Improving infant LP outcomes through just-in-time refreshers

• Overview of an infant LP educational project• To describe “just-in-time” skill refreshers …and how YOU can help!

skill

MasteryRefresher

Clinical LPRefresher

Clinical LP

What is a just-in-time refresher?• Brief (≈ 5 minutes) coached refresher

– You supervise resident’s performance on simulator before they perform on a patient

– Great opportunity for hands-on teaching– Goal = polish skills before clinical performance

1. Set-up simulator• Fill bottle with water up to fill-line

• Insert bottle in pressure bag

• Inflate bag until pop-off valve hits 150mmHg

Refresher Details

1. Set-up simulator 2. Supervise simulator LP

• Ask learner to show you what they know • Give feedback, answer questions• Complete side 1 of form

3. Supervise clinical LP• Complete side 2 of form

*Place data collection form into POISE box in clinical area*

Refresher Details

Global rating scale

Beginner

☐Extensive guidanceMore than 2 prompts

needed

Rate the performance at the start of the simulator session

Competent

☐Minimal guidanceOne or two prompts

needed

Proficient

☐Performed

independentlyNo guidance needed

Expert

☐Performed

independently, confidently and

efficientlyNo guidance needed

• Prompt: A verbal interjection to either prevent or correct an error

• Near-miss events:

Teachable Moment- Holder

Teachable Moment- Betadine

Teachable Moment- Needle Insertion

THANK YOU FOR YOUR TIME