Retrospective Study
Copyright ©The Author(s) 2020.
World J Crit Care Med. Dec 18, 2020; 9(5): 74-87
Published online Dec 18, 2020. doi: 10.5492/wjccm.v9.i5.74
Table 5 Preparedness efforts by pediatric intensive care units
COVID-19 training modalitiesn (%)
Modalities currently utilized for training staff?
Video/teleconference17 (7.27)
Didactic12 (54.55)
Online modules10 (45.45)
Simulation-based training18 (81.82)
Virtual reality1 (4.55)
Other
Importance of simulation-based training for the preparation of PICU staff for COVID-19 patient management
Extremely important9 (40.91)
Important7 (31.82)
Neutral1 (4.55)
Unimportant
Not at all important
Objectives of the simulation-based training
PPE, donning and doffing12 (54.55)
Individual procedural skills, i.e. intubation13 (59.09)
Team training, i.e. CPR16 (72.73)
Team dynamics, i.e. communication17 (77.27)
Mass casualty and surge capacity management1 (4.55)
Diagnostic testing1 (4.55)
Facility utilization and contingency planning, use of negative pressure rooms2 (9.09)
Tent deployment1 (4.55)
Other
Location of the training
Simulation center3 (13.64)
In situ, in its original place or location17 (77.27)
Classroom setting
Other format, boot camp1 (4.55)
Simulation equipment
High-fidelity, full body mannequin, simulator13 (59.09)
Low-fidelity, full body mannequin, simulator 7 (31.82)
Task trainers, intubation heads, central line trainers, etc.7 (31.81)
Standardized patients, actors1 (4.55)
Virtual Reality3 (13.64)
Other
Participating members
Physicians17 (77.27)
Nurses17 (77.27)
Respiratory therapists15 (68.18)
Technicians5 (22.73)
Residents/fellows15 (68.18)
Students
Other staff
What simulation training was the MOST helpful
PPE, donning and doffing6 (27.27)
Individual procedural skills, i.e. intubation8 (36.36)
Team training, i.e. CPR12 (54.55)
Team dynamics, i.e. communication10 (45.45)
Other1 (4.55)
What simulation training was the LEAST helpful
PPE, donning and doffing3 (13.64)
Individual procedural skills, i.e. intubation2 (9.09)
Team training, i.e. CPR2 (9.09)
Team dynamics, i.e. communication2 (9.09)
Other8 (36.36)
Facilitators of the simulation-based training
Presence of a simulation center7 (31.82)
Presence of a simulation team in your department/hospital15 (68.18)
Buy-in/support from hospital administration team8 (36.36)
Involvement in other simulation collaborative and simulation leadership7 (31.82)
Other8 (36.36)
Challenges to execute simulation-based training
Buy-in/support from hospital administration team1 (4.55)
Financial resources7 (31.82)
Securing adequate supplies, PPE7 (31.82)
Staff buy-in and participation4 (18.18)
Lack of a trained simulation team
Lack of simulation logistics/supplies4 (18.18)
Lack of time for preparation5 (22.73)
Lack of desire for this form of training1 (4.55)
Other7 (31.82)
Development of novel or unique training equipment or training aides
Yes, i.e. intubating fume hood, please share7 (31.82)
No10 (45.45)