title: Training and Maintaining: Developing a Successful and Dynamic Continuous Renal Replacement Therapy Program.
abstract: Continuous renal replacement therapy (CRRT) is commonly used to support critically ill patients with acute kidney injury or chronic renal disease whose condition is too unstable for them to tolerate intermittent hemodialysis. Current publications related to CRRT programs in the United States and Canada note key themes related to the development and maintenance of CRRT training programs. A successful CRRT training program should consider and incorporate adult learning principles whenever possible. A variety of teaching methods to deliver information to nurses, including online learning modules, didactic lecture, return demonstration, and high-fidelity patient simulation are key to training programs for this high-risk complex therapy. This article outlines the approach to training nurses to care for patients receiving CRRT at a health care system in Arizona.
authors.affiliation: Heather Przybyl is Clinical Education Specialist, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, 1111 E. Mc Dowell St, Phoenix, AZ 85006 (heather.przybyl@bannerhealth.com). Jill Evans is Nursing Director, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, Phoenix, Arizona. Laurie Haley is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Jodi Bisek is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Emily Beck is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona.
authors.forename: Heather
authors.initials: H
authors.lastname: Przybyl
authors.affiliation: Heather Przybyl is Clinical Education Specialist, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, 1111 E. Mc Dowell St, Phoenix, AZ 85006 (heather.przybyl@bannerhealth.com). Jill Evans is Nursing Director, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, Phoenix, Arizona. Laurie Haley is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Jodi Bisek is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Emily Beck is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona.
authors.forename: Jill
authors.initials: J
authors.lastname: Evans
authors.affiliation: Heather Przybyl is Clinical Education Specialist, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, 1111 E. Mc Dowell St, Phoenix, AZ 85006 (heather.przybyl@bannerhealth.com). Jill Evans is Nursing Director, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, Phoenix, Arizona. Laurie Haley is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Jodi Bisek is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Emily Beck is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona.
authors.forename: Laurie
authors.initials: L
authors.lastname: Haley
authors.affiliation: Heather Przybyl is Clinical Education Specialist, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, 1111 E. Mc Dowell St, Phoenix, AZ 85006 (heather.przybyl@bannerhealth.com). Jill Evans is Nursing Director, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, Phoenix, Arizona. Laurie Haley is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Jodi Bisek is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Emily Beck is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona.
authors.forename: Jodi
authors.initials: J
authors.lastname: Bisek
authors.affiliation: Heather Przybyl is Clinical Education Specialist, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, 1111 E. Mc Dowell St, Phoenix, AZ 85006 (heather.przybyl@bannerhealth.com). Jill Evans is Nursing Director, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, Phoenix, Arizona. Laurie Haley is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Jodi Bisek is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Emily Beck is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona.
authors.forename: Emily
authors.initials: E
authors.lastname: Beck
mesh_terms: D000328:Adult; D001130:Arizona; D002983:Clinical Competence; D003422:Critical Care / Q000592:standards*; D016638:Critical Illness / Q000628:therapy*; D003479:Curriculum; D005260:Female; D005440:Fluid Therapy / Q000592:standards*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000193:education*; D017582:Renal Replacement Therapy / Q000592:standards*
keywords: CRRT; competency; continuous renal replacement therapy; patient simulation; training