Seizure Rescue Medication: Caregiver Education in a Simulation Setting
Condition: Status Epilepticus
MeSH terms: Seizures; Status Epilepticus
Study type: Interventional

Summary: 
      1. Design an educational quality improvement program to assess the most effective educational
      approach on caregiver seizure RM application. The investigators hypothesize that this
      educational program will improve caregiver comfort, knowledge of emergent seizure care, and
      time to medication application.

      Specifically, the aims include:

        1. Create an educational video reviewing RM administration

        2. Develop and validate a simulation training model/mannequin for rectal diazepam
           administration

        3. Expand training to other seizure RMs (e.g. intranasal midazolam, buccal lorazepam) and
           transition the most effective educational model back to the clinics/bedside to
           standardize caregiver teaching throughout the department/hospital
    

Detailed description: 
      The investigators will implement an intervention jointly with a simulation program to
      determine the most effective training model: verbal instructions, instructional video, or use
      of a mannequin. Caregivers will undergo a training curriculum, and 60 caregivers (20 assigned
      to each educational model) will be matched into three groups and assigned to participate in
      one of three educational models in the SIM Center. Pre-and post-training questionnaires will
      be distributed to assess provider knowledge and comfort level. Scoring of caregiver technique
      administering rectal diazepam to a mannequin and time to RM administration will be obtained
      to compare between the three educational arms of the study. Thirty additional patients (10
      per group) will not receive an assessment of caregiver technique administering RM to the
      mannequin prior to the educational intervention to control for exposure to the mannequin.
      Ultimately, the most effective educational method in this simulation pilot study will be
      expanded to other RM types (e.g. intranasal midazolam, buccal lorazepam), standardized, and
      brought back to the clinics/bedside throughout the hospital.
    

Intervention name(s): Verbal Instructions Educational Intervention; Video Educational Intervention; Mannequin Educational Intervention
Intervention type(s): Other; Other; Other
Intervention description(s): Caregivers will undergo training with verbal instructions; Caregivers will undergo training with an educational video; Caregivers will undergo training with a mannequin
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: The investigators will implement an intervention jointly with our simulation program to determine the most effective training model: verbal instructions, instructional video, or use of a mannequin. Caregivers will undergo a training curriculum, and 90 caregivers (30 assigned to each educational model) will be matched into three groups and assigned to participate in one of three educational models in the SIM Center.
Masking: None (Open Label)
Primary purpose: Prevention