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Preparing Emergency Personnel in Dialysis: A Just-in-Time Training Program for Additional Staffing During Disasters

Published online by Cambridge University Press:  15 August 2013

Genevieve B. Stoler ,
James R. Johnston ,
Judy A. Stevenson  and
Joe Suyama
Genevieve B. Stoler*
Affiliation:
University of Pittsburgh Medical Center
James R. Johnston
Affiliation:
University of Pittsburgh Medical Center
Judy A. Stevenson
Affiliation:
ESRD Network 4
Joe Suyama
Affiliation:
University of Pittsburgh Medical Center
*
Address correspondence and reprint requests to Dr Genevieve B. Stoler, Department of Emergency Medicine, University of Pittsburgh Medical Center, 230McKee Pl, Suite 500, Pittsburgh, PA 15213 (e-mail stolergb@upmc.edu).
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Abstract

Background

There are 341 000 patients in the United States who are dependent on routine dialysis for survival. Recent large-scale disasters have emphasized the importance of disaster preparedness, including supporting dialysis units, for people with chronic disease. Contingency plans for staffing are important for providing continuity of care for a technically challenging procedure such as dialysis. PReparing Emergency Personnel in Dialysis (PREP-D) is a just-in-time training program designed to train individuals having minimum familiarity with the basic steps of dialysis to support routine dialysis staff during a disaster.

Methods

A 5-module educational program was developed through a collaborative, multidisciplinary effort. A pilot study testing the program was performed using 20 nontechnician dialysis facility employees and 20 clinical-year medical students as subjects.

Results

When comparing pretest and posttest scores, the entire study population showed a mean improvement of 28.9%, with dialysis facility employees and medical students showing improvements of 21.8% and 36.4%, respectively (P < .05 for all comparisons).

Conclusions

PREP-D participants were able to demonstrate improved tests scores when taught in a just-in-time training format. The knowledge gained by using the PREP-D program during a staffing shortage may allow for continuity of care for critical services such as dialysis during a disaster. (Disaster Med Public Health Preparedness. 2013;7:272-277).

Keywords

just-in-time trainingdialysisdisaster preparednesseducation
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 7 , Issue 3 , June 2013 , pp. 272 - 277
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013 

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