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Show Development of Multiple Trauma Activation Training for Surgical Services Rachael Hubertz, BSN, BSW, RN, DNP-S Jia-Wen Guo, Ph.D., RN Key Take Away: MTA training increases the emergency preparedness competency of surgical services employees in their response to a mass casualty incident (MCI). Purpose Methods This project aims to develop an MTA protocol and training materials for surgical services employees to increase their preparedness competency in response to a large influx of critical surgical patients during an MCI. Quality improvement project to increase emergency preparedness of surgical services during an MCI. Background MCIs create a large influx of patients, are becoming more prevalent, and require adequate training for healthcare personnel. MTA-specific protocols promote awareness and effective responses and increase access to healthcare. Intermountain Medical Center in SLC, UT, needs a Multiple Trauma Activation (MTA) protocol and MTA training material for surgical services. The lack of an MTAspecific protocol has the potential to impact patient care. The Emergency Preparedness Information Questionnaire (EPIQ) is a validated tool to measure the emergency preparedness of nurses. We created an adapted EPIQ tailored toward surgical services. The pre-MTA training online survey included an adapted EPIQ, General Self-Efficacy Score (GSE), and participant demographics. MTA protocol and training material were developed with 23 content experts. This pilot training was presented to 70 surgical services employees. Post-MTA training online survey included the adapted EPIQ and training feedback of pilot MTA training. Training Sample Demographics Results Total (N = 61) AMT (n = 1) Orderly (n = 9) RN (n = 36) Scrub (n = 15) Gender 0.421 Female 41 0 6 26 9 Male 20 1 3 10 6 Ethnicity 0.764 Non-Hispanic or Latino/a 49 1 8 28 12 Hispanic or Latino/a 7 0 1 3 3 Race 0.987 White 51 1 9 28 13 Asian 3 0 0 2 1 African American 1 0 0 1 0 Other 3 0 0 2 1 Years of Experience in Surgical Services 0.122 <1 14 0 5 9 0 1-2 19 0 3 10 6 3-5 10 0 0 7 3 >5 18 1 1 10 6 Range 0.063 30.8 (10.1) 44 23.6 (4.0) 32.1 (8.3) 32 (14.3) 18-65 44-44 23-30 22-59 18-65 GSE Score Mean (SD) Range Participants’ competency level was increased after MTA training (p = <.001). 70 employees attended the MTA pilot training; 61 provided demographic information, 60 completed the GSE, and 50 completed the pre-and post-EPIQ. GSE demonstrated a high self-efficacy score across all roles measured. Most participants identified time commitment for future training as a weekday workshop or a 2-hour lecture. The most preferred training modalities identified were face-to-face and simulation. Conclusion Age Mean (SD) p 0.922 32 (2.8) 32.6 (3.8) 32.3 (4.9) 29-38 27-40 23-38 MTA pilot training increased emergency preparedness competency for participants. More specific MTA role training is needed to ensure an efficient MCI response by surgical services. @uofunursing @utnurseresearch |
