A Simulation-based PPE orientation training curriculum for novice physicians
Summary: Background: Personal protective equipment (PPE) is effective in preventing coronavirus disease (COVID-19) infection. Resident knowledge of proper use and effective training methods is unknown. We hypothesise that contamination decreases and knowledge increases after a formalised PPE educat...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
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| Series: | Infection Prevention in Practice |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S259008892200066X |
| _version_ | 1797900624135716864 |
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| author | Spencer W. Greaves Scott M. Alter Rami A. Ahmed Kate E. Hughes Devin Doos Lisa M. Clayton Joshua J. Solano Sindiana Echeverri Richard D. Shih Patrick G. Hughes |
| author_facet | Spencer W. Greaves Scott M. Alter Rami A. Ahmed Kate E. Hughes Devin Doos Lisa M. Clayton Joshua J. Solano Sindiana Echeverri Richard D. Shih Patrick G. Hughes |
| author_sort | Spencer W. Greaves |
| collection | DOAJ |
| description | Summary: Background: Personal protective equipment (PPE) is effective in preventing coronavirus disease (COVID-19) infection. Resident knowledge of proper use and effective training methods is unknown. We hypothesise that contamination decreases and knowledge increases after a formalised PPE educational session. Methods: Participants included first year interns during their residency orientation in June 2020. Before training, participants took a knowledge test, donned PPE, performed a simulated resuscitation, and doffed. A standardised simulation-based PPE training of the donning and doffing protocol was conducted, and the process repeated. Topical non-toxic highlighter tracing fluid was applied to manikins prior to each simulation. After doffing, areas of contamination, defined as discrete fluorescent areas on participants' body, was evaluated by ultraviolet light. Donning and doffing were video recorded and asynchronously rated by two emergency medicine (EM) physicians using a modified Centers for Disease Control and Prevention (CDC) protocol. The primary outcome was PPE training effectiveness defined by contamination and adherence to CDC sequence. Results: Forty-eight residents participated: 24 internal medicine, 12 general surgery, 6 EM, 3 neurology, and 3 psychiatry. Before training, 81% of residents were contaminated after doffing; 17% were contaminated after training (P<0.001). The most common contamination area was the wrist (50% pre-training vs. 10% post-training, P<0.001). Donning sequence adherence improved (52% vs. 98%, P<0.001), as did doffing (46% vs. 85%, P<0.001). Participant knowledge improved (62%–87%, P <0.001). Participant confidence (P<0.001) and preparedness (P<0.001) regarding using PPE increased with training. Conclusion: A simulation-based training improved resident knowledge and performance using PPE. |
| first_indexed | 2024-04-10T08:48:56Z |
| format | Article |
| id | doaj.art-4493cdfd3546475ca809c7cd392b377a |
| institution | Directory Open Access Journal |
| issn | 2590-0889 |
| language | English |
| last_indexed | 2024-04-10T08:48:56Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Infection Prevention in Practice |
| spelling | doaj.art-4493cdfd3546475ca809c7cd392b377a2023-02-22T04:32:09ZengElsevierInfection Prevention in Practice2590-08892023-03-0151100265A Simulation-based PPE orientation training curriculum for novice physiciansSpencer W. Greaves0Scott M. Alter1Rami A. Ahmed2Kate E. Hughes3Devin Doos4Lisa M. Clayton5Joshua J. Solano6Sindiana Echeverri7Richard D. Shih8Patrick G. Hughes9Department of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, USADepartment of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, USADepartment of Emergency Medicine, Division of Simulation, Indiana University School of Medicine, USADepartment of Emergency Medicine, University of Arizona, USADepartment of Emergency Medicine, Division of Simulation, Indiana University School of Medicine, USADepartment of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, USADepartment of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, USAClinical Skills Simulation Center, Florida Atlantic University Charles E. Schmidt College of Medicine, USADepartment of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, USADepartment of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, USA; Corresponding author. Florida Atlantic University at Bethesda Health, Department of Emergency Medicine, GME Suite, Lower Level, 2815 South Seacrest Blvd, Boynton Beach, FL 33435, USA. Tel.: +(561) 733 5933; fax: +(866) 617 8268.Summary: Background: Personal protective equipment (PPE) is effective in preventing coronavirus disease (COVID-19) infection. Resident knowledge of proper use and effective training methods is unknown. We hypothesise that contamination decreases and knowledge increases after a formalised PPE educational session. Methods: Participants included first year interns during their residency orientation in June 2020. Before training, participants took a knowledge test, donned PPE, performed a simulated resuscitation, and doffed. A standardised simulation-based PPE training of the donning and doffing protocol was conducted, and the process repeated. Topical non-toxic highlighter tracing fluid was applied to manikins prior to each simulation. After doffing, areas of contamination, defined as discrete fluorescent areas on participants' body, was evaluated by ultraviolet light. Donning and doffing were video recorded and asynchronously rated by two emergency medicine (EM) physicians using a modified Centers for Disease Control and Prevention (CDC) protocol. The primary outcome was PPE training effectiveness defined by contamination and adherence to CDC sequence. Results: Forty-eight residents participated: 24 internal medicine, 12 general surgery, 6 EM, 3 neurology, and 3 psychiatry. Before training, 81% of residents were contaminated after doffing; 17% were contaminated after training (P<0.001). The most common contamination area was the wrist (50% pre-training vs. 10% post-training, P<0.001). Donning sequence adherence improved (52% vs. 98%, P<0.001), as did doffing (46% vs. 85%, P<0.001). Participant knowledge improved (62%–87%, P <0.001). Participant confidence (P<0.001) and preparedness (P<0.001) regarding using PPE increased with training. Conclusion: A simulation-based training improved resident knowledge and performance using PPE.http://www.sciencedirect.com/science/article/pii/S259008892200066XCOVID-19SimulationPPETrainingFluorescent tracerQuality improvement |
| spellingShingle | Spencer W. Greaves Scott M. Alter Rami A. Ahmed Kate E. Hughes Devin Doos Lisa M. Clayton Joshua J. Solano Sindiana Echeverri Richard D. Shih Patrick G. Hughes A Simulation-based PPE orientation training curriculum for novice physicians Infection Prevention in Practice COVID-19 Simulation PPE Training Fluorescent tracer Quality improvement |
| title | A Simulation-based PPE orientation training curriculum for novice physicians |
| title_full | A Simulation-based PPE orientation training curriculum for novice physicians |
| title_fullStr | A Simulation-based PPE orientation training curriculum for novice physicians |
| title_full_unstemmed | A Simulation-based PPE orientation training curriculum for novice physicians |
| title_short | A Simulation-based PPE orientation training curriculum for novice physicians |
| title_sort | simulation based ppe orientation training curriculum for novice physicians |
| topic | COVID-19 Simulation PPE Training Fluorescent tracer Quality improvement |
| url | http://www.sciencedirect.com/science/article/pii/S259008892200066X |
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