MOCK SIMULATION In this study, you will be prompted to watch a demonstration, complete the APP-QSAT, and answer 3 short questions. APP-QSAT PRIMARY ASSESSMENT * ABCDE approach: Airway, Breathing, Circulation, Disability-GCS, Environment Requests monitoring and VS: HR, BP/Spo2/RR/Temp), blood sugar Rhythm Assessment: identify ST Identify Problems: vocalize PE with cardiogenic shock vs. sepsis IV/IO/CVC access: ask for PIV and plan for CVC NOVICE: Delayed or incomplete performance of all criteria ADVANCED BEGINNER: Delayed or incomplete performance of 75% criteria COMPETENT: Delayed or incomplete performance of 50% criteria PROFICIENT: Delayed or incomplete performance of 25% criteria EXPERT: Skills completed with no improvement needed DIAGNOSTIC ACTIONS * Obtain targeted history: Gather HPI, PMH, Medication List, Allergies Physical exam focus assessment: Assess the Knee, Leg. US for cardiac Bloodwork: order CBC, CMP, hepatic panel, INR/PTT, lactate, VBG, ABG Imaging: order CXRAY, CTA, EKG Extended Data : Request Ultrasound, CVC, Aline NOVICE: Delayed or incomplete performance of all criteria ADVANCED BEGINNER: Delayed or incomplete performance of 75% criteria COMPETENT: Delayed or incomplete performance of 50% criteria PROFICIENT: Delayed or incomplete performance of 25% criteria EXPERT: Skills completed with no improvement needed THERAPEUTIC ACTIONS * Priority Intervention: Prioritize US and CTA Chest Medications: IVF resuscitation, levophed, heparin drip, antibiotics Address lab results: request lab results and provide intervention if necessary Address imaging results: Address CTA chest results Appropriate consult: IR consult, ICU consult NOVICE: Delayed or incomplete performance of all criteria ADVANCED BEGINNER: Delayed or incomplete performance of 75% criteria COMPETENT: Delayed or incomplete performance of 50% criteria PROFICIENT: Delayed or incomplete performance of 25% criteria EXPERT: Skills completed with no improvement needed COMMUNICATION * Introduction: Introduces self, demonstrates situational awareness Communication: communicates concisely through SBAR, functions as a collaborative team member Prioritization: establishes resource utilization, prioritizes safety measures, anticipates next steps and plans Leadership: Establishes workload distribution, ownership of the situation Consultation: Present consults clearly or instructs another member to call NOVICE: Delayed or incomplete performance of all criteria ADVANCED BEGINNER: Delayed or incomplete performance of 75% criteria COMPETENT: Delayed or incomplete performance of 50% criteria PROFICIENT: Delayed or incomplete performance of 25% criteria EXPERT: Skills completed with no improvement needed OVERALL PERFORMANCE * NOVICE: All skills require significant improvement ADVANCED BEGINNER: 75% skills require moderate or significant improvement COMPETENT: 50% skills require moderate improvement PROFICIENT: 25% skills require minor improvement EXPERT: Skills completed with no improvement needed Do you find the tool useful? * All of the individual domains are weighted equally, how do you feel about this? * EX: ABCDE approach is equal to Identify problems How can the tool be improved? * PRIMARY ASSESSMENT * ABCDE approach: Airway, Breathing, Circulation, Disability-GCS, Environment Requests monitoring and VS: HR, BP/Spo2/RR/Temp), blood sugar Rhythm Assessment: identify ST Identify Problems: vocalize PE with cardiogenic shock vs. sepsis IV/IO/CVC access: ask for PIV and plan for CVC NOVICE: Delayed or incomplete performance of all criteria ADVANCED BEGINNER: Delayed or incomplete performance of 75% criteria COMPETENT: Delayed or incomplete performance of 50% criteria PROFICIENT: Delayed or incomplete performance of 25% criteria EXPERT: Skills completed with no improvement needed Survey Option 1 Strongly Disagree Disagree Neutral Agree Strongly Agree Option 2 Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree Thank you!