377 Burn Intensive Care Unit Mock Code: Training that Makes a Difference

Abstract Introduction Mock simulation for cardiac arrest (Code Blue) and patient admissions is beneficial and improves burn team skill level and team communication. Mock simulation codes and mock simulation admission education was implemented on a 21 bed, adult and pediatric, Burn Intensive Care Unit. Burn Team members requested reinstatement of mock simulation codes and the addition of mock simulation admission education, as an adjunct to routine ACLS and PALS training, since ACLS and PALS training are non-specific to burn team roles and formal classes only occur once every two years. Methods Simulation scenarios were implemented randomly across multiple shifts and times. ACLS algorithms were utilized but tailored to specific burn care scenarios. Likert Scale surveys were anonymously given to the multidisciplinary team following the mock admission simulations to evaluate confidence levels, and areas for improvement. A debriefing was held after every simulation. For the mock code events, a more detailed simulation sheet was used to assess time to initiate compressions, quality of compressions, time to application of pads, time to first shock, time to first medication administration, role determination, and quality of communication between group members. Results Subjective data were collected from the Likert Scale regarding confidence levels, areas for improvement and best practice areas. Staff were satisfied to have the hands-on experience to practice skills amongst their burn team members. There was a positive response to increasing performance confidence levels. There was a positive response to increasing teamwork. Staff were also able to learn and become more familiar with location of supplies, procedural kits, the code cart, and the defibrillator. The objective data for the mock code simulations is currently being collected. There will be 8 simulations for the mock codes. Follow up data will be available after the simulations study is completed. Conclusions Staff felt a stronger sense of teamwork, there was an increase in confidence levels in emergency situations, and staff knew where to locate necessary supplies in a high stress situation. Results will be determined for the mock code events after the simulations have taken place. Applicability of Research to Practice Patient outcomes depend on the skills and knowledge of their providers, and the level of teamwork and communication between those providers. Mock admissions and mock codes have given prov