Title : Bridging the CRRT knowledge gap through simulation-based ICU nurse education
Abstract:
Continuous renal replacement therapy (CRRT) is a high-risk intervention used in critically ill patients with acute kidney injury, fluid overload, and hemodynamic instability. Newly hired ICU nurses within our organization reported low confidence and inconsistent knowledge in CRRT management, particularly in machine-to-patient connections, alarm interpretation, troubleshooting, and patient monitoring—highlighting potential patient safety risks. An evidence-based onboarding program integrating didactic instruction and high-fidelity simulation was implemented to address these gaps. Educational content included CRRT indications, circuit components, anticoagulation strategies, fluid management, complication recognition, alarm troubleshooting, and documentation standards. Simulation scenarios emphasized clinical judgment, technical skill development, and structured debriefing to reinforce safe practice. Preliminary outcomes demonstrate improved nurse confidence, increased engagement, and enhanced competency in CRRT management. This presentation will describe implementation strategies, lessons learned, and the role of simulation-based education in promoting patient safety and nurse readiness in critical care.
