VCOM Louisiana Research Day Program Book 2024

Education, Simulation and Best Practices

Savannah Howie, OMS-II VCOM-Louisiana 62 MANAGEMENT OF THE FEBRILE INFANT

Background: The case of the febrile infant has not only been historically difficult to manage but also difficult to develop satisfactory care algorithms for. With the ever-evolving realm of medicine, new recommendations and practice guidelines would emerge and convolute current care algorithms for decades. Finally, in 2021, utilizing advances in clinical testing and evidence-based strategies, the American Academy of Pediatrics (AAP) developed three age-based algorithms which not only speed up processing of a febrile neonate but also improve infant outcomes. Since the publication of these age-specific algorithms, a simulation-based case of a febrile infant has not been published utilizing these specific algorithms as a step-by step guide for proper management. Objective: Does providing simulation-based training for the management of a febrile infant improve outcomes? Does providing simulation-based training for the management of a febrile infant improve confidence and capabilities to manage a case? What are the considerations for implementing simulation-based febrile infant case training into the curriculum of osteopathic medical schools?

the management of a febrile infant improve communication skills when there is uncertainty in diagnosis? Utilizing previous (i.e., prior to 2021) febrile infant simulation-based cases as a backbone and combining the AAP algorithms, three age-based febrile neonate simulations will be designed. Then, these will be built into the LLEAP simulation and tested with a small population of participants for preliminary testing and to identify required edits. Once ready for larger populations, pre- and post-surveys will be designed for quality improvement assessments to be completed by the participants (select VCOM students and faculty). Methods: Design: Utilize prior (before 2021) simulations for febrile infants as backbone, and combine new AAP algorithms to design 3 new age-based febrile infant simulations Build: Create new age-based febrile infant case simulations in the LLEAP platform Pilot Testing: Small groups of participants (VCOM students and faculty) do preliminary testing of simulations and provide feedback for required edits

Revise: Make necessary edits and updates to the simulations based on preliminary testing feedback Finalize: Complete final versions of the 3 age based febrile infant case simulations ready for broader implementation Assessments: Create pre- and post-surveys for quality improvement and feedback from participants Implement: Integrate case simulations into VCOM curriculum and offer as optional training for nursing/healthcare staff Analyze: Collect and review assessment data and feedback to make any further refinements Long-Term: Maintain simulations as part of ongoing VCOM curriculum and local healthcare training options Results: Results will be based upon the quality improvement assessments. Conclusions: The project will remain quality improvement based until ready for learners and public use. Therefore, the ultimate goal of this research is to implement in VCOM curriculum and as an optional training for local nursing and other healthcare professional staff.

Does providing simulation-based training for

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