Jennifer Dale-Tam RN, MSN, CNCC(c), CCSNE, CHSE-A’s Post

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Simulation Educator at a Large Academic Hospital and Simulation Center

Implemented our first insitu sim today on our QI project of delirium identification and management by healthcare staff. It was a unique experience blending approaches used for theatre based sim with insitu simulation and included aspects of ongoing inservicing education. Thankful to our dementia and geriatric advanced practice nurses for collaborating with me on this and being present for the debrief as content experts. Key takeaways for the healthcare staff: ➡️Recognize new onset confusion even in the context of dementia or cognitive diseases. ➡️Complete a confusion assessment method tool for new onset delirium before communicating with MD ➡️Use of SBAR report ➡️Use of the delirium order set by MDs to ensure proper investigation of causes. 3 more simulations to complete over the next 2 months, then we will pull metrics from our EMR to assess for translation of knowledge and skills around delirium identification & management and compare to the baseline. We hope to have a positive effect on patient care.

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