Diego Andrés Díaz-Guio1, Alejandra Ricardo-Zapata2, Jeniffer Ospina-Velez2, Gabriel Gómez-Candamil2, Santiago Mora-Martinez1, Alfonso J Rodriguez-Morales3. 1. Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia; Faculty of Health Sciences, Universidad Alexander von Humboldt, Armenia, Quindío, Colombia. 2. Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia. 3. Vital Care Centro de Simulación Clínica, Armenia, Quindío, Colombia; Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnológica de Pereira, Pereira, Risaralda, Colombia; Grupo de Investigación Biomedicina, Faculty of Medicine, Fundación Universitaria Autónoma de las Américas, Sede Pereira, Pereira, Colombia.
Abstract
INTRODUCTION: The Personal Protective Equipment (PPE) is essential to avoid the COVID-19 spread to health care workers. Its use can be difficult, posing a high risk of contamination, mainly during doffing, then with the risk of becoming infected. METHODS: We conducted a prospective before-and-after design that used clinical simulation as a research methodology in a clinical simulation center of Colombia. A simulation-based educational intervention with two cases related to COVID-19 was proposed in the emergency room and the intensive care unit. We conducted A workshop for donning and doffing of personal protective equipment (PPE) and a debriefing after the first case. RESULTS: In the pre-test, 100% of participants failed donning and doffing PPE, 98.4% were contaminated, only one-person did not contaminate out of. The mean cognitive load was high (7.43±0.9 points). In the post-test, 100% were successful in donning the PPE and 94.8% in doffing; only 9.8% were contaminated. The mean of the cognitive load was low (4.1±1.4 points), and the performance was high (7.9±1.1). Of the total, 73.8% of participants reported overload in the doffing. The most difficulties were in gown/overall, and N95 mask removal. DISCUSSION: The PPE donning and doffing is critical and may be changed significantly by active training. In responding to the current COVID-19 pandemic in 2020, activities of training in donning and doffing PPE would provide a means of training personnel, reducing the cognitive load and maybe the risk of contamination and infection of health care workers.
INTRODUCTION: The Personal Protective Equipment (PPE) is essential to avoid the COVID-19 spread to health care workers. Its use can be difficult, posing a high risk of contamination, mainly during doffing, then with the risk of becoming infected. METHODS: We conducted a prospective before-and-after design that used clinical simulation as a research methodology in a clinical simulation center of Colombia. A simulation-based educational intervention with two cases related to COVID-19 was proposed in the emergency room and the intensive care unit. We conducted A workshop for donning and doffing of personal protective equipment (PPE) and a debriefing after the first case. RESULTS: In the pre-test, 100% of participants failed donning and doffing PPE, 98.4% were contaminated, only one-person did not contaminate out of. The mean cognitive load was high (7.43±0.9 points). In the post-test, 100% were successful in donning the PPE and 94.8% in doffing; only 9.8% were contaminated. The mean of the cognitive load was low (4.1±1.4 points), and the performance was high (7.9±1.1). Of the total, 73.8% of participants reported overload in the doffing. The most difficulties were in gown/overall, and N95 mask removal. DISCUSSION: The PPE donning and doffing is critical and may be changed significantly by active training. In responding to the current COVID-19 pandemic in 2020, activities of training in donning and doffing PPE would provide a means of training personnel, reducing the cognitive load and maybe the risk of contamination and infection of health care workers.
Authors: Guilherme Schneider; Felipe Lazarini Bim; Álvaro Francisco Lopes de Sousa; Evandro Watanabe; Denise de Andrade; Inês Fronteira Journal: Rev Lat Am Enfermagem Date: 2021-04-01
Authors: Carolyn M Audet; Bryan E Shepherd; Muktar H Aliyu; Mosa Moshabela; Mariah J Pettapiece-Phillips; Ryan G Wagner Journal: Glob Health Action Date: 2021-01-01 Impact factor: 2.640
Authors: Ivana T Croghan; Ryan T Hurt; Christopher A Aakre; Shawn C Fokken; Karen M Fischer; Stephanie A Lindeen; Darrell R Schroeder; Ravindra Ganesh; Karthik Ghosh; Brent A Bauer Journal: J Prim Care Community Health Date: 2022 Jan-Dec