Practice Posters
Gap in Practice
As the response to the pandemic transitioned to a new normal, reinstating in-person simulations presented challenges. High-fidelity simulations provide training for high-risk, low-frequency obstetric emergencies in a safe learning environment. We were challenged to provide simulation scenarios conducive to learning while maintaining infection-control protocols and meeting staff training needs.
Need for Practice Change
Simulation provides an atmosphere focused on developing clinical staff skills, confidence, and capabilities to respond to emergencies effectively. In a setting with inexperienced nurses and frequent turnover, simulation improves response to obstetric emergencies. Small patient rooms, infection-control protocols, and software transition decreased attendance and participation in monthly simulation drills. The simulation team needed all clinical staff to ensure readiness for emergencies.
Target Audience
Nurse managers, educators, clinical leaders, and providers.
Practice Change
COVID-19 decreased in-person attendance. The Defense Health Agency (DHA) recommends that clinicians complete monthly multidisciplinary simulation training in every maternal-child unit. Live streaming offered virtual participation and recording capabilities and allowed the staff to complete their expected attendance. We used a low-cost solution to increase staff participation, the Microsoft Teams platform, which offers live and recorded training for those unable to attend live.
Practice Change Implementation Method
The leadership team implemented three plan–do–study–act cycles to improve simulation attendance and enhance the response to emergent situations.
Metrics
Staff participation during simulations increased by 19% after using Microsoft Teams in 2021. In addition, beyond the nursing staff, the obstetricians and midwives participated in more simulations. The training enhanced our ability to respond to obstetric emergencies, COVID-19, and other mission requirements.
Application to/Implications for WH, O, or N Education
COVID-19 forced rapid development of virtual education, especially in health care. By offering a virtual platform for high-fidelity simulation, we increased readiness for emergencies, increased staff participation, and facilitated a safe learning environment for emergent obstetric scenarios.