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The blindfolded code training exercise, which blindfolds the team leader in a code resuscitation simulation, is an advanced teaching technique to improve closed-loop communication, organizational skills, and critical thinking.
Miscommunication is the most common cause of preventable patient harm in medicine. Currently, there is limited knowledge of innovative techniques to improve resident physician communication and leadership strategies in high-acuity situations. The blindfolded code training exercise removes visual stimuli from the team leader, forcing the team leader to effectively utilize closed-loop communication. The simple act of blindfolding the team leader creates a learning environment where the leader must utilize a conceptual framework and critical thinking strategies to organize the team and manage the resuscitation. An advantage to this teaching technique is that it does not require any special simulation equipment, making it a low-cost approach. The blindfolded code training exercise can be applied to the management of any critically ill patient where the primary objective is to focus on developing communication skills in acute resuscitations. The purpose of the description of the blindfolded code training exercise is to provide guidance on how to perform this innovative teaching technique to force effective closed-loop communication.
The blindfolded code training exercise was developed to improve closed-loop communication, the utilization of a conceptual framework to organize the management of a resuscitation, and critical thinking skills. Previous scholars reported that communication, role clarity, and teamwork were enhanced by blindfolding physicians during simulated resuscitations1. Resident physicians, especially in critical care specialties, are frequently placed in high-acuity situations. In order to appropriately manage these high-risk cases, resident physicians require training in both leadership strategies and communication in high-risk environments
All methods described here were exempt from review by the Summa Institutional Review Board.
1. Preparation
As noted in Ahmed et al., all residents (100%, 27/27) agreed/strongly agreed that knowledge obtained during the blindfolded code training exercise could be transferred to the clinical setting5. In addition, most residents strongly agreed that the blindfolded code training exercise was more challenging (81.5%, 22/27), allowed them to apply critical thinking skills (81.5%, 22/27), and improved use closed-loop communication (88.9%, 24/27) when compared to typical code training exercises (Tabl.......
The blindfolded code exercise consists of several critical steps. First, the exercise requires an initial faculty demonstration to decrease the learners’ intimidation and anxiety toward performing a resuscitation blindfolded. It also serves to give learners an example of a successful performance of the blindfolded resuscitation. Facing the code team leader away from the resuscitation team ensures that the leader is unable to visualize the scenario and forces them to give loud, clear orders (Fig.......
The authors have no acknowledgments.
....Name | Company | Catalog Number | Comments |
Bag valve mask | |||
Blindfold | |||
Blood pressure cuff | |||
Cardiac monitor | |||
Chair | |||
Code Cart | ACLS medications | ||
Defibrillator with pads | |||
Emergency department bed | |||
End-tidal carbon dioxde monitor | |||
Human-patient simulator | |||
Intubation Kit | endotracheal tube, laryngoscope, stylet, 10 mL syringe, endotracheal tube holder | ||
IV fluids | 1 L normal saline or lactated ringer's | ||
IV start kit | tourniquet, tape, tegaderm, IV catheter | ||
Nasal cannula | |||
Non-rebreather mask | |||
Pulse oximeter | |||
Step stool | |||
Stethoscope |
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