Clinical Solutions Academywebapp.cchcs.org/tutorials/SUHelp/American_Red_Cross_Resuscitati… · The first learning activity in a BLS, ALS, or PALS curriculum is to create a hStream

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AMERICAN RED CROSS PROGRAM STUDENT GUIDE

Clinical Solutions Academy

May 2020

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Table of Contents Overview .................................................................................................................................................................. 4

Enrolling in the content .......................................................................................................................................... 4

Curriculum Components ....................................................................................................................................... 4

hStream ID Creation .......................................................................................................................................... 5

Verify Profile Information ................................................................................................................................ 10

Cognitive Course .............................................................................................................................................. 11

Adaptive Learning .............................................................................................................................................. 13

Resources ........................................................................................................................................................... 14

Team Response Scenarios ............................................................................................................................... 15

Course Progress ................................................................................................................................................ 17

Final Exam ........................................................................................................................................................... 18

Evaluation............................................................................................................................................................ 19

Skills Validation Overview ................................................................................................................................... 20

Interactive Manikin Skills Validation ............................................................................................................... 20

Scoring Dashboard ............................................................................................................................................ 31

Resuscitation Skills App Icon Descriptions ....................................................................................................... 33

Hand Positioning................................................................................................................................................ 33

Compression Matrix ......................................................................................................................................... 34

Compression Indicator..................................................................................................................................... 35

Chest Compression Fraction Indicator ......................................................................................................... 36

Ventilation Indicator ......................................................................................................................................... 36

Connecting to a Different Manikin ................................................................................................................. 37




Overview The purpose of this document is to provide an overview of the workflow for students to complete the American Red Cross cognitive training for BLS, ALS, or PALS; and complete subsequent skills validation with an hStream certified interactive manikin.

Successful completion of this process will award students their American Red Cross digital certificate for BLS, ALS, or PALS.

Students will complete a curriculum that includes a cognitive eLearning course and a manikin skills validation. The student will have unlimited attempts to take the curriculum assignment until successful.

Enrolling in the content

Students will receive the assignment for BLS, ALS, or PALS from their HealthStream administrator.

Note: Some organizations will have the curriculum available for enrollment through the Catalog within HealthStream. If this is applicable to your organization, follow the policy at your facility for enrolling in an American Red Cross curriculum using the Catalog self-enrollment option.

Curriculum Components

The American Red Cross BLS, ALS, and PALS certification curriculums each contain Learning Activities, which must be completed in sequential order. The student will be required to complete the American Red Cross BLS, ALS, or PALS program through the following process:

• hStream ID Creation • Verify Profile Information • Cognitive Course • Cognitive Course Evaluation • Resuscitation Skills Validation




hStream ID Creation

The first learning activity in a BLS, ALS, or PALS curriculum is to create a hStream ID. The hStream ID provides secure cloud-based storage and portability of the student’s digital certificate(s), even if the student leaves the organization. Additionally, the credentials created during the hStream ID learning activity are used to log into the Resuscitation Skills app on the iPad and perform the manikin led skills validation.

Select the Start button for the learning activity: Create hStream ID, to create your hStream ID.




Enter demographic data in each of the required fields, then click Continue.

Important: The email address or mobile number that you enter in the Personal Email field or Mobile Number field will be your hStream ID; this is where your confirmation code will be sent. For example,

• If you choose to have the confirmation code sent to your Personal Email, your personal email address will always be your hStream ID.

• If you choose to have your confirmation code sent to your Mobile Phone, your mobile phone number will always be your hStream ID.

Note: If you already have an hStream ID click Sign In at the bottom of the page to go directly to the hStream ID login page.

The six-digit confirmation code sent to either your email or mobile phone is from [email protected] and will expire after 24 hours. If you cannot locate the confirmation code, check your email spam folder or search for hstream. Cell phone reception may also impact your ability to receive the confirmation code text.

mailto:[email protected]




Enter the verification code sent to your email or phone and click Continue.




Once the code has been confirmed, you will receive a registration message. Click Continue to navigate to the next screen.

To complete activation of your hStream ID, enter your email address or mobile number and password on the hStream Sign In screen (depicted below) and not from the link sent to your email or text.




A success screen will now display confirming the hStream ID. Click Return to Course to begin working on the cognitive course learning activity.

Note: After confirming your hStream ID, your email/mobile number will now appear within the hStream ID learning activity. This is helpful if you forget which email or mobile number you used. You can also change/reset your hStream ID password using the Reset it link.




Verify Profile Information

The second learning activity is to verify profile information. This verification allows CE credit to be applied to an active license within the student’s profile.

* This activity is only required if the student has not verified their profile for CE Courses within the past year.

When starting the profile verification activity, first indicate if you are earning CE credit for license renewal by selecting either Yes or No.

If you select Yes, the license(s) that are currently in the student’s profile are listed. Students can verify licensure information, edit a license, or add a new license.




Cognitive Course

The American Red Cross BLS, ALS, or PALS cognitive courses are self-guided, self-paced, online courses based on International Liaison Committee on Resuscitation (ILCOR) consensus statements. Each course is divided into six interactive and adaptive learning lessons and a final assessment.

Once the student accesses the cognitive course, he or she can view the short video introduction and a navigation tutorial to assist with basic course function and workflow.

Lessons within the American Red Cross BLS, ALS and PALS cognitive courses can be completed in any order, except for the Final Assessment. The Final Assessment contains the final exam and will unlock when all lessons are complete.




Each lesson contains a set of required learning categories. Completed categories are indicated with a blue checkbox.

Interactive lesson content for the American Red Cross BLS, ALS and PALS cognitive courses consists of information panels, illustrations, graphics, video demonstrations, and knowledge check questions. Learning is self-paced, allowing students to work through each activity based on their current knowledge of each topic.

To navigate forward or backward through the content of each lesson, use the arrows in the top menu:




Adaptive Learning

The American Red Cross BLS, ALS, and PALS courses are built around adaptive learning principles, which enables the student to take a pre-assessment to generate an individualized learning plan.

For example, passing a topic in the pre-assessment will mark that topic as passed in the lesson. Any passed topic is not required for review by the student. The illustration below shows that a student has completed the pre-assessment and passed the Teamwork topic, resulting in a blue check next to that topic in the lesson plan.

Note: Students may review all material by selecting Review All Topics, regardless of the topics that were passed in the pre-assessment.




Resources

The American Red Cross BLS, ALS, and PALS courses contain a vast number of resources that are available to the student. Resources include the participant’s manual, treatment guidelines, skills sheets, glossary, bibliography, and video demonstrations. All resources, except for the video demonstrations, can both be downloaded and printed by the student for later access.

Click on the Resources icon in the top menu to expand the RESOURCES section.

Once the list is open, click on the desired resource group to expand the options available:




Team Response Scenarios

The American Red Cross cognitive courses contain realistic team response scenarios that cover a variety of environments and situations for BLS, ALS, and PALS. Students must demonstrate critical thinking and problem-solving skills in these scenarios.

Team response scenarios are the final learning activity inside of each lesson and completion of all scenarios is required before attempting the final exam. The student will have unlimited attempts to pass each scenario.

Using the arrows to navigate through the scenarios, answer all questions when prompted.




A scenario mentor will provide feedback to your correct and/or incorrect answers.

Once the scenario is complete, you will be scored and provided with decision feedback on each answer. All scenarios can be replayed, regardless if the scenario was passed.




Course Progress

The American Red Cross icon will return you to the main lesson overview page.

Progress for each lesson is indicated with the circle icon, which will fill as activities are completed. A checkmark will indicate a completed lesson:

A banner at the bottom of the screen will also show the completion percentage for the overall course:




Final Exam

When all six lessons are complete in the course, the Final Assessment containing the Final Exam will be available. Progress is saved during the test, allowing the student to explore content as needed.

The pass rate for the final exam for all courses is 84%. All final exams allow unlimited attempts.

Once you pass the final exam, you will have the option to view the Completion Record.

Once the cognitive course is complete, continuing education credit is awarded for approved disciplines accredited through the American Red Cross.




Evaluation

Upon completion of the final exam in the cognitive portion of BLS, ALS, and PALS, the evaluation learning activity will unlock. The evaluation must be completed prior to attending the skills validation.

The evaluation is confidential. The student can pause the evaluation and resume at a later time.




Skills Validation Overview The following pages describe the skills validation process with the hStream certified interactive manikin. Please refer to your facility-specific policies for additional information on the skills validation process.

Interactive Manikin Skills Validation

After you complete the evaluation, you can begin the skills validation course. Begin the course by clicking the Start button.

Now click the Start button on the next learning activity to view facility-specific instructions for completing a skills validation with an interactive manikin.




After reviewing the instructions for completing the manikin skills learning activity, you can close the assignment and log out of the HealthStream system. The skills validation is performed on an interactive manikin and an iPad by following these steps:

As directed in the facility instructions, locate the iPad and interactive manikin at your facility when ready to perform a skills validation session. Position the iPad in portrait mode and sign in by entering the passcode established by your facility. Note: Your facility may not require a passcode to access the iPad.




Find and tap the Resuscitation Skills icon. You may need to swipe left or right to locate the icon.

Now tap the Login with hStream button at the bottom of the page to open the sign in screen.




Sign into the Resuscitation Skills app using your hStream ID. The hStream ID is the email address or mobile number and password combination you selected during the hStream ID learning activity. See the hStream ID Creation section, listed above.

Note: When entering a mobile number, enter the entire 10-digit phone number without dashes or spaces. Example: 8885553333.

After signing in, a video will display that describes the skills validation process. Once you have viewed the video, swipe right or tap the arrow to move to the next screen. You can also skip this page by tapping “Skip” on the upper right part of the screen.




This screen will provide facility specific instructions that will guide you in the validation process. Tap the play button to view the video or tap the instructions at the bottom of the screen to open any document/online assets. You can also skip this page by tapping “Skip” on the upper right part of the screen.

A listing of required skills organized by certification will now display. You must complete all skills listed to complete the curriculum and obtain your card. To “unlock” a set of skills, you must connect to the appropriate manikin type (adult, child, infant), which is dependent on the certification you are trying to obtain.

To unlock a set of skills, tap on the “Manikins” link at the bottom of the screen to proceed to the Manikin Connections Page.




Now tap on the Connect button next to the appropriate manikin type for the skill set you wish to unlock.




Ensure the manikin is powered as described in the following images:

Adult/Child:

Power the adult/child manikin on using the black power switch located at the bottom. The power status indicator will illuminate green and the Bluetooth button will begin flashing blue every two seconds. You should also see the manikin’s forehead flash red once to indicate the manikin has been powered on.

Infant Manikin:

Power the manikin on by pressing the power button located on the manikin’s right side. The power status indicator will illuminate green and the manikin’s forehead flash red once to indicate the manikin has been powered on. Note: The panel on your infant manikin may be red in color; however, the button locations are the same.

Bluetooth Indicator

Power Switch

Power Status Indicator




After powering on the manikin, it should appear in the Connectable manikin window on the iPad. Select the manikin by tapping the name on the listing and then tapping Connect. The manikin should connect to the iPad within a few seconds.

A connection between the manikin and the iPad is indicated when the Bluetooth light on the manikin is solid blue. The forehead light on the adult and infant manikin will also illuminate to indicate a Bluetooth connection. If connecting to a child manikin, the chest lights will illuminate.




The manikin icon on the Manikin Connections screen will also reflect an established Bluetooth connection. Tap the Home button at the bottom left of the screen to return to the skills listing.

Note: After establishing a Bluetooth connection, you may receive a pop-up notification asking you to update the firmware. It is important to always select the “Update” option to install the most recent version of manikin firmware. Updating the firmware ensures optimal performance of the Brayden Pro manikins.

For additional information on the firmware update prompt, refer to the Red Cross Resuscitation Suite -Brayden Pro Manikin Firmware Update by Prompt – Quick Reference Sheet.




After connecting to the appropriate manikin type, all corresponding skills will unlock. Tap the name of a skill to open the skills check screen.

When ready to begin the skills validation, tap the Start Skills Check button. After tapping the button, a three-second count-down timer will start, allowing you to get into proper position to perform the skill.




As you perform the skill, watch the icons to track your performance. A description of the icons and what they represent can be found in the Resuscitation Skills App Icon Descriptions section of this document.




Scoring Dashboard

After you have completed the required number of compressions, ventilations, and/or CPR cycles, your performance will be calculated automatically, and the scoring dashboard will appear as shown below.

Note: You can end the skills check early by tapping the End Skills Check button; however, you will not obtain a score.

The scoring dashboard shows your overall score, the radar chart, and text feedback on your performance.

The radar chart is a graphical representation of your performance according to the individual key CPR metrics in a particular skill. The goal is to have as much coloration in the radar chart as possible. The fuller the chart, the higher the score.

In the example below, the student performed well with ventilation rate, chest compression depth, chest compression release and the required number of chest compressions, as noted by the extension of the coloration to the outside border. Metrics that lowered the student’s overall score were the ventilation volume, compression rate and the Chest Compression Fraction (CCF), or time off the chest, represented by lack of coloration to the outside border.




Tap a skill name to view the scoring percentage for that particular metric.




Resuscitation Skills App Icon Descriptions Hand Positioning

While performing compressions, a green checkbox indicates correct hand placement. A red “No” icon represents incorrect hand placement.

On the adult and junior manikin, the red icon will also appear in the location that is incorrect.




Compression Matrix

Compressions that are too fast will appear as dots in the right column. Compressions that are too slow will appear as dots in the left column. Compressions that are too deep will appear in the bottom row. Compressions that are too shallow will appear in the top row. Hollow dots along the top of the matrix represent compressions with poor chest recoil. The goal is to keep the dots within the center square.




Compression Indicator

The compression indicator will show compression depth, compression rate, and chest recoil metrics. A correct compression is indicated when the entire circle flashes green. See image below to see the coloration feedback for each metric:




Chest Compression Fraction Indicator

The compression indicator converts to a timer between compression cycles. The number in the center represents seconds off the chest and will correspond to the Chest Compression Fraction (CCF) calculation on the scoring dashboard. When performing CPR, the goal is to minimize interruptions between cycles to less than 10 seconds.

Ventilation Indicator

Ventilation volume is represented by a change in coloration of the lung symbol. Proper ventilation volume is shown as green, while overinflating the lungs is shown as red coloration. If the lung symbol changes to grey, the ventilation volume was too low.

An audio tone also indicates if the ventilation was performed correctly.

Ventilation force is represented by a change in the coloration of the lung outline. When a ventilation is delivered with too much force, the lung is outlined in bold red.




Connecting to a Different Manikin

1. Depending on the certification, you may need to perform skills on either the adult and infant (BLS) or child and infant (PALS) manikin. To connect to a different manikin, tap Manikins at the bottom of the screen on the skills listing menu.




Disconnect from the manikin by tapping the red Disconnect button. After disconnecting from the current manikin, you can now reconnect to a different manikin following the same process outlined in the previous steps.

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Successful completion of all required interactive manikin skills is reflected in the Congratulations screen message, shown below. The digital certificate and wallet card will be sent to the email address specified by either your hStream ID or the email address listed within your HealthStream system. The digital certificate and wallet card are also available within your student profile.

Documents

Clinical Solutions Academywebapp.cchcs.org/tutorials/SUHelp/American_Red_Cross_Resuscitati… · The first learning activity in a BLS, ALS, or PALS curriculum is to create a hStream