dioxide monitoring devices.
Purpose:
The purpose of this project was to determine if high-fidelity simulation training on the use and value of end-tidal carbon dioxide monitoring during resuscitation affected emergency department staff’s resuscitation self-efficacy and end-tidal carbon dioxide device application during clinical resuscitations.
Implementation plan:
Following the IOWA Model, 28 interprofessional emergency department healthcare workers participated in high-fidelity adult cardiac arrest simulation scenarios. A presurvey-postsurvey design was used to evaluate participant’s resuscitation self-efficacy. Post simulation, end-tidal carbon dioxide device utilization in adult emergency department cardiac arrests was retrospectively monitored for a period of three months.
Outcomes:
Mean comparison of pre- and post-simulation resuscitation self-efficacy survey scores were analyzed. Results showed a significant pre-post survey total average resuscitation self-efficacy improvement from 3.99 to 4.52 (t= 6.83, p < .001). Participant role difference did not impact statistical significance (ps > .590). 10 pre-simulation and 20 post-simulation adult emergency department cardiac arrests events were analyzed for device utilization. Results showed a statistically non-significant improvement in device utilization from 20% to 45% (t= -1.96, p= .081).
Implications for practice:
High-fidelity simulation can have a significant improvement in overall resuscitative confidence of emergency department healthcare workers. While high-fidelity simulation with improved resuscitation self-efficacy may not significantly improve device utilization in adult emergency department resuscitations, it can be impacted.
Affiliations
Atrium Health Cabarrus