The aim of this paper is to report and showcase the evaluation of an education training package using video scenarios utilising the acronym ER-DRIP to teach clinicians on how to implement Family Presence During Resuscitation (FPDR). The practice of allowing family to be present during resuscitation has been debated in emergency departments since the early 1980’s, with evidence that the practice and implementation of FPDR is inconsistent despite formal endorsement. This study aimed to develop an education package for emergency nurses, paramedics and medical personnel in order to develop competence in the implementation of FPDR.
Methods:
The acronym ER-DRIP1 (emergency personnel, reassurance, diagnosis, regular up-dates, interventions and prognosis) was developed following a state wide survey2, a period of resuscitation observation and interviews with emergency personnel in Victoria. An education training package was developed and implemented, providing students with a series of videos together with discussion notes in order to develop the skills necessary to successfully implement FPDR for both paediatric and adult patients. The three scenarios include a paediatric respiratory arrest, a myocardial infarction and a stroke victim. Using a pre / post survey design participants were asked to complete a survey prior to the workshop then at the end. Survey results were then entered into SPSS for descriptive and inferential statistical analysis.
Results:
A series of ER-DRIP workshops were conducted with undergraduate nursing, medical and paramedic students. There was a significant shift in attitudes towards implementation of family presence during adult and paediatric resuscitation events. Participants noted an increase in confidence levels in speaking with family members and developed an understanding of the importance of the family liaison role.
Conclusion:
FPDR, although widely endorsed is practiced inconsistently. Additional training and education around the implementation and practice of FPDR was identified as essential, the training package aims to build clinical confidence and competence.