Improving Resuscitation through Blended Learning
Improving Resuscitation through Blended Learning
Goal of this interaction:
Discuss how blending eLearning and
simulation can improve resuscitation by
improving the efficiency and
effectiveness of your resuscitation
training programs.
Improving Resuscitation through Blended Learning
Outcomes of this interaction…
We will discuss how Blended Learning can:
•can improve skills and teamwork
•increase training efficiency
•reduce costs
•train more people in less time with fewer instructors
•improve confidence and competence
•save lives!
Improving Resuscitation through Blended Learning
Who am I?
Why am I here?
•ICU/Trauma/Burn RN for 29 years
•Global Clinical Educator for 6 years
•AHA TCF and RF for BLS, ACLS, PALS
•Training Center Coordinator for AHA TC-22 UMHC
•Coordinate all BLS, ACLS, PALS and HeartCode training for MU
HealthCare
•Assist with simulation training for the CED Skills Lab and The Shelden
Clinical Simulation Center.
Improving Resuscitation through Blended Learning
University of Missouri Health Care…
• Level 1 Trauma Center for large area of Missouri-rural
• Schools of Medicine, Nursing, Health Professions
• Simulation Center and Skills Lab
• 475 beds
• >500 medical staff members
• >1600 nurses
• AHA Training Center
• Outside participants from all over the state
Improving Resuscitation through Blended Learning
Training at
University of Missouri Health Care
>2000 participants trained annually for BLS-total
>500 participants trained annually for ACLS-live classes
>250-300 participants trained annually for ACLS-HeartCode
>450 participants trained annually for PALS-live classes
Improving Resuscitation through Blended Learning
Training at University of Missouri Health Care
Goal is to implement
and provide a diverse number
of training options for
for all learning styles and work schedules.
Improving Resuscitation through Blended Learning
Approach
1. Live training/traditional classroom
2. eLearning with HeartCodeSelf Directed Learning
3. Simulation
Improving Resuscitation through Blended Learning
Live training/traditional classroom
 Familiar environment, more comfortable for some
 Training costs can be higher
 May improve knowledge but not necessarily practice
 Need space, instructors, time
Improving Resuscitation through Blended Learning
In “these tough economic times” there is
a constant struggle with time constraints,
training dollars, space limitations and
more and more required training and
certifications.
How/can this be done more efficiently?
Improving Resuscitation through Blended Learning
Yes! It can!
Improving Resuscitation through Blended Learning
eLearning with HeartCode
Self-Directed Learning
 eLearning lets the participant learn at their own pace
and convenience-independently
 No certified instructor needed
 This is the age of technology and computers!
Improving Resuscitation through Blended Learning
Simulation
Reduce errors
Improve skills
Practice in safe environment
Right patient at the right time
Learn and practice teamwork!
Improving Resuscitation through Blended Learning
Having knowledgeable
instructors, computer
programs and thousands of
dollars worth of simulation
equipment doesn’t guarantee
successful program
outcomes nor improve patient
outcome.
Improving Resuscitation through Blended Learning
It takes cooperation and a
blended approach to learning,
using all of the training options
available.
Learn-Practice-Apply
Improving Resuscitation through Blended Learning
Blended Learning
is the link to improving
resuscitation and reduce
death and disability.
Improving Resuscitation through Blended Learning
Top Ten Things Blended Learning Can Do:
10. decrease stress in an inherently stressful environment.
9. improve confidence.
8. improve critical thinking in a safe and controlled
environment.
7. allow participants to learn from their mistakes without
impacting patients negatively.
6. provides standard learning situations for everyone.
Improving Resuscitation through Blended Learning
5. allow learning from peers. (model behavior)
4. work on time management and priority setting.
3. allows updating of new information and technology
quickly and seamlessly.
2. bridge the student nurse, medical student, new resident,
returning to practice employee transition to the
workplace.
And the #1 thing Blended Learning can do…
Improving Resuscitation through Blended Learning
1. improve resuscitation, patient
care and patient outcomes!
Improving Resuscitation through Blended Learning
eLearning with HeartCode
Self-Directed Learning
HeartCode: (all AHA approved)
ACLS
BLS
PALS!
Improving Resuscitation through Blended Learning
HeartCode:
o Link between “book learning” and
simulation.
o Helps efficiently maintain compliance
and competence for otherwise
experienced employees that don’t
necessarily need live training to maintain
a certification.
Improving Resuscitation through Blended Learning
2 Part Process >>> course completion
• Cognitive-BLS, ACLS, PALS
• Skills Test with VAM- BLS, ACLS
• Receive Course Completion Card
Improving Resuscitation through Blended Learning
Benefits to Learner:
Self directed learning
Shorter than live class
Potential availability 24/7
Instant, objective feedback
Improving Resuscitation through Blended Learning
Benefits to Organization
Reduced costs
Clear cost structure
Consistent and standardized training
Diversifies training options
Improving Resuscitation through Blended Learning
Implementing
HeartCode
at
University of Missouri HealthCare
Improving Resuscitation through Blended Learning
pictures
Improving Resuscitation through Blended Learning
BLS Training Options
Live AHA BLS class (2 live classes per month)
 3.5-4 hours
 6-8 instructors
 24 students/class
(plus set up and take down time and instructor costs)
Improving Resuscitation through Blended Learning
BLS Training Options
AHA BLS Online + Live skills checks(2- 4 hour sessions per month)
2 hr online portion
1 hr skill check = about 3 hour total
4 instructors
36 participants per 4 hour skill check session
Improving Resuscitation through Blended Learning
pictures
Improving Resuscitation through Blended Learning
BLS Training Options
AHA BLS HeartCode
(Available daily)
<1.5 hours per student
9 students per day per available
No instructors needed
No set up or take down time
Improving Resuscitation through Blended Learning
pictures
Improving Resuscitation through Blended Learning
pictures
Improving Resuscitation through Blended Learning
ACLS Training Options
Live AHA ACLS class (1-2 live classes per month initial & renewal
9 hours (renewal) 16 hours (initial)
6-8 instructors each day @ $25/hr
24 students/class
(plus set up and take down time)
Improving Resuscitation through Blended Learning
ACLS Training Options
AHA ACLS HeartCode
(Available daily)
6 hours per student-average
4 students per day per available
No instructors needed
No set up or take down time
Improving Resuscitation through Blended Learning
pictures
Improving Resuscitation through Blended Learning
PALS Training Options
Live AHA PALS class (1-2 live classes per month initial & renewal
9 hours (renewal) 16 hours (initial)
6-8 instructors each day @ $25/hr
24 students/class
(plus set up and take down time)
Improving Resuscitation through Blended Learning
PALS Training Options
NEW! AHA PALS HeartCode (pilot program this month)
?? hours per student-average
1-2 students per day per available computer
No instructors needed-computer
Live skill check required-time???
No set up or take down time-computer
Set up and take down time plus instructor
costs
Improving Resuscitation through Blended Learning
Improving Resuscitation through Blended Learning
Barriers to using HeartCode …
(student)
 Fear of technology
 Lack of team support found in live classes
 Frustration
Improving Resuscitation through Blended Learning
Barriers to using HeartCode …
(institution)
 Concern about quality of training
 Equipment and software costs
 Administration costs
Improving Resuscitation through Blended Learning
COSTS
Traditional Classroom Costs Include:
•Lungs
•Cleaning supplies
•Equipment
•Class time/room costs
•Instructor costs
Improving Resuscitation through Blended Learning
Calculated Costs at Missouri Health Care:
Live BLS= $90 per student
Live ACLS= $342 per student for initial class
$210 per student for renewal class
Live PALS= $342 per student for initial class
$210 for renewal class
Heart Code BLS or ACLS= cost of licenses!
(+small incidental costs)
Improving Resuscitation through Blended Learning
Savings using HeartCode???
•Decreased class room time
•Decreased employee costs
•Decreased instructor time & cost
•Decreased maintenance supplies
Improving Resuscitation through Blended Learning
Additional benefits noticed at University of
Missouri Health Care:
•Offering multiple opportunities outside the structured
classroomstaff satisfaction!
•Address all learning styles
•Last minute recerts!
•Critical thinking in a safe environment-teaching environment
•Can use over and over to review-”practice makes perfect”
Improving Resuscitation through Blended Learning
SIMULATION
AT
UNIVERSITY OF MISSOURI
HEALTHCARE
Improving Resuscitation through Blended Learning
Traditional classes + e-Learning =
improved training opportunities and training
environments and takes pressure off of the
instructors to conduct more traditional classes
Improving Resuscitation through Blended Learning
Traditional classes + e-Learning +
Simulation=
Opportunities to improve skills and
build teamwork!
Improving Resuscitation through Blended Learning
Traditional classes + e-Learning + Simulation =
“Blended Learning” =
MORE LIVES SAVED!
Improving Resuscitation through Blended Learning
University of Missouri Health Care
There are multiple simulation opportunities for our
students and staff.
•Center for Education and Development Skills Lab
•Shelden Clinical Simulation Center
•Sinclair School of Nursing Simulation Lab
Improving Resuscitation through Blended Learning
Improving Resuscitation through Blended Learning
Improving Resuscitation through Blended Learning
Improving Resuscitation through Blended Learning
Sinclair School of Nursing and
Shelden Clinical Simulation Center
begin processes of learning by
simulation by working with nursing
and medical students as well as new
physician residents.
“pre-employee stage”
Improving Resuscitation through Blended Learning
“pre-employee stage”
BUT…
These people are on patient
care units, caring for patients
daily and they need to be
prepared for resuscitation
emergencies!
Improving Resuscitation through Blended Learning
The Center for Education and
Development Skills Lab and
Shelden Clinical Simulation Center
continue the training efforts by
working with students and staff.
“employee stage”
Improving Resuscitation through Blended Learning
Just as a code team needs both skills
and teamwork to work effectively, the
different simulation centers and groups
are working together collaboratively to
meet student and staff needs.
Improving Resuscitation through Blended Learning
At MUHC simulation is a large part
of the student learning process,
new employee orientation process,
ongoing learning & training
processes for all staff and is a
collaborative effort to provide safe
patient care.
Improving Resuscitation through Blended Learning
One example of an interdisciplinary
effort to improve resusication through
Blended Learning is
Mock Code Monday.
Improving Resuscitation through Blended Learning
Mock Code Monday
0730-0900 every Monday
•Interdisciplinary Mock Code practice
•Internal medicine physicians
•Nursing
•Respiratory Therapy
•Nursing students
•NEW! Anesthesia physician
•Uses ACLS instructors
•Uses simulation manikin in simulated setting
•Includes debriefing
Improving Resuscitation through Blended Learning
Meet
Mr. Cedrick Simman!
Improving Resuscitation through Blended Learning
Improving Resuscitation through Blended Learning
Improving Resuscitation through Blended Learning
Improving Resuscitation through Blended Learning
Introducing…
Cedrick Simman!
we have a clip…….
Improving Resuscitation through Blended Learning
Simulation is not just for the skills lab at
MUHC. Cedrick is an avid traveler. . . .
Some recent trips…
Training for Pediatric Transport team at
the MU Children’s Hospital
Training for the flight team for the
Helicopter Service
Improving Resuscitation through Blended Learning
In the future he plans to travel to:
MUHC’s remote facilities that don’t experience
codes very often but need to be able to
respond.
Cedrick is also scheduled to assist with some
of the other mandatory training required for
MUHC as a Level 1 Trauma Center, wherever it
needs to happen.
Improving Resuscitation through Blended Learning
To sum it up…
Improving Resuscitation through Blended Learning
Healthcare providers need to
respond to the changes in training
requirements, address different
learning styles, consider
challenging schedules and
workloads and use training
facilitators and dollars effectively
and efficiently!
Improving Resuscitation through Blended Learning
Blended Learning can be
the key to maintaining
certifications and
improving resuscitation!
Improving Resuscitation through Blended Learning
Thanks!