Background: High-fidelity simulation utilizes unique training methods to educate individuals on areas of practice that are low volume and high risk. Continuous Renal Replacement Therapy (CRRT) is considered a low volume high-risk therapy in the Neonatal Intensive Care Unit (NICU) in which there is potential for serious complications if theory and skill are not retained. Since 2012, the NICU has utilized simulation in the yearly training of nurses on providing CCRT therapy. Our experience has shown that having the ability to practice key management strategies in a realistic hi-fidelity environment has been conducive to skill retention and increased comfort in practice.
Format: 10, 2 hour sessions
Venue: ICU- based simulation suite
Frequency: March and September
Participants: NICU Nurses
Expertise Level: NICU RN’s with a minimum of 1 year experience
Course Leaders: Caitlin O’Brien BSN, RN, CCRN, Michelle Labrecque MS, RN, CCRN and Denise Casey MS, RN, CPNP, CCRN
- Develop skill base related to stabilization and management of infant receiving CRRT therapy.
- Develop skill base related to trouble shooting alarms of the Prismaflex circuit
- Develop skill base related to problem solving patient and intervention related to Prismaflex system failure
Scenario builds in complexity and concludes with debriefing
Promote discussion and development of critical thinking skills
Utilize “pause principle” teaching approach
Focus on safety as the foundation to clinical practice
Review complex pathophysiology and treatment options for infants requiring renal replacement therapy