Seizure Rescue Medication: Caregiver Education in a Simulation Setting
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 2 - 80 |
| Updated: | 2/8/2019 |
| Start Date: | July 1, 2018 |
| End Date: | May 2019 |
| Contact: | Coral Stredny, MD |
| Email: | coral.stredny@childrens.harvard.edu |
| Phone: | 617-355-6000 |
1. Design an educational quality improvement program to assess the most effective educational
approach on caregiver seizure RM application. The investigators hypothesize that this
educational program will improve caregiver comfort, knowledge of emergent seizure care, and
time to medication application.
Specifically, the aims include:
1. Create an educational video reviewing RM administration
2. Develop and validate a simulation training model/mannequin for rectal diazepam
administration
3. Expand training to other seizure RMs (e.g. intranasal midazolam, buccal lorazepam) and
transition the most effective educational model back to the clinics/bedside to
standardize caregiver teaching throughout the department/hospital
approach on caregiver seizure RM application. The investigators hypothesize that this
educational program will improve caregiver comfort, knowledge of emergent seizure care, and
time to medication application.
Specifically, the aims include:
1. Create an educational video reviewing RM administration
2. Develop and validate a simulation training model/mannequin for rectal diazepam
administration
3. Expand training to other seizure RMs (e.g. intranasal midazolam, buccal lorazepam) and
transition the most effective educational model back to the clinics/bedside to
standardize caregiver teaching throughout the department/hospital
The investigators will implement an intervention jointly with a simulation program to
determine the most effective training model: verbal instructions, instructional video, or use
of a mannequin. Caregivers will undergo a training curriculum, and 60 caregivers (20 assigned
to each educational model) will be matched into three groups and assigned to participate in
one of three educational models in the SIM Center. Pre-and post-training questionnaires will
be distributed to assess provider knowledge and comfort level. Scoring of caregiver technique
administering rectal diazepam to a mannequin and time to RM administration will be obtained
to compare between the three educational arms of the study. Thirty additional patients (10
per group) will not receive an assessment of caregiver technique administering RM to the
mannequin prior to the educational intervention to control for exposure to the mannequin.
Ultimately, the most effective educational method in this simulation pilot study will be
expanded to other RM types (e.g. intranasal midazolam, buccal lorazepam), standardized, and
brought back to the clinics/bedside throughout the hospital.
determine the most effective training model: verbal instructions, instructional video, or use
of a mannequin. Caregivers will undergo a training curriculum, and 60 caregivers (20 assigned
to each educational model) will be matched into three groups and assigned to participate in
one of three educational models in the SIM Center. Pre-and post-training questionnaires will
be distributed to assess provider knowledge and comfort level. Scoring of caregiver technique
administering rectal diazepam to a mannequin and time to RM administration will be obtained
to compare between the three educational arms of the study. Thirty additional patients (10
per group) will not receive an assessment of caregiver technique administering RM to the
mannequin prior to the educational intervention to control for exposure to the mannequin.
Ultimately, the most effective educational method in this simulation pilot study will be
expanded to other RM types (e.g. intranasal midazolam, buccal lorazepam), standardized, and
brought back to the clinics/bedside throughout the hospital.
Inclusion Criteria:
1. Adult caregivers of patients with epilepsy followed at BCH with the following:
1. At least one seizure >5 minutes
2. Prescription for rectal diazepam rescue medication
3. Admission for seizure/neurologic problem or neurology/epilepsy clinic visit
during the enrollment period
2. Adult caregivers of patients without epilepsy
Exclusion Criteria:
1. Adult caregivers of epilepsy patients without a rectal diazepam prescription
2. Non-English-speaking caregivers
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