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FEM: Revista de la Fundación Educación Médica

versão On-line ISSN 2014-9840versão impressa ISSN 2014-9832

Resumo

LOPEZ-BAAMONDE, Manuel et al. Simulation for training the competence pre-anesthetic assessment: a common design for first year anesthesia residents and anesthesia nurses. FEM (Ed. impresa) [online]. 2018, vol.21, n.1, pp.47-54. ISSN 2014-9840.

Introduction:

Preoperative anesthetic assessment (PA) is a complex competence that anesthesia residents should acquire early in their training. Participation of specialized nurses in the PA is increasing since it is safe and efficacious. There is not an established curriculum in PA. Simulation may be an adequate methodology to train PA.

Aim:

To describe in detail the design and application of a simulation workshop for training residents and postgraduate nurses in the competence PA.

Subjects and methods:

Workshop of 2 hours duration, with clinical cases combining videotapes and role-playing. Workshop components were two homemade videos, one with a PA with errors and the other one with a correct PA, a checklist in which each participant assesses technical and non-technical components of the PA and a satisfaction survey for students and instructors. Three simulation scenarios of PA in complex patients were added for residents.

Results:

10 residents and 60 nurses participating in the workshop were surveyed. Satisfaction with the methodology applied was high for students and instructors. The percentage of passing the PA station of the final objective structured clinical examination (OSCE) of two promotions of nurses that had participated in the workshop was over 85% compared with only 20% of the previous promotion.

Conclusions:

A simulation workshop based on videos and role-playing allows to train the competence PA in anesthesia residents and postgraduate nurses, improving the performance of the latter in the OSCE.

Palavras-chave : Anesthesiology residents; Education; Educational videotapes; Nurses';; competences; Pre-anesthetic assessment; Simulation.

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