Table 4 Skills rated differently between the three participating professional groups
Skill | Nurse score Median [IQR] | Perfusion score Median [IQR] | Physician score Median [IQR] | Consensus (%) | p |
|---|---|---|---|---|---|
Knowledge | |||||
R1: K1 Knowledge of the relevant vascular anatomy. R2: K1a Every team member should have the basic knowledge of the ‘classic’ vascular anatomy. R2: K1b Every physician should have knowledge of the echographic vascular anatomy. | 2.5 [4.0–4.0] 4.0 [4.0-4.5] 4.0 [4.0-4.5] | 4.0 [5.0–5.0] 4.0 [4.0–5.0] 4.0 [4.0–5.0] | 4.0 [5.0–5.0] 5.0 [4.0–5.0] 4.0 [4.0–5.0] | 93.8 93.1 93.1 | 0.0015* |
R1: K3: Knowledge of the indications for V-A ECMO. R2: K3: Knowledge of the indications for V-A ECMO. | 4.0 [4.0–4.0] 4.0 [4.0–4.0] | 4.0 [4.0–5.0] 4.0 [4.0–5.0] | 4.0 [4.0–5.0] 5.0 [5.0–5.0] | 100 96.6 | 0.004* |
R1: K4 Knowledge of the indications for V-V ECMO. R2: K4 Knowledge of the indications for V-V ECMO. | 4.0 [4.0–4.0] 4.0 [4.0–4.0] | 5.0 [4.0–5.0] 4.0 [4.0–5.0] | 5.0 [4.0–5.0] 5.0 [5.0–5.0] | 100 96.6 | 0.003* |
R1: K5 Knowledge of the indications for eCPR (Extracorporeal CardioPulmonary Resuscitation). R2: K5 Knowledge of the indications - according to the local protocol - for eCPR (Extracorporeal cardiopulmonary resuscitation). | 4.0 [4.0–4.0] 4.0 [3.5-4.0] | 5.0 [5.0–5.0] 4.0 [4.0–5.0] | 5.0 [4.0–5.0] 5.0 [4.0–5.0] | 95.8 93.1 | 0.014# |
R1: K8 Knowledge of the contraindications. R2: K8 Knowledge of the contraindications. | 4.0 [4.0-4.5] 5.0 [4.5-5.0] | 5.0 [4.0–5.0] 5.0 [4.0–5.0] | 5.0 [4.5-5.0] 5.0 [4.5-5.0] | 97.9 93.1 | 0.043* |
R1: K21 Knowledge of prevention, diagnosis and treatment of Harlequin syndrome. R2: K21 Knowledge of prevention, diagnosis and treatment of Harlequin syndrome. | 4.0 [4.0-4.5] 5.0 [4.5-5.0] | 5.0 [5.0–5.0] 5.0 [5.0;5.0] | 5.0 [4.0–5.0] 5.0 [4.0–5.0] | 100 100 | 0.036# |
R1: K32 Knowledge of the principles of ECMO nomenclature. R2: K32 Knowledge of correct ECMO nomenclature. | 4.0 [3.5-4.0] 4.0 [3.5-4.0] | 5.0 [4.0–5.0] 4.0 [4.0–4.0] | 4.0 [3.5–4.5] 4.0 [3.5–4.5] | 74.1 71.4 | 0.038§ |
Technical skills | |||||
R1: T4 Being able to insert the guidewire correct and give attention for any signs of obstruction. R2: T4 For the physician: being able to insert the guidewire correct and give attention for any signs of obstruction. | 3.0 [3.0-3.5] 5.0 [4.0–5.0] | 5.0 [4.0–5.0] 5.0 [5.0–5.0] | 5.0 [4.0–5.0] 5.0 [4.0–5.0] | 73.9 93.1 | 0.033* |
R1: T6 Being able to prime the circuit. R2: T6 For the perfusionists: being able to prime of the circuit. | 3.0 [2.5-3.0] 5.0 [4.5-5.0] | 4.0 [4.0–4.0] 5.0 [5.0–5.0] | 4.0 [3.0–4.0] 5.0 [4.5-5.0] | 93.6 100.0 | 0.041# |
R1: T10 Being able to change the oxygenator. R2: T10 For perfusionists: being able to change the circuit / oxygenator. | 2.0 [2.0-2.5] 5.0 [4.5-5.0] | 4.0 [2.0–4.0] 5.0 [5.0–5.0] | 5.0 [4.0–5.0] 5.0 [4.5-5.0] | 64.4 100.0 | 0.039* |
R1: T11 For physicians: being able to place an Avalon® cannula. R2: T11 Placement of a dual lumen canula should only be placed after multidisciplinary discussion by an experienced physician. | 4.0 [4.0–4.0] 4.0 [3.5-4.0] | 4.0 [4.0–5.0] 5.0 [5.0–5.0] | 4.0 [3.0-4.5] 5.0 [4.0;5.0] | 57.8 86.2 | 0.035§ |
Attitude | |||||
R1: A3 To obtain an informed consent from the patient or family. R2: A3 The physician should obtain an informed consent from the patient or family. | 2.0 [2.0-2.5] 4.0 [3.5-4.0] | 4.0 [4.0–5.0] 4.0 [4.0–4.0] | 4.0 [3.5-5.0] 4.0 [3.0–5.0] | 63 65.5 | 0.025* |