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Quick Competence and Educational Plan for a New PH Program

Angela Hawthorne

Patricia Lawrence

C Davis

L Mastin

C Winn


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Conference: 2013 PH Professional Network Symposium

Release Date: 09.28.2013

Presentation Type: Abstracts

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Quick Competence and Educational Plan for a New PH Program

A. Hawthorne, MS, RN-BC, CPN; P. Lawrence MSN, RN, CPNP, C. Davis MSN, RN; L. Mastin BSN, RN, CPN; C. Winn BSN, RN

Children’s Healthcare of Atlanta, Atlanta, Ga.


PURPOSE: To describe the process of quickly educating healthcare providers on pulmonary hypertension (PH) and the treatments, using acollaborative and innovative educational plan.

BACKGROUND: Prior to 2011, pediatric patients in the state of Georgia with moderate to severe pulmonary hypertension (PH) required referral topediatric PH programs outside the state. In April of 2011 Children’s Healthcare of Atlanta started a PH program with a multidisciplinary approachutilizing Cardiology and Pulmonology specialist in unison. This program experienced a 114% growth in new PH patients treated from 2011 to2012. A comprehensive educational plan was developed and provided extensive educational programs for nursing, cardiology and critical carefellows and physicians on PH, the care of patients and treatment options.

METHODS: Collaboration between many team members helped develop this educational plan with a goal of delivering safe, competent andconsistent care to pediatric PH patients:

Team Members:

• Physicians

• Pediatric Nurse Practitioner

• PH Nurse Coordinator

• Unit Educators from several departments

IMPLEMENTATION: Healthcare providers who would be involved in the care of the PH patient were offered multiple learning activities thatencompassed all the adult learning styles:

• Guest Lectures-Hosted three nationally recognized guest speakers on subject of PH (one MD, two RNs)

• Journal Club-Group discussion on Prostanoid safety• Unit Competencies-Section on PH safety education with a post-test for competency

• ICU Safety Carnival-Hit a Home Run with Prostanoid Safety-Game and Pump demonstration for prizes

• Unit newsletters-PH Education Quarterly article• PH Awareness Month Display- Presentation in all Cardiac Units

• Lunch and Learn-Pathophysiology and Medication management, Pump demonstration

• Weekly one hour conference to discuss complex PAH patients and their plans of care

• PH Presentation at Cardiovascular Nurse orientation

• Pulmonary Hypertension Resource Guide placed in each unit caring for PH patients

DISCUSSION: Our goal was to move healthcare providers from cognitive learning to application of the concepts taught. This was accomplished bycreating a learning environment in which healthcare providers felt free to ask questions and clarify the material taught. Many of the educationalofferings included active learner engagement.

FUTURE DIRECTIONS: Our short term goals for our Quick Competence Educational Plan were to introduce information about the pathophysiologyof caring for the child with PH and treatment modalities. We quickly advanced to medication safety with Prostanoid medication. Our futuredirections are to build on the concepts presented through educational needs assessments. We will continue to seek educational opportunities toreinforce concepts taught. Future educational opportunities will consist of:

• Interactive, patient case study for competency assessment

• PH Month which will include daily varied education for one month

• Guest lecture/Lunch and Learn

• Medication Safety interactive gameCurrently our program started in April of 2011 and there have been no medication errors related to IV prostanoid therapy during patienthospitalizations