Variable


I know the BLS algorithm. I know the ACLS algorithm.


I need more knowledge about codes. I need more experience with codes.


Participating in code simulations and team debriefi ng is benefi cial to develop and maintain my readiness for codes.


I know my role in a code. Ability to recognize a fatal arrythmia


Ability to call staff emergency and code blue


Ability to assess responsiveness, airway, breathing, and circulation


Ability to assess and provide high quality CPR


Ability to provide ventilation through bag-valve-mask


Ability to correctly apply defi brillator Pads


Ability to operate the defi brillator


Ability to identify when ROSC has been achieved


Ability to document appropriate information during a code


Ability to fi nd and bring the code cart to the patient


Pre (n=21) 4 (4-4)


3 (2.75-4) 4 (3-4)


4 (3.75-4) 4 (4-4)


4 (3-4) 9 (8-10)


9 (9-10) 9 (8.75-10) 10 (9-10) 9 (8-10) 9 (7.75-10) 9 (7-9) 9 (7.75-9.25) 8 (6.75-9) 10 (9-10) Table 1. Questions and results from the simulation questionnaire.


Woughter said the team plans to run more simulations in the future and will expand what departments they work with.


“Our hope is to work with trauma, who does a lot of simulations, so we can do ASSERT response, which is our critical embolization response,” she said. “With that, we could start a simulation in the emergency department with a theoretical patient who has a bleed and then progresses to the IR suite where they have a cardiac response. With this scenario, we could work with a lot of diff erent teams.”


Woughter also hopes to collaborate with the cardiac ICU team, which occasionally runs ECMO simulations, as it is not


unheard of for a patient to be put on ECMO in the IR suite.


This multidisciplinary team approach is key to running eff ective simulations, Woughter said.


“The simulation equipment is expensive, so if someone in your facility already has it and knows how to use it, collaborating with them will make this project signifi cantly easier.”


She also encourages other IR teams who may be interested in establishing their own models to not be held back by concerns that IR is too specialized to eff ectively run codes.


irq.sirweb.org | 17


“Using a team approach is what will put you ahead and push you forward to take care of these complex, sick patients,” she said. “We shouldn’t be afraid to talk about what we don’t know—that’s how we get better.”


Post (n=35) 4 (4-5) 4 (2-4)


4 (3.25-4) 4 (4-5) 5 (4-5)


4 (4-5) 9 (8-10)


9 (8-10) 10 (9-10) 9 (9-10) 9 (9-10) 9 (8.25-10) 9 (8-10) 8 (7-10) 8 (7.25-9) 8 (7-9)


P value 0.0075 0.76


0.12 0.019 <0.0001


0.003 0.87


0.39 0.63 0.46 0.18 0.76 0.051 0.3 0.62 0.00039


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