Implementing a standardized prebrief and a Stop for Safety pause in our sepsis progression scenario next week in Lab B, with 2:1 learner-to-manikin and a 15-minute video-assisted debrief mapped to PEARLS… I’m aligning with INACSL Standards to surface latent safety threats we logged in March; has anyone tracked changes in med timing accuracy or closed-loop communication after adding these elements?
But i’d look at ASRA Pain Medicine’s on‑demand library (Upcoming Events) — stack modules to hit 6–8 CME and filter for knee blocks (ACB/IPACK) plus periop low‑dose ketamine; if you want hands‑on, tack on a short cadaver lab to lock in the sonoanatomy like a quick test‑drive after reading the brochure. Do you need AANA Class A on the certificate?
We added a laminated “med timing” strip and had a designated recorder say “[redacted]/kg bolus started, 09:10” during the “Stop for Safety,” which gets captured on the room audio; in the 15-minute video-assisted PEARLS debrief we jump to those timestamps to check closed-loop. It tightened med timing and made the debrief faster; minor caveat — at 2:1 it can feel performative, so only cue it for the first antibiotic and first fluid order.
But tried this with 2:1 last month — during the Stop for Safety we added a 10‑second ‘state your role and next action’ round, and an observer tallied closed‑loop confirmations. With a 15‑min PEARLS debrief we only played a 60‑sec clip of that round and saw closed‑loop rates climb from about 45% to >80% by week two. Caveat: you’ll want a strict timekeeper or the pause creeps.
Quick win we saw with 2:1: pull timestamps from the monitor and pump logs and open your 15‑min video look‑back with a 20‑second timeline replay; we tracked recognition‑to‑antibiotic and number of read‑backs without adding a scribe. If your devices’ clocks drift, stick a large digital clock in frame as the reference. @amir_nurse34 this also made role clarity pop without adding more talk during the pause.