Pediatric Community

  • 1.  Handtevy

    Posted 03-26-2025 01:28 PM

    Hi everyone,

    The hospital system that I work at is implementing Handtevy in place of Broselow.  Has anyone else implemented this at their hospital? Did you have any challenges or successes with education and/or implementation?

    Thanks!



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    Stefanie Miller MSN;RN;CEN
    Clinical Nurse Educator
    Richland PA
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  • 2.  RE: Handtevy

    Posted 13 days ago

    Stefanie,

    I am inquiring how the implementation of Handtevy went at your facility?



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    Kierston Waggoner BSN, RN, CEN,TCRN, CPEN
    Pediatric Emergency Care Coordinator-Staff RN
    Good Samaritan Hospital-Vincennes, IN 47591
    kwaggoner1@gshvin.org
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    Original Message


  • 3.  RE: Handtevy

    Posted 12 days ago
    I am a Market Educator for a 9 ED hospital system in Palm Beach County Fl. Our Level I Trauma Center and Children's Hospital in the north part of the county have been using Handtevy for years. Two years ago, our other hospital with pediatric services began using the Handtevy system. This past year our other Level I Trauma Center in the south part of the county decided to implement Handtevy in the ED and Trauma, Trauma ICU and Trauma Step Down, and the OR and PACU, as they do admit pediatric trauma patients to TICU.  I developed the education and training for all of them, in addition to the training provided by the Handtevy company.

    There were several things we found were helpful when rolling out the system:
    1)  Designated superusers on each unit who attended a 2-hour class on using the system and were provided the information to download the app to their cell phones;
    2)  Purchasing iPads for each of the units with the system on which to download the app. These were kept in a location close to pediatric resuscitation equipment, were solely dedicated to resuscitation (no other uses like translation services), with the password attached to the iPad for easy access by anyone using it. This decreased the need to purchase a large number of app downloads for staff and ensured everyone had access to it in a code;
    3)  Attaching the books that can accompany the system to the pediatric crash cart in such a way as to enable quick release of them during a code - this helped to keep them with resus equipment but accessible to hand over to medication nurse, etc.;
    4)  Notifying staff 3-6 months out of the coming system and required education;
    5)  Scheduling 2-hour mandatory classes for those in the areas using the system to attend - our physician directors also encouraged their providers to attend if they were not familiar with the system. The number of classes is dependent upon the number of people who need to be educated. Classes were in a classroom setting and I used a Power Point presentation along with hands on practice for those who had downloaded the app. Handouts included a step-by-step instruction in accessing and using the system;
    6)  In addition to the above, I also scheduled 2-hour Pediatric Code Blue Basics classes that covered basics of code resuscitation, roles in a code, and finished with a quick review of using the Handtevy system then a hands-on pediatric code simulation requiring use of the Handtevy system in realtime.
    7)  In situ pediatric code drills were conducted on each of the units in which staff had to open the crash cart and use the Handtevy system to resuscitate a pediatric patient in a simulated scenario. I coordinated these with the unit managers and educators.
    8)  Inclusion of demonstrated competence at the bedside of use of the Handtevy app is also a requirement of annual and initial nursing competencies;
    9)  Finally, I created pediatric resuscitation kits to be used for simulated practice for each of the pediatric EDs and the PICUs that could be used on pediatric units as well. These consisted of a duffel bag with a low-fidelity pediatric and/or infant manikin, simulated basic code medications (Demo Dose is one of the products I used, their full set is around $50), airway equipment and supplies, and a binder with scenarios that included instructions for prebriefing and debriefing for the staff to pull out and use if they ever had an opportunity to practice. I also encouraged them to pull out the scenario binder by itself when they had time and do a tabletop practice using the Handtevy system based upon the described scenario.

    Feedback from evaluations of classes and preceptors/ANMs completing competencies has been that staff feel more comfortable in using the app. One of our EDs was having some challenges with quick response to pediatric emergencies but, after the education and classes, reports from the ED providers and leadership were they had improved dramatically in their response. Truly, the key to becoming competent and feeling comfortable with the app is to practice using it.

    Hope this helps. I would be willing to share my Handtevy PP with the caveat that the company creates the system based upon each hospital's pharmacy formulary, policies, and protocols. You would have to edit the PP to your facility. I am also happy to share scenarios I have created with the same caution - they may need to be adapted to your protocols. Please email me at Penelope.Blakemsn@gmail.com if you want any further information.



    Original Message


  • 4.  RE: Handtevy

    Posted 11 days ago

    Hi Kierston,

    I think it is really interesting that we both work at Good Samaritan Hospital, just in different states :)

    The implementation went well.  I broke the education down into several pieces as to not overwhelm the staff.  My hospital is part of a 7-hospital system, and the initial training was offered by Handtevy.  Representatives came to our hospital and trained all of the ED Educators from the system, as well as some nurse leaders at our pilot site, which was my hospital. We reviewed the app and then put the app into practice through simulation.

    My greatest concern when training the staff was being able to speak to the app the way that the Handtevy team did.  I requested that they make a video running through the app demo and they did.  So, my first phase was bringing the staff in and having them download the app on personal devices or our dept iPad's and we ran through the Handtevy demo video.  They went through a code on the app and reviewed all app functions.  This was completed in September.

    The next phase, in October, was running through simulations.  I created several scenarios and the nurses all attended a simulation session.  Each nurse rotated through the roles of the code team and all of them were able to function as the handtevy nurse, as well as med nurse for the 2nd check dose verifier (Which is required at my organization).  The sims gave us a great opportunity to review our code carts, basic BLS, advanced airway placement and confirmation, push pull method, among other things.  The staff really benefited from these sims.

    Since going live we have actually not had to use the app yet, which is good and bad, but in the meantime, I am rounding with staff and will have them log on and give them meds to look up so that they can play in the app.  I am also running random simulations with the team (nursing and providers) to stay familiar.  I will say out provider team was not involved in the education prior to deployment, although they were invited.  

    The system recently transitioned to RQI as well, so now when new nurses start, I have built a ped sim day and combine the app demo and sim into one day.  It has worked really well thus far.

    Hope this helps!



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    Stefanie Miller MSN;RN;CEN
    Clinical Nurse Educator
    Richland PA
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    Original Message