Fisdap Airway ManagementBy Mike Mayne

May 8, 2014

In the fall of 2013, the CoAEMSP released their Airway Management Recommendation, which has prompted a lot of questions among program directors looking for a way to collect this information.

In a transcript of the CoAEMSP’s September 2013 webinar about this change, one educator asked:

“So as a clinical coordinator for my paramedic program, I must document ‘50 airway attempts across all age groups’ for each of the paramedic students (student name, date, patient age, etc.). This will be a NIGHTMARE of skill documentation you are generating with this. Any suggestions?”

Well, after the changes we’ve made to help keep your paramedic programs in compliance, we can wholeheartedly suggest Fisdap Skills Tracker as the answer!

Whether students are documenting lab practice on a manikin, quick adding skills in the hospital, or filling out a patient care form for a field run, it’s easy!

Look for the new Airway Management symbol: Airway Management icon

There are three ways to enter Airway Management in Skills Tracker:

1. When entering data from a full patient encounter, students should indicate they attempted managing their patient’s airway by checking the “The patient required airway intervention” box.

Airway Management radio select

The three radio buttons will give credit for, respectively: an observed attempt, a successful performed attempt, and an unsuccessful performed attempt.  Any airway skills performed on this patient will be listed alongside the attempt on the Airway Management report.

2. When using Quick Added Skills in clinical shifts, the “Airway Management” option is available after selecting an intervention.

The patient required airway intervention

After the box is checked, students can indicate whether the attempt was successful or not.

3. In Lab Practice, students will receive credit for any item entered that is tagged (in Skills Tracker settings) with “Airway Management.” 

Lab Practice Airway Management

All default items in the Airway category (Direct Orotracheal Intubation Adult, Direct Orotracheal Intubation Pediatric, Nasotracheal Intubation Adult, Alternative Airway Device Adult, Needle Cricothyrotomy, and CPAP and PEEP) now give credit for Airway Management. You will need to update your Lab Skills settings to give students credit for other items.

Students will see the Airway Management icon for any items you’ve tagged.

Direct Orotracheal Intubation Adult

 

Reports

Per the CoAEMSP’s recommendation, a competent Paramedic at the end of his internship should have at least 50 attempts at airway management, and should have been successful in the last 20 attempts. Programs also need to be able to demonstrate those attempts were achieved with a diversity of patient types and environments.

With the Airway Management goals widget, you can get all of this information in one place. 

  • The bar at the top shows student progress towards the goal for total attempts
  • The Eureka Graph shows the success rate over the last 20 attempts
  • The pie charts show the distribution of attempts, grouped by patient demographics and the different types of patient types (sim, human, cadaver).

Airway Management pie chart

You can also find more detailed information about each of the individual attempts on the full Airway Management report, which is located in the Reports section.


It’s important to note that the changes we’ve implemented do not need to impact your current class of students. When we last made an Airway Management change, we added a checkbox on the Skills Tracker Patient Care Form that asked the student to indicate if he managed the patient’s airway successfully.

It looked this, under the Patient Assessment section:

This patient required airway intervention...

This went into effect on August 1, 2013. Students who checked this box between that date and May 8, 2014 will still have that patient count toward their total Airway Management goal.

And, of course, moving forward with the new changes, students will have more ways to track their airway management information.

CoAEMSP Quick Links

Airway Resolution- From the American Society of Anesthesiologists.

Airway Management FAQs - Questions from CoAEMSP's 9/2013 webinar.

Airway Management Recommendation - The official recommendation.

Definition of Airway Competency - A letter from Dr. Murray Kalish.

Airway Management Bibliography - Annotated biblography for the recommendation.

 


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