Table 3 Components and content of the e-learning program
Component | Aim | Content |
|---|---|---|
Introduction | Explanation on the usage of the e-learning program and the learning goals to the participant | Learning goals |
â—Ź The professional knows the elements of a proper DeMIST handover | ||
â—Ź The professionals knows why it is important to use the DeMIST model for handover | ||
â—Ź The professional knows the role of the emergency medical dispatcher, ambulance driver, ambulance nurse, emergency nurse and emergency physician during handover | ||
â—Ź The professional performs a DeMIST handover for trauma and non-trauma patients | ||
Theory | Provision of theory on DeMIST and its usage to the participant | Theory on DeMIST |
â—Ź De: full name, date of birth/age and sex of the patient | ||
â—Ź M: trauma or non-trauma | ||
â—Ź I: injuries found or suspected/complaints | ||
â—Ź S: Airway, Breathing (frequency, SpO2), Circulation (heart rate, blood pressure), and Disability (EMV-score, pupil reaction, pain, blood glucose) | ||
â—Ź T: working diagnosis, treatment given, effect of the treatment | ||
When to use DeMIST | ||
How to use DeMIST | ||
Supply of objective information | ||
When to provide a handover | ||
Verification if handover was clear | ||
Who provides a handover to whom (professionals’ role) | ||
Advantages of using the DeMIST in the total chain of emergency care | ||
Knowledge test | Summative test whether the participant has sufficient knowledge, insight and basic skills about a DeMIST handover | 8 random questions out of 22 on knowledge, insight and application of theory |
Simulation test | Summative test whether the participant can integrate knowledge and skills to provide a DeMIST handover | 2 high fidelity simulation scenarios, randomly picked from 7 possible scenarios: |
1. Female (75 yrs), low energetic trauma (pedestrian-car) | ||
2. Male (45 yrs), high energetic trauma (tree-car) | ||
3. Female (28 yrs), hypovolemic shock (fluxus post partum) | ||
4. Male (30 yrs), fever, hypotension altered consciousness (septicaemia) | ||
5. Female (55 yrs), resuscitation | ||
6. Male (68 yrs), resuscitation | ||
7. Female (70 yrs), stroke | ||
Evaluation | Feedback on knowledge and simulation test to the participant | Achievement on learning goals with feedback |