CVC Insertion Training
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CVC Insertion Training - 1

CVC Insertion Training CVC Insertion Training Case: The below example is for 2 hours of training session. Orientation Osaka City University, Faculty of Medicine Skills Simulation Center The trainees are assessed on prepara�on work or previous experiences in CVC inser�on. Orienta�on on training contents and flow is given. 1. Body posi�oning/Injec�on point of CVC/An�sep�c Goals ●Explana�on of the injec�on point ●Wearing the surgical cap and mask and an�sep�ze the injec�on area Item List □ Mask □ Surgical gloves clean area □ Surgical sheets □ Catheter kits □ Antiseptic cotton balls Performer clean area Explain why wearing the cap and mask before antiseptizing. (Used without antiseptic) It is to avoid hairs or others falling off to the items for antiseptic.  −for heparized saline solution:20cc □ Needles  −for local anesthesia 2. Prepara�on for CVC inser�on procedure Showing sample procedure  −for filling a syringe with medicine ●Wearing a gown and gloves It is to avoid hairs or others falling off to the items for an�sep�c. 3. Local anesthesia and CVC inser�on procedure □ Simulated heparized saline Understand the procedure and how to handle the instruments Training sessions ●Performe local anesthesia procedure. ●Show the steps of the catheter inser�on and fixa�on. Picking up the instruments is one of the good way to understand the procedure for the beginers. Explain the ac�on of assistant at the same �me. Explain the detail ac�on during the procedure like talking to the pa�ents, asep�c technique of guide wire and etc. Let the train ees be awa re of the importance of facing to patient full y. TRAINING TRICKS In this training session, second year residents teach first year resident as a peer teachers in pairs. Trainees can receive more �me for individual learning and feel more confortable and open when interac�ng with a peer during the training. Peer teaching helps not only the shortage of staffs but also peer teachers reinforce their own learning by instruc�ng others. Learning the asep�c technique Training sessions ●Explaning the prepara�on of the items □ Simulated local anesthetic Peer teaching Explain the action of assistant at the same time. Importance of talking to pa�ents and understanding of injec�on point Training sessions To encourage trainees to prepare from some days before the training session will increase effec�vity of the training. Simulators are patients. "Now you may feel cold with an�sepsis." "Please let me put a instrument on your abdomen." These talking to the pa�ents is a quite important point to learn same as procedure itself. Never let the trainees to think "The training is to simulators." and make them conscious of facing the pa�ent during the training. ●The trainee can prac�ce the procedure thoroughly about 20 mins. Another join the procedure as an assistant. Trainers need to get involved to the trainees' practice in order to solve their questions and anxious. Practice and perfrom Prac�cing and performing session is separated in the training. At the beginning, the instructor tells the trainees to let them perform the procedure in realis�c se�ng in the last part of the training. Before the performing session, trainees can prac�ce the procedure with the simulator in specific �me. In the performing, the peers check the procedure with the prepared checklist then feedback later. Practice and performance session The procedure in the realis�c se�ng ●The trainee perform the procudure without the advice. Do not point out the mistakes duri

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