Mediator Training Session 1: Hands-on Exercise (abridged version)

SciVee ◽  
2012 ◽  
Keyword(s):  
Training Session ◽  
Hands On

scholarly journals Development and application of a swine model for training ultrasonography-guided central venous access

2020 ◽  
Vol 47 ◽  
Author(s):  
JACKSON VINÍCIUS DE LIMA BERTUOL ◽  
NATASHA LURE BUENO CAMARGO ◽  
FERNANDO ANTONIO CAMPELO SPENCER NETTO ◽  
ANDRÉ PEREIRA WESTPHALEN
Keyword(s):  
Porcine Model ◽  
Low Cost ◽  
Central Venous Access ◽  
Training Session ◽  
Hospital Setting ◽  
Venous Access ◽  
Human Anatomy ◽  
Swine Model ◽  
Central Venous ◽  
Hands On

ABSTRACT Introduction: simulation based teaching is a powerful tool in medical education, allowing hands on practice under a controlled environment and with repeated maneuvers. Central venous access venipuncture is one of the most frequent procedures carried out in the hospital setting, due to its various clinical indications and, when performed with the help of ultrasonography, the risk of adverse events is minimized. Aim: to develop, to describe and to test a porcine model that simulates the central venous access puncture aided by ultrasonography. Method: a low cost porcine model was developed to train medical students and residents on central venous access guided by ultrasonography. Both students and medical residents underwent a theoretical training regarding the model, followed by a hands-on training session. Afterwards, the participants assessed the model by answering a questionnaire. Results: there were 51 participants. The average score regarding the similarity between the model and the human anatomy was 9.15. When the characteristics were separately assessed, the mean scores regarding the similarity of the vessels, anatomic disposition and ultrasonographic characteristics as well as the venipuncture were, respectively, 9.27; 9.31; 9.54 and 8.86. Conclusion: The model was approved and considered appropriate for the training of central venous venipuncture by all the participants. Furthermore, it is a low cost, simple and reproducible model, that presents high similarity with the human anatomy. Therefore, it may be used as an aid to train people on ultrasonography guided central venous access.

Acquiring and Maintaining Competence in the Application of Extrication Cervical Collars by a Group of First Responders

2008 ◽  
Vol 23 (6) ◽  
pp. 530-536 ◽  
Author(s):  
Colin J. Ireland ◽  
Kathryn M. Zeitz ◽  
Franklin H.G. Bridgewater
Keyword(s):  
Skill Acquisition ◽  
Training Session ◽  
First Responders ◽  
First Aid ◽  
Cervical Collar ◽  
Prehospital Setting ◽  
Skill Retention ◽  
Spinal Immobilization ◽  
Hands On ◽  
Practical Session

AbstractIntroduction:Research on skill acquisition and retention in the prehospital setting has focused primarily on resuscitation and defibrillation. Investigation into other first aid skills is required in order to validate practices and support training regimes. No studies have investigated competency using an extrication cervical collar for cervical spine immobilization.Objective:This study was conducted to confirm that a group of first responders could acquire and maintain competency in the application of an extrication cervical collar over a 12-month period.Methods:Participants attended a standardized training session that addressed the theory of application of an extrication cervical collar followed by hands-on practice. The training was presented by the same instructor and covered the nine key elements necessary in order to be deemed competent in extraction cervical collar application. Following the practical session, the competency of the participants was assessed. Participants were requested not to practice the skill during the 12-month period. Following the 12-month period, their skills were re-assessed by the same assessor.Results:Of the 64 subjects who participated in the study, 100% were competent after the initial first assessment. Forty-one participants (64%) were available for the second assessment (12 months later); of these, 25 (61%) maintained competence.Conclusions:Although the sample size was small, this research demonstrates that first responders are able to acquire competence in applying an extrication cervical collar. However, skill retention in the absence of usage or re-training is poor. Larger studies should be conducted to validate these results. In addition, there is a need for research on the clinical practice and outcomes associated with spinal immobilization in the prehospital setting.

scholarly journals Blind-eye cannulation as a new method for ERCP training: Can we do more than merely teach?

2020 ◽  
Vol 08 (02) ◽  
pp. E186-E188
Author(s):  
Ivo Boškoski ◽  
George Webster ◽  
Andrea Tringali ◽  
Pietro Familiari ◽  
Vincenzo Perri ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Training Session ◽  
The Other ◽  
New Method ◽  
Endoscopic Retrograde ◽  
Hands On ◽  
Technical Proficiency ◽  
Standard List

Abstract Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) requires extensive hands-on training. Currently in ERCP training there are two very important problems that need attention: lack of standardized commands for communication, and misunderstanding between the trainee and the trainer. Methods A method of “blind-eye” cannulation was developed with two paired trainees using the Boškoski-Costamagna ERCP Trainer. The trainee who was holding the duodenoscope was blind-folded and the other trainee gave instructions on what maneuvers were necessary to achieve cannulation, under the supervision of a trainer. Before starting cannulation, a standard list of commands was agreed by the operators. Results The blind-eye method of cannulation teaches the operator trainee to listen and the assistant trainee to teach. Trainees use standardized commands. During the training session the two trainees swapped roles. Conclusions Currently, we do not have proof that this type of training is useful, therefore, scientific studies are needed for confirmation. However, we believe that this ERCP model may provide an entirely safe means of improving communication and technical proficiency.

scholarly journals Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

2019 ◽  
Vol 21 (4) ◽  
pp. 464 ◽  
Author(s):  
Fredericus HJ Van Loon ◽  
Harm J Scholten ◽  
Irene Van Erp ◽  
Arthur RA Bouwman ◽  
Angelique TM Dierick Van Daele
Keyword(s):  
Healthcare Providers ◽  
Training Session ◽  
Vascular Anatomy ◽  
Ultrasound Guided ◽  
Or Education ◽  
Brief Training ◽  
Hands On ◽  
Life Model ◽  
Training Modules ◽  
And Training

Ultrasound increases a first-attempt success rate for vascular access when considered by knowledgeable and experienced practitioners. Education and training of these practitioners in ultrasound-guided peripheral intravenous cannulation is becoming increasingly common, although no consensus has been reached regarding its curriculum. The current systematic literature review aims to explore different training modules and components in use, and its efficacy and efficiency in ultrasound-guided peripheral intravenous cannulation in hospitalized adults by different healthcare providers. Database search was performed from January 2009 to December 2018 for publications describing the training or education of healthcare professionals in ultrasound-guided peripheral intravenous cannulation in adult patients. Data-analyses was performed on 23 studies, concluding that competency on ultrasound-guided peripheral intravenous cannulation can be achieved after following a brief training in a fixed curriculum, consisting of a didactic training session, a simulated hands-on component, and is completed after a supervised live-case training. Lectures should focus on ultrasound physics, including the vascular anatomy. The hands-on training included identification of veins on a life model without cannulating, followed by cannulation of veins using a nonhuman tissue model. At the end, supervised cannulation of veins on the upper extremity with an ultrasound-guided technique was performed on live patients to show competency.

scholarly journals The learning curve for ultrasound-guided peripheral intravenous cannulation in adults: a multicenter study

2022 ◽  
Author(s):  
Fredericus HJ Van Loon ◽  
Harm J Scholten ◽  
Hendrikus HM Korsten ◽  
Angelique TM Dierick - van Daele ◽  
Arthur RA Bouwman
Keyword(s):  
Learning Curve ◽  
Prospective Observational Study ◽  
Primary Outcome ◽  
Training Session ◽  
Hands On ◽  
Individual Participant ◽  
Cusum Analysis ◽  
Multicenter Prospective Observational Study ◽  
Two Phases ◽  
Cannulation Success

Aims: To lower the threshold for applying ultrasound (US) guidance during peripheral intravenous cannulation, nurses need to be trained and gain experience in using this technique. The primary outcome was to quantify the number of procedures novices require to perform before competency in US-guided peripheral intravenous cannulation was achieved. Materials and methods: A multicenter prospective observational study, divided into two phases after a theoretical training session: a hands-on training session and a supervised life-case training session. The number of US-guided peripheral intravenous cannulations a participant needed to perform in the life-case setting to become competent was the outcome of interest. Cusum analysis was used to determine the learning curve of each individual participant. Results: Forty-nine practitioners participated and performed 1855 procedures. First attempt cannulation success was 73% during the first procedure, but increased to 98% on the fortieth attempt (p<0.001). The overall first attempt success rate during this study was 93%. The cusum learning curve for each practitioner showed that a mean number of 34 procedures was required to achieve competency. Time needed to perform a procedure successfully decreased when more experience was achieved by the practitioner, from 14±3 minutes on first proce-dure to 3±1 minutes during the fortieth procedure (p<0.001). Conclusions: Competency in US-guided peripheral intravenous cannulation can be gained after following a fixed educational curriculum, resulting in an increased first attempt cannulation success as the number of performed procedures increased.

scholarly journals Assessing the Impact of a Training Initiative for Nasopharyngeal and Oropharyngeal Swabbing for COVID-19 Testing

OTO Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 2473974X2095309
Author(s):  
Brittany T. Abud ◽  
Natalia M. Hajnas ◽  
Miriam Redleaf ◽  
Julia L. Kerolus ◽  
Victoria Lee
Keyword(s):  
Medical Center ◽  
Training Session ◽  
Instructional Video ◽  
Nasopharyngeal Swab ◽  
Knowledge Based ◽  
Hands On ◽  
Live Demonstration ◽  
Testing Techniques ◽  
The Impact ◽  
Standardize Sampling

Objective The accuracy and reliability of COVID-19 testing are critical to limit transmission. After observing variability in testing techniques, we otolaryngologists at a tertiary medical center initiated and evaluated the impact of nasopharyngeal and oropharyngeal swabbing training, including video instruction, to standardize sampling techniques and ensure high-quality specimens. Methods Participants in the training were employees (N = 40). Training consisted of an instructional video on how to perform nasopharyngeal and oropharyngeal swabs and a live demonstration. Participants completed pre- and posttraining surveys assessing their knowledge and confidence in performing nasopharyngeal and oropharyngeal swabs. They then performed swabbing on partners, which was graded per a standardized checklist. Results Mean scores for knowledge-based questions and confidence in swabbing were significantly higher after the training session (both P < .001). All participants scored ≥6 of 8 on the posttraining checklist. Ninety-five percent rated the video as very or extremely useful. Discussion Specialized instruction for nasopharyngeal swabbing improved participants’ knowledge—specifically, the appropriate head position and minimum swab time in nasopharynx—and their confidence. After the training, their swabbing execution scores were high. Implications for Practice Video-assisted hands-on instruction for nasopharyngeal swab sampling can be used to standardize teaching. When prompt and accurate testing is paramount, this instruction can optimize procedural technique and should be used early and often. In addition, there may be a professional responsibility of otolaryngologists to participate in such initiatives.

scholarly journals Caddoan Archeological and Historical Workshop for the Caddo Tribe of Oklahoma in Support of Their Native American Graves Protection and Repatriation Act Grant

1995 ◽  
Author(s):  
Timothy K. Perttula
Keyword(s):  
Native American ◽  
Material Culture ◽  
Training Session ◽  
Historical Research ◽  
Indian Tribe ◽  
Hands On ◽  
Scholarship Program ◽  
Caddo Lake

As part of the Native American Graves Protection Act (NAGPRA) grant recently received by the Caddo Indian Tribe of Oklahoma, the Caddo Tribe of Oklahoma requested that a professional archeologist (Timothy K. Perttula) conduct an ambitious three-day hands-on archeological and historical training session for tribal members, particularly members of the Caddo Repatriation Committee, in February 1995. The focus of the training session is to familiarize members of the Caddo Tribe in the identification of Caddo material culture (ceramics and lithics, as well as other types of artifacts found on habitation sites and in burial contexts), in learning the locations and distributions of prehistoric Caddo sites within the Caddoan Archeological Area, and establishing an understanding of the known locations of historic Caddo sites from archeological, historical, and archival sources. I have been involved in Caddoan archeological and historical research for about 20 years, and completed a Ph.D. dissertation on Caddoan archeology in 1989. I have also worked with members of the Caddo Tribe on various archeological projects in Texas, most recently as part of the Caddo Lake Scholarship program established by the Caddo Lake Institute.

scholarly journals Using the AGsploration: the Science of Maryland Agriculture Curriculum as a Tool to Increase Youth Appreciation and Understanding of Agriculture and Science

2017 ◽  
Vol 11 (3) ◽  
pp. 141-146
Author(s):  
April Hall Barczewski ◽  
Sheryl Bennett ◽  
David Gordon ◽  
Thomas Hutson ◽  
Sara Meagher BhaduriHauck
Keyword(s):  
Science Education ◽  
Life Skills ◽  
Training Session ◽  
Adult Educators ◽  
Post Evaluation ◽  
Hands On ◽  
Production Agriculture ◽  
Students Attitudes ◽  
Agriculture Curriculum ◽  
Similar Evaluation

AGsploration: The Science of Maryland Agriculture is a 24-lesson, peer-reviewed curriculum that includes experiential hands-on activities and built-in pre-/post-evaluation tools. Lesson topics include production agriculture, the environment and nutrition with emphasis on how science relates to each topic. Student pre-/post- evaluation data reflects participation in AGsploration positively affects students’ attitudes about agriculture and science. Separate evaluations were developed to survey two groups of trained teen teachers about the curriculum immediately following their training, 1-2 years after using the curriculum and another 3-4 years post involvement. The results demonstrated that teen teachers were an effective way to disseminate the curriculum and these same teens increased their agriculture knowledge, life skills and interest in agriculture science education and careers. A similar evaluation was conducted with adult educators following a training session and another 1-2 years after actively using the curriculum. This data suggests that the curriculum is well received and valued.

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