Improved Emergency Resternotomy Response Time After a Nurse-Led Multimodal Simulation.
Background: Open chest emergencies are high-risk, low-frequency events. Resternotomy procedures should be performed within 5 minutes of a suspected complication. The inability to recognize a complication can delay meeting the 5-minute metric. Objectives: To improve nurses' recognition of cardiac tam...
| Publicado en: | Critical Care Nurse Vol. 45; no. 6; pp. 42 - 50 |
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| Autores principales: | , , , , |
| Formato: | CEU research Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189690509&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189690509 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02795442 1GD jtl: Critical Care Nurse issn: 02795442 maglogo: N pubinfo: dt: Dec2025 vid: 45 iid: 6 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 189690509 189690509 189690509 10.4037/ccn2025644 189690509 ppf: 42 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Improved Emergency Resternotomy Response Time After a Nurse-Led Multimodal Simulation. aug: au: Horabik, Diane Serrano-Smith, Migdalia Wood, Rachel Sobeck, Stephanie Siegmund, Lee Anne affil: Diane Horabik is a nursing professional development specialist, Cleveland Clinic, Office of Nursing Education and Professional Development, Cleveland, Ohio sug: subj: Sternum Surgery Emergency Medical Services Time Factors Simulations Education, Nursing Nursing Staff, Hospital Education Clinical Competence Quality Improvement Cardiac Tamponade Outcomes of Education Human Professional Development Learning Environment Education, Continuing (Credit) Feedback Skill Acquisition ab: Background: Open chest emergencies are high-risk, low-frequency events. Resternotomy procedures should be performed within 5 minutes of a suspected complication. The inability to recognize a complication can delay meeting the 5-minute metric. Objectives: To improve nurses' recognition of cardiac tamponade and awareness of equipment needed for resternotomy and to decrease response time from start of cardiac arrest to resternotomy. Methods: In coordination with key stakeholders, the nursing professional development specialist created a 4-hour multimodal education program that included classroom engagement, deliberate practice, and a high-fidelity simulation with detailed prebriefing and debriefing. In 2023 the course was increased to 8 hours to allow for a repeat of the simulation. Results: A total of 444 nurses participated. The mean (SD) setup time in preparation for sternotomy in 2021 was 311.2 (101.7) seconds, or 5.2 minutes; in 2022 was 323.8 (183.7) seconds, or 5.4 minutes; and in 2023 (after the repeated simulation was added to the course) was 254.8 (170.4) seconds, or 4.2 minutes, which was less than the 5-minute metric. Conclusions: After attending the course, nurses' response time during simulation of an open chest emergency improved. pubtype: Academic Journal doctype: CEU research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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