Simulation of ECMO [Extracoporeal Membrane Oxygenation]

Report
Simulation-based Assessment of
ECMO Critical Event Management
Mark Shepard RN,BSN,CCP
St Louis Children’s Hospital
ECMO Program
1
Simulation of ECMO [Extracoporeal
Membrane Oxygenation]
Clinical Specialist Nurses/8 Scenarios
• Air Entrainment
• Agitation/Arterial Occlusion
• Hypovolemia/Venous Occlusion
• Bleeding/Venous Occlusion
• Hemodilution
• Hyperventilation
• Ventricular Tachycardia
• Pneumothorax
2
Setup of Simulation Circuit
3
Setup of CDI
4
ECMO Simulation
5
Arterial Bleeding
6
Learning Objective
• ECMO specialist will utilize previous
experience and water lab skills to properly
troubleshoot scenarios
• Grade sheet based on meeting specific key
actions – i.e. Recognizes negative venous
line pressure
• 1-3 (Unsatisfactory), 4-6 (Satisfactory), 7-9
(Superior)
7
Grading Sheet
8
Percent of Key Actions Completed
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
Hypovolemia
Agitation
Bleeding
Air Entrainment
V Tach
Pneumothorax
Hyperventilation
Hemodilution
9
10

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