Authors (including presenting author) :
Poon Shing Tak
Affiliation :
Department of Anaethesia & Intensive Care, Prince of Wales Hospital
Introduction :
The emergence of COVID - 19 in Hong Kong since end of 2019 and increasing prevalence at January of 2020. Intensive Care Unit of Prince of Wales Hospital start to admit patient with COVID-19 since early February. Intubation is classified as high risk procedure and in-situ simulation can explores closely replicate real-world clinical situations, to produce information that can be used to improve systems and processes.Total 19 sessions of simulation drill are conducted to increase staff’s readiness to care of patient with COVID - 19.
Objectives :
To test the use of simulation training can increase nurse's readiness in assiting intubation for patient with COVID-19.
Methodology :
Total 19 sessions of simuation drill in intubation are conducted for 80 nurses. The survey is to investigate nurse’s readiness to handling infectious patient. Compare any difference on staff’s comfortable in caring confirmed cases, self protection and team protection during intubation before and after the drill. The survey questions used an anonymous questionnaire with 10-point Likert response scale (1 - 10) for staff to grade. Two open ended questions are also used to collect the comment for the drill.
Result & Outcome :
For the nurses’s readiness, 96% of the nurses has joined the PPE training and 55% of staff has repeated their mask fit test in the past 12 months. It shows majority of the nurses has basic concept on infection control practice. However, 46% of nurses grade they are not comfortable in handling confirmed patient, 34% of nurse don’t have confident to protect themselves in getting infected while 45% don’t have confident to protect the team before the drill.
After joining the drill, 90% of nurses graded they are comfortable in handling confirmed patient, 92% have the confident to protect themselves while 89% of staff can protect the team as well. 94% of the nurses agreed “Do - Feedback - Repeat / Practice” approach can help them to consolidate what they learnt in the drill.
