LT716 Systematic Design of Instruction – Final Project Stephanie Dietterle July, 5th 2013 Executive Summary The general need for the Miller School District to become CPR/AED certified is so students, parents, community members, and all school personal will remain safe within our school district. Putting together surveys for our parents, community, and all school personal can help benefit what these skills can do to help our district thrive in becoming CPR/AED certified. If this is the case, they would be familiar as to what the objectives and outcomes would be. Given the amount of positive feedback this program will bring to our school district, it would be crucial to have all school employees be certified with CPR/AED every two years and to implement this into our policy book. The problem is that not all school employees are CPR/AED certified. By asking and talking to school employees, the need to become CPR/AED certified is something most would be interested in. As a district we do have several students that have many different medial needs. Having the employees certified would give parents relief that their child or children are safe within the school district. Learning Need/Market Opportunity As a school district we do have multiple students that have medical needs ranging from seizure to diabetes. It’s very critical that as a school district we take the needed procedure to make our employees aware of what could happen to these students if they are not taken care of properly. From the surveys that will be taken by the district, parents, and/or community; that will give the school district the opportunity to see what the needs would be in our district. Project Definition Description of Product The purpose of this CPR/AED program for our employees would be to provide them with the information and skills required to help maintain life and lessen the chances of injury or sudden illness until advanced medical help arrives. The program that will be offered through the American Red Cross Miller Chapter, CPR and AED courses will meet the needs of our district employees. All the information and activities will help employees recognize and reduce the potential emergencies that could happen. This CPR/AED program is designed to be very flexible to meet the various needs of the district employees. Goals/Objectives The goal of this project is to have all school employees certified with a CPR/AED program certificate. The objectives of this program will be for all employees to be CPR/AED certified by the end of our one day inservice day, and must also receive a score of 80% or higher to receive their certificate. Audience Most of the employees will be K-12 teachers that are in constant contact with students every day. Each employee will be required to take the training. Along with all K-12 teachers; aides, administration, secretaries, cooks, and custodians will also have to take this course. This could also include individuals that would need special accommodations for taking the class. The employees will have a wide range of backgrounds, and may differ in levels of education and experience. The employees will likely be motivated, confident, and comfortable learning about CPR/AED. The characteristics of the audience are that they must have an understanding as to what CPR/AED instruction is to fully comprehend the program. Making the right choices as to how to apply all the skills they will learn throughout the program. Need some knowledgeable background as to what the program is really about. This can be understood more through the employee survey that will be done ahead of time. Delivery Strategy The lessons that are taught require classroom space suitable for lecture face-to-face conduct. The areas would have tables and or desks set up with instructor in the front, and an area in the back for practicing the skills. The areas in which the classes will be taking place will have to be in two different areas in the school. Classes can be grouped by K-6 employees with administration and cooks in one area with a Smartboard, projector, whiteboard/markers and paper. The other area would have the 7-12 employees with administration, custodians, and secretaries with a Smartboard, projector, whiteboard/markers and paper. Employees are responsible to bring own laptops but if they don’t have a school issued one, one will be provided. The laptops will be used to read on-line information from (http://www.cpraedcourse.com). Laptops will also be used to take the online test, and the course ending questionnaire. Schedule First, talk and get approval from administration and school board to have the course; this would be done by the instructor putting on the CPR/AED class. This would include talking about: budget, dates, times, and who would be taking the class. Next, communicate with the Effective Schools Committee at the school to help coordinate one of the in-service dates; preferably in the fall and once again this would be done by the instructor. Next, the instructor instructing the class needs to communicate with the American Red Cross Chapter in Miller and coordinate being able to use all the equipment that is needed for the class. This would include: manikins and all supplies that come with. Next, the instructor needs to create informational sessions with administration, school board members, Effective Schools Committee members, and Red Cross personal to inform what is being developed. Once approved the instructor needs to create flyers to promote what our Effective Schools in-service date will be to get certified in CPR/AED. The school district and instructor of the class will stay in constant contact with the American Red Cross and inform them of the date. Lastly, once the class has been approved by the district, when the date comes around if at all possible set up what is needed the night before the in-service; this will make the class go smoothly. Budget Costs if any would be covered by the school district. All equipment would be used from the American Red Cross Miller Chapter. Project Design Instructional Goals The purpose of the American Red Cross CPR/AED course is to give the school district employees the knowledge and skills to provide basic care for breathing emergencies, perform cardiopulmonary resuscitation (CPR) and how to use an automated external defibrillator (AED) for potential victims of sudden cardiac arrest. Inform the employees of evaluation procedures and course completion requirements. Delivery Environment There needs to be a non-threatening environment that fosters learning. The classrooms should be well lit, well ventilated and comfortable in temperature. Demonstrating healthy habits while conducting this course, and encourage other employees to do the same (e.g., do not smoke during class). Provide for the health and safety of employees by ensuring that manikins have been properly cleaned. Ensure the employees that the classroom and practice area are free of hazards. Make certain that employees are aware of health precautions and guidelines concerning the transmission of infectious diseases during training. Make sure employees know that they should let the instructor know if they have special needs for skill practices. General Outcomes The general outcome the employee has to identify is what they have to demonstrate what they couldn’t have done prior to learning CPR/AED. With this in mind the employees need to actively participate in the skills labs, and activities, scenarios for each lesson, test at the end of the course, and the questionnaire. Assessment Strategies Demonstrate all the skills located on the participant progress log. Complete the online test with an eighty percent or better. Content Organization Explaining what the content is for each outcome and how the content can be best organized for the audience, the delivery environment, and assessment. The outcome for the skills lab, activities, and scenarios will be that each employee will have to demonstrate each of the following with the correct procedure. Removing disposable gloves, checking a conscious adult and child, checking an unconscious adult and child, conscious choking adult and child, rescue breathing for an adult and child, CPR for an adult with CPR adult scenarios, CPR for a child with CPR child scenarios, unconscious choking for an adult and child, AED for an adult with AED adult scenarios, and AED for a child with AED child scenarios. The online test will consist of fifty questions from what was taught including: Before Giving Care, Adult CPR/AED, and Child CPR/AED. The test will be taken online through a test generator that was created from the instructor. The questionnaire will be taken through SurveyMonkey that was created by the instructor. Content Sources The American National Red Cross. (2006). First Aid/CPR/AED for the Workplace Instructor’s Manual. Yardley, PA: StayWell. The American National Red Cross. (2006). First Aid/CPR/AED for the Workplace Participant’s Workbook. Yardley, PA: StayWell. The American National Red Cross. (2006). First Aid/CPR/AED for the Workplace Skills Cards. Yardley, PA: StayWell. American Health Care Academy (http://www.cpraedcourse.com) Easy TestMaker (http://www.easytestmaker.com/) SurveyMonkey (http://www.surveymonkey.com/) Red cross images – BING Images Smart Technologies. (2012). Emergency Response. (http://exchange.smarttech.com/#tab=0) Instructional Strategies The instructional activities that will contribute to successful learning will come from what is already known about the audience, the outcomes, and the delivery environment. The kinds of presentations and interactions that will work can be described by the instructional strategies. CPR/AED for the Adult and Child will be approximately five hours and twenty-five minutes. There are eight lessons that the employees will be doing. In each of the eight lessons there are specific learning objectives that need to be covered before going on to the next lesson. Each of these eight lessons will be delivered on the Smartboard, and through online information. Employees have to be able to demonstrate certain criteria in order to pass the skills, activities, and scenario part before continuing on to the next lessons. Standards Employers should be able to realize the concepts that relate to health promotion and disease prevention to enhance health. They should also analyze the influence of culture, media, and technology. Being able to express the ability to access applicable information, use interpersonal communication skills to enhance health and avoid or reduce health risks. Decision-making skills and goal-setting skills are very important standard when learning about CPR/AED instruction. Media Evaluation/Testing Plans The instructor keeps a participant progress log sheet that has each name of the employee and the description of each skill, activity, and scenario. The instructor checks off each skill, activity, and scenario as the class progresses through the lessons. End of the course online test that was created by the instructor through TestMaker including fifty questions all having to do with CPR/AED information. End of the course ten question questionnaire evaluation of how the instructor did which was created by the instructor through SurveyMonkey. Production Documents Introduction Tell employees a brief overview of the course objectives and what the outcome of this class will be. Review any facility policies and procedures. Tell employees that the lessons will be viewed on the Smartboard, on the internet, and they will be taking their test, (needing to get an eighty percent or higher to get the certificate) and ending questionnaire online. Explain the health precautions and guidelines during their training, addition guidelines, and the physical stress and injury that could occur during the training. Lesson 1: Introduction – Before Giving Care Using the Smartboard lesson to guide the learning along with this website: http://cpraedcourse.com. Equipment/Supplies – newsprint; Smartboard; projector; whiteboard with markers; disposable gloves (multiple sizes); CPR breathing barriers; Participant Progress Log (Appendix C) Lesson Objectives: After completing this lesson, participants will - Know how to identify and respond to an emergency. Know the three emergency action steps. Know the purpose of Good Samaritan laws. Identify the difference between consent and implied consent. Identify when and how to move an ill or injured person. Identify how to minimize the risk of disease transmission. After completing this lesson, participants will – Demonstrate how to minimize the risk of disease transmission. Demonstrate how to follow emergency action steps. Demonstrate how to remove disposable gloves. Lesson 2: Checking an Ill or Injured Person Using the Smartboard lesson to guide the learning along with this website: http://cpraedcourse.com. Equipment/Supplies: newsprint; Smartboard; projector; whiteboard with markers; disposable gloves (multiple sizes); CPR breathing barriers; adult manikins (one for every two employees); blankets or mats; Participant Progress Log (Appendix C) Lesson Objectives: After completing this lesson, participants will – Identify the signals of shock and describe how to minimize its effects. Identify life-threatening and nonlife-threatening conditions. After completing this lesson, participants will – Demonstrate how to check a conscious person for life-threatening and nonlife-threatening conditions. Demonstrate how to check an unconscious person for life-threatening and non-life threatening conditions. Lesson 3: Breathing Emergencies and Conscious Choking – Adult and Child Using the Smartboard lesson to guide the learning along with this website: http://cpraedcourse.com. Equipment/Supplies: newsprint; Smartboard; projector; whiteboard with markers; Participant Progress Log (Appendix C); disposable gloves (multiple sizes); blankets or mats Lesson Objectives: After completing this lesson, participants will know – Prevention strategies to decrease the risk of breathing emergencies. The signals of breathing emergencies. After completing this lesson, participants will – Demonstrate how to care for a conscious choking person. Lesson 4: Rescue Breathing Using the Smartboard lesson to guide the learning along with this website: http://cpraedcourse.com. Equipment/Supplies: newsprint; Smartboard; projector; whiteboard with markers; Participant Progress Log (Appendix C); disposable gloves (multiple sizes); blankets or mats; adult manikins (one for every two participants); CPR breathing barriers, one per participant Lesson Objectives: After completing this lesson, participants will know – How to recognize when a person has stopped breathing. After completing this lesson, participants will – Demonstrate how to give rescue breathing. Lesson 5: Cardiac Emergencies Using the Smartboard lesson to guide the learning along with this website: http://cpraedcourse.com. Equipment/Supplies: newsprint; Smartboard; projector; whiteboard with markers Lesson Objectives: After completing this lesson, participants will know – How to recognize the signals of a cardiac emergency. How to care for a heart attack. The links of the Cardiac Chain of Lesson 6: CPR and Unconscious Choking – Adult and Child Using the Smartboard lesson to guide the learning along with this website: http://cpraedcourse.com. Equipment/Supplies: newsprint; Smartboard; projector; whiteboard with markers; Participant Progress Log (Appendix C); disposable gloves (multiple sizes); blankets or mats; adult manikins (one for every two participants); CPR breathing barriers, one per participant Lesson Objectives: After completing this lesson, participants will – Demonstrate how to give CPR. Demonstrate how to clear an obstructed airway of an unconscious person. Lesson 7: AED - Adult Using the Smartboard lesson to guide the learning along with this website: http://cpraedcourse.com. Equipment/Supplies: newsprint; Smartboard; projector; whiteboard with markers; Participant Progress Log (Appendix C); disposable gloves (multiple sizes); blankets or mats; adult manikins (one for every two participants); CPR breathing barriers, one per participant Lesson Objectives: After completing this lesson, participants will know – The links in the Cardiac Chain of Survival. What defibrillation is and how it works. The role of cardiopulmonary resuscitation (CPR) in cardiac arrest. The general steps for the use of an automated external defibrillator (AED). Precautions when using as AED. After completing this lesson, participants will – Demonstrate how to use an AED. Lesson 8: AED - Child Using the Smartboard lesson to guide the learning along with this website: http://cpraedcourse.com. Equipment/Supplies: newsprint; Smartboard; projector; whiteboard with markers; Participant Progress Log (Appendix C); disposable gloves (multiple sizes); blankets or mats; adult manikins (one for every two participants); CPR breathing barriers, one per participant Lesson Objectives: After completing this lesson, participants will know – The links in the Cardiac Chain of Survival. What defibrillation is and how it works. The role of cardiopulmonary resuscitation (CPR) in cardiac arrest. The general steps for the use of an automated external defibrillator (AED). Precautions when using an AED with pediatric pads on a child. After completing this lesson, participants will – Demonstrate how to use an AED with pediatric pads on a child. Review The instructor will incorporate scenarios for all employees to practice before testing and look over all the skills that were administered throughout the program. Test Appendix F Questionnaire Appendix G Development Skills Charts Introduction: Emergency Response Smartboard Lesson Removing Gloves: Smartboard Lesson 1 Checking an Conscious Person: Smartboard Lesson 2 Checking an Unconscious – Adult: Smartboard Lesson 2 How to give Rescue Breaths – Adult: Smartboard Lesson 2 Checking an Unconscious – Child: Smartboard Lesson 2 Conscious Choking – Adult/Child: Smartboard Lesson 3 Rescue Breathing – Child: Smartboard Lesson 4 CPR – Adult/Child: Smartboard Lesson 6 Unconscious Choking – Adult/Child: Smartboard Lesson 6 AED – Adult: Smartboard Lesson 7 AED – Child: Smartboard Lesson 8 Assessments Participant Progress Log (Appendix C) Flyer (Appendix D) Employee, Parent, Community Surveys (Appendix E) Online Test (Appendix F) Online Questionnaire (Appendix G) Deliver Small-Group Test To incorporate a small group test or field trial, the instructor would invite 4 district employees, (two from the elementary level, two from the JH/HS level), administration, school board members, and members from the Effective Schools Committee that would be the most familiar with CPR/AED. The employees that would be chosen for this trial would be based off of the surveys the employees had to complete weeks prior to the training. The instructor would go through the goals and objectives of the course to make sure everyone understood what the course was about. Talk about where the course would take place including the type of environment that would be needed for effective learning. Mention all the equipment that would be needed for this to be effective. Most importantly the issue of what our outcome as a district should be and how our employees will be assessed. It’s very important that each employee knows what is expected from them through this program. The outcome will be that all school employees district wide will be CPR/AED certified for the next two years. Mentioning putting this into our policy book and having all district employees certified every two years would be a great incorporation to that policy book. The instructor would then teach these group members a lesson and see how effective this program can be. Answer questions on the effectiveness of the instruction, taking suggestions as to what would work what wouldn’t work. The effectiveness of the instruction for the content and activities will help employees identify and recognize emergencies within our school district. Using healthy life-awareness questionnaires, employees will assess their environment and personal habits to help reduce their risk of injury and illness. The CPR/AED program is designed to be flexible to meet the various needs of the employees of the school district. Formative Evaluation Results Some of the formative evaluations that the instructor would have to incorporate into the project would be oral questioning, performance observation through the skills, activities, and scenarios. For oral questioning the instructor needs to make sure to always ask questions. These questions allow the instructor to instantly assess the employee’s knowledge. The instructor may pose a question to the whole class, in this case, the employees, or even to a particular person and that person would have to give an oral response to that question. Oral questioning strategies are an efficient way of assessing the learning objectives of that lesson being taught. I believe the results for oral questioning can be very effective. It can keep the employees right on track, and focus on what was being taught. Even though there may be some questions that might be more difficult to understand than others, the instructor has to have confidence in themselves and the employees that they know the best answer to their knowledge and understanding the thought behind it. Another formative evaluation that the instructor could use throughout this program would be performance observation when the employees did their skills, activities, and scenarios. This structured observation can give the instructor insight into the skills and weaknesses, if any, that the employees had while doing their skills, activities, and scenarios. The employees were asked to perform a task that was relevant to the learning objectives, such as removing gloves. While the employees where fulfilling this task the instructor keep a log of each skill, activity, and scenario that was completed. This way the instructor was able to look back and see who did or didn’t complete that task based on the objectives. If there were certain tasks that the employees didn’t understand the instructor could look back at the log and as a group we could work on that specific task or area that would need improvement. These observations occurred constantly while the employees where in their class. Other revisions that could be used for formative evaluations could be quick quizzes. I know that quizzes can also be a form of an assessment but with a five to ten question quiz it can serve as an important formative evaluation result. Done prior to the class, the instructor can prepare quick quizzes on each of the lessons that could be done online. So if needed they would be ready to go. The quick quizzes could range from short-answer, multiple choices, or even true/false. The results of these quick quizzes could provide useful information to the instructor as to the areas where the employees showed the least knowledge. Instructional Materials and Results to my Client The advantage of a formation presentation of the instructional materials is that it can serve as a conclusion to a long and complex project. You will want to submit all relevant material to your client and conduct a project debriefing meeting. In addition, the instructor may be asked to help support implementing the training to the employees. Make sure that when you deliver your final product you have everything in order and ready to go. Prepare high quality printed copies on good paper, the right file names, neat and professional looking labels. Finally, you would need to document this project a success and consider future improvements in this project. This development of CPR/AED program can be one of many projects that could be developed through the Miller School District. Appendix Appendix A Terms Certificate – formal recognition that an individual has passed an American Red Cross course Certified – term used to describe the circumstance when a course participant passes an American Red Cross course and is issued a completion certificate Appendix B Program Products, Equipment, Supplies, and Materials Viewing equipment: Smartboard, projector, laptops, and whiteboard/markers/paper Adult/Child manikins (one for every two employees) Blankets or mats (one for every two employees) AED training devices (one for every two employees) CPR breathing barriers, and disposable gloves Appendix C Participant Progress Log Name of Participant Removing Disposable Gloves Checking a Conscious Adult or Child Checking an Unconscious – Adult Checking an Unconscious – Child Conscious Choking – Adult Conscious Choking – Child Rescue Breathing – Adult Rescue Breathing – Child CPR – Adult CPR – Adult Scenarios CPR – Child CPR – Child Scenarios Unconscious Choking – Adult Unconscious Choking – Child AED – Adult AED – Adult Scenarios AED – Child AED – Child Scenarios Appendix D Flyer CPR/AED Training Date: 09/06/13 Time: 09:00 A.M. Meet in Theater The purpose of this in-service is to have ALL Miller School District employees trained in CPR/AED skills. By the end of the in-service you will be certified for the next two years! Contact person: Stephanie Dietterle Appendix E Employee, Parent, and Community Survey’s Employee Survey http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LINK_FOR_COLLECTION& sm=58y%2bzAK9jHH93AjdfQt27ce0W4%2bx%2ba4Zd6egerpdbnw%3d Parent Survey http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LINK_FOR_COLLECTION& sm=K9s10cEEueq2T5F87XL5bowpnRNNWBfVWfZPdHcJT6Y%3d Community Survey http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LINK_FOR_COLLECTION& sm=VZwyijF7BwSXjGlBcFlvb22Rd2rOaiTvQB%2bRZzDGtHo%3d Username: msdietterle Password: Dietcoke1 Appendix F Online Test http://www.easytestmaker.com/User Username: msdietterle Password: Dietcoke1 Appendix G Online Questionnaire http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LINK_FOR_COLLECTION& sm=U2zEyI%2bza8O9pO1Xk72MzK%2bHVI40bsPYoQHAuMnB5oI%3d Username: msdietterle Password: Dietcoke1 Reflective Journal Chapter 8 – Define Phase I wasn’t too sure what I wanted to do until when I was reading the material in the book, it mentioned a lot about CPR instruction. I have taught that in my classroom as part of my biology unit. We collaborate with the American Red Cross Chapter in Miller. I personally know a lot of information, I use to be an instructor, health/PE teacher, and I incorporate it into my Life Science classes with my Human Body Unit I teach in my seventh grade. Was a little bit worried as far as bringing in technology into my lesson but having taught HS computers for a year I became a little bit more confident as to what I could do. I had a comment from one of my collaborative group members: “How is this a technology issue that adults are having? I could be wrong, but I thought it needed to be technology driven with adult needs with technology.” I really thought about changing my whole project then and there, because she potentially is right. I looked at our final project a little bit different I guess. I thought about a problem that our school district was having and from that problem, how could I incorporate technology in order for the employees to understand the issue more. By including interactive Smartboard activities, Smartboard notes to help understand the material, online websites, online surveys, online testing, and online questionnaires about CPR/AED I feel that my final project does meet the technology needs of the project. I felt once I had a project in mind, using the resources I had it was fairly self explanatory as to what needed to be done for the define phase. Following along in the book really helped me develop this phase. I read all the notes and information on D2L, listened to your BB collaborative recordings and took notes on those (very helpful). Chapter 9 – Design Phase I used the book again to help develop this phase. I looked at the examples, the tables, the designers toolkit boxes, Voices of Experience (read those) and followed The Design Document pretty close. This phase was a little bit more challenging. Once again read my book very closely, read all notes on D2L, listened to BB collaborative recording and took notes. During this phase, I felt you really had to break down each part more and more. Once everything was getting broken down more, it seemed to just slide into place, and make more since of what our whole project was to consist of. Now I was adding items like: assessments, sources, and standards to my project. It started to really feel like I could present this information to the employees; very manageable. Very little feedback from my group members but once again got asked the question as to how this is a technology issue with adults? I still feel that this project may not be a certain type of technology that I’m teaching adults like Windows 8 but I’m teaching them a life skill and incorporating as much technology as I can to help reinforce what is being learned. Chapter 10 – Demonstrate Phase OK – I would have to say this was the hardest by far trying to develop. I really had to dig deep into the book and do a lot of searching for how I was going to incorporate this phase. Once again read all the notes on D2L, listened to BB collaborative and took notes but was still having some difficult putting together or creating this phase. So, I just started right on page 222 with the Treatment and used Example 10.1 to steer me in the right direction. I actually did my treatment very similar to that example. Read over each of the headings in the book, and carefully planned what I was going to create. Still a bit confused as to how it’s all going to come together but with the information that I have already completed in the define, and design phases I can see where this will makes since for the final outcome. I didn’t have anyone in my collaborative group comment on this phase for me so I don’t have any feedback to compare anything to. Chapter 11 – Develop and Deliver Phase This is by far the hardest two phases. I was having a hard time finishing this. I feel like this was being built upon throughout the whole process and envisioning how it will happen was a challenge to finish. I’m hoping with all my information, my client see what I have envisioned for this project. I understand what each of the phases were to consist off but just being able to develop them then deliver them was a challenge to finish. I did finish the deliver phase with a bit more understand that if I was to actually present this to the district, it would be quit understanding. Another issue is when I started to create the development Smartboard activities; I needed to add quite a bit more information so it would make since to the employees. I did start off will very little information but since this is a technology class and how to implement it the learner, I felt that I needed to add more information. I did take a look at the whole project a little bit different than others. I felt that CPR/AED was a need that the district needed to complete. I feel that implementing different technology tools to teach this class was and is a great way for all employees to also understand about technology. I believe that most employees haven’t taken an online survey, test, or questionnaire, so I felt that by incorporating those types of technology they also got to see the benefits of online information. The website that was used throughout this project also helps the employees realize that not only is there information from a textbook but information on the internet that can help them learn.