SIMULAZERO: taller de simulación para actualizar conocimientos y habilidades en la prevención de la neumonía asociada a ventilación mecánica y bacteriemia relacionada con catéter (Proyectos Zero)

Abstract

Evidence shows that training critical care nurses in the prevention of ventilator-associated pneumonia (VAP) and catheter-associated bacteremia (CBB) reduces ICU length of stay and mortality. The Advisory Council of the «Zero Tolerance» Safety Projects of the Ministry of Health proposes to promote such training and the teaching methodology of simulation emerges as optimal for training the necessary skills and knowledge. Simulation-based learning is a student-centered teaching methodology that promotes immediate and participatory feedback between teachers and participants, known as debriefing.

The objective is to develop technical skills (necessary to carry out a specific procedure) or non-technical skills (communication, leadership, teamwork, situational awareness, decision making, use of resources, safe practice and reduction of adverse events).

The SIMULAZERO course is based on a Objective structured clinical examination (OSCE) composed of two low-fidelity scenarios for training in secretion aspiration technique and catheter insertion respectively and a high-fidelity scenario for the development of non-technical skills.

We describe how to prepare each scenario (clinical case, script for the actors and necessary material) so that the training can be implemented in the intensive care unit itself, as well NEUMOBACT instrument, as the evaluation grid on which to base the development of the debriefing.