A Unique Simulation based Basic Life Support (BLS) training program at Schneider Children`s Medical Center

Background: Since 2016 BLS recertification consists of an annual 45-minute individual computer based review of the principles of BLS and a 75 minute hands –on simulation, consisting of resuscitation scenarios commonly encountered in the hospital. All participants are required to perform at least 2 minutes of chest compressions, ventilations with a bag-valve mask, and defibrillation. This method of BLS instruction has never been evaluated.

Methods: Groups of 3-5 participants from all inpatient and outpatient care areas participated in one of six clinical resuscitation scenarios using high fidelity manikins. Group performance was assessed using the TEAM (Team Emergency Assessment Measure) tool, a 12-item assessment measure used to rate leadership, teamwork, and task management. A global rating of the team`s non-technical performance evaluated the principles of closed-loop communication, clear messages, knowledge sharing and constructive intervention. Total possible score ranged from 0-48. TEAM was completed after the first and repeat scenario for each group, before debriefing was performed.

Results: 82 groups (314 participants) were evaluated. There was a statistically significant improvement in the mean TEAM score from 25.5 for the first simulation to 38.6 for the repeat simulation and for each specific item comprising TEAM. Top performing groups had a greater percentage of physicians as compared to the low and middle performing groups. Interval since last recertification and participation in an actual resuscitation event (cardiac or respiratory) did not affect group performance.

Conclusionsף A simulation based BLS recertification course is effective at teaching the skills necessary to perform BLS in the hospital setting