RediStik™ Wearable Task Trainer Products

Designed by frontline innovators at Texas Children’s Hospital® in collaboration with Sawbones®

RediStik™ Wearable PIV Trainer


RediStik™ Wearable Port Trainer


RediStik™ Wearable CVC Trainer


RediStik™ Pediatric ECMO Cannulation Trainer


       


About Us

The RediStik™ Wearable Task Trainer Project was developed and implemented with support from the Texas Children’s Innovative Solutions Council, business and innovation team, the Marketing and Legal departments, and hundreds of frontline innovators at Texas Children’s.  

Beginning in the Texas Children’s Simulation Center, several medical professions from the Kangaroo Crew®, nursing education team, vascular access team and frontline intensive care staff identified a significant educational gap for a wearable, low-cost, realistic and durable peripheral intravenous (PIV) and port task trainers that enable more versatile training options.

It quickly became the team’s goal to develop and implement a trainer system accompanied with easily accessible educational videos addressing the unique PIV and port training challenges in the clinical environment. In addition to the trainers themselves, the supporting material needed to include a vetted, step-by-step procedural guide to improve trainee performance.

After more than three years of development, the RediStik™ Wearable PIV and Port Trainers were finalized and produced in collaboration with Sawbones® – the leader in medical models for orthopedic and medical education.

Thanks to all our key contributors and clinical leadership that have supported RediStik™ Wearable Task Trainers. Our partners have been instrumental in providing feedback on proof-of-concept development and supporting the new product pilots.

Sincerely,

Michael Pickett, MSN, APRN, PNP-BC
RediStik™ Project and Design Lead

Key contributors and Supportive Clinical Teams

M Pickett, MSN, APRN, PNP-BC1,13, T Bentley, RN, BSN2,13, P Lopez, RN, VA-BC3,13, N Pham, MSN, RN, CPEN, CPN4, N Villarreal, BSN, RN, CPEN, SANE-P4, J Milsten5, K Christopherson5, J James5J Lawrence, MSHP, RRT-NPS6, K Morales, BSN, RN, CCRN, CNP-T, CFC2, A Mitchell, BSN, RNC-NIC, VA-BC PCM3, S Dean, DNP, APRN, RNFA, WHNP-BC10,13, J Hearne, RN, BSN11,13 , C Roberts, RN, CCRN7,13, J Lambert, RN, CCRN7, R Bowen, RN, CCRN8,13, J DeJean, MSN9, B Levy, RN, BSN12,13, J Yborra, APRN, CPNP-AC1, B Barraza, APRN, CPNP-AC1, N Pruett, APRN, FNP-BC1, K Romane, APRN, CPNP-AC1, C Doughty, MD, MEd4,6, Marilyn Hockenberry, PhD, RN, FAAN14, Jaime Choate, MSN, RN15

1.Texas Children’s Cardiovascular Anesthesia; 2. Texas Children’s Kangaroo Crew; 3. Texas Children’s Vascular Access Team; 4. Texas Children’s Emergency Center; 5. Sawbones Design Engineer; 6. Texas Children’s Simulation Center; 7. Texas Children’s CVICU; 8. Texas Children’s PICU; 9. Texas Children’s Hematology; 10. Texas Children’s Women’s Health; 11. Texas Children’s Float Pool Educator; 12. Texas Children’s NICU; 13. Texas Children’s Innovative Solutions Council; 14. Global Hope Nursing; 15. Nursing Professional Development


About the RediStik™ Wearable PIV Trainer Kit

***Winner of the IMSH2020 SimVentor Award***

Trainer Features:

  • Self-sealing textured skin and subcutaneous tissue provide the ability to practice:
    • Visualization, palpation and puncture of the vein with blood flash confirmation
    • Threading of the catheter into the intravascular space
    • Drawing back blood and administering saline flush
    • Dressing placement
  • Lightweight and contoured design allows for quick securement to a person’s or mannequin’s arm
  • Versatile model allows for either tabletop or wearable simulation options
  • Needle-proof backing prevents accidental needle sticks
  • One small and one large vein option accommodates 18 GA to 24 GA needles
  • Clinical testing demonstrated life expectancy averages 1,000+ punctures with 24 GA needles

RediStik™ Wearable PIV Trainer Pilot Outcomes:

  • 14 clinical areas surveyed within Texas Children’s Hospital consisting of medical assistants, respiratory therapists, nurses, advanced practice nurses, physician assistants, and physicians
  • 100% (100 surveyed) recommended to their colleagues for training. See full survey data.
  • Quick setup for Just-in-Time Training and simulation scenarios
  • Worn on a person/mannequin increased staff engagement
  • Large and small rolling vein provide scenarios for palpation/stabilization and difficult access techniques
  • Used to evaluate procedures/policies and new devices/catheters/dressings
  • Progress from novice to advance in venipuncture and PIV insertion
  • PIVIE prevention and PIV trouble shooting
  • Utilized throughout TCH and Global Hope clinics in Sub-Saharan Africa 
  • Unexpected applications: patient self-infusion, fistula access, CVC trainer

RediStik™ PIV video links:


RediStik™ ordering information:

For Texas Children’s orders, please order via PeopleSoft and reference:

  • Light tone PIV Trainer Kit Item # 0133531
  • Dark tone PIV Trainer Kit Item # 0133533

About the RediStik™ Wearable Port Trainer Kit

***Winner of the IMSH2020 SimVentor Award***

  • Textured skin and subcutaneous tissue provide the ability to practice:
    • Skin preparation steps
    • Life-like palpation and puncture of the titanium port
    • Confirmation of needle placement with blood aspiration and ability to flush saline
    • Dressing application
  • Includes simulation options for superficial, normal, deep, angled, and float port positioning depths
  • Versatile model allows for both tabletop or wearable simulation scenarios.
  • The design includes needle-proof backing and attached shoulder harness system allowing for quick securement to a person’s or mannequin’s chest
  • Angiodynamics® Medium Titanium Smart Port included in the kit
  • Clinical testing demonstrated life expectancy for skin averages 1,200+ punctures

RediStik™ Wearable Port Trainer Pilot Outcomes:

  • Five clinical areas surveyed within Texas Children’s Hospital
  • 100% (67 surveyed) recommended to their colleagues for training. See full survey data.
  • Quick setup for Just-in-Time Training and simulation scenarios
  • Worn on a person/mannequin increased staff engagement
  • Used to safely evaluate procedures/policies and new devices/port needles/dressings
  • Adjustable port options provide scenarios for palpation/stabilization/difficult access techniques
  • Provides life-like experience for obtaining blood cultures, lab draws and flushing
  • Progress from novice to advance in port access, de-access, positioning and trouble shooting
  • Utilized throughout TCH and Global Hope clinics in Sub-Saharan Africa  
  • Unexpected applications: Renal service training port access with an apheresis needle

RediStik™ Port video links:


RediStik™ ordering information:

For Texas Children’s orders, please order via PeopleSoft and reference:

  • Port Trainer (No Titanium Port) Item # 0133534

About the RediStik™ Wearable CVC Trainer Kit

***Winner of the IMSH2020 SimVentor Award***

THIS TRAINER FEATURES:

  • Angiodynamics® 5Fr double lumen central venous catheter (CVC) pre-inserted into a realistic vein.
  • Wearable design and resilient tissue provides hands-on experience for:
  • Sterile technique, skin preparation with alcohol or chlorhexidine gluconate (CHG) and dressing application – Collecting blood cultures, lab draws, and flushing
  • Cap changes and trouble shooting
  • Wearable design helps learners practice positioning techniques
  • Trainer provides opportunity to practice institutional policy for CVC care.
  • Novel material designed to provide repeated skin preparation and dressing applications.
  • Dressing can remain on while in storage. Dressings do not leave adhesive residue.
  • Lightweight and contoured design allows for quick securement to a person’s or mannequin’s arm.
  • Versatile model allows for either tabletop or wearable simulation options.

RediStik™ CVC Set-up Instructions and Flyer


RediStik™ CVC video links:


RediStik™ ordering information:

For Texas Children’s orders, please order via PeopleSoft and reference:


About the RediStik™ Pediatric ECMO Cannulation Trainer


RediStik™ Pediatric ECMO Cannulation Trainer Set-up Instructions and Flyer


RediStik™ Pediatric ECMO Cannulation Trainer video links:


Inventors

Pediatric ECMO Trainer  co-leads
Michael Pickett, APRN, MSN, PNP-BC

Project lead, design lead
Texas Children’s Hospital

Mark Mazziotti, MD, M Ed
Position: Professor of Surgery and Pediatrics
Project design co-lead, education lead
Texas Children’s Hospital

Cole Burgman, CCP
Position: ECMO Supervisor
Project design co-lead, education lead
Texas Children’s Hospital


RediStik™ ordering information:


Inventor

Michael T. Pickett, MSN, APRN, PNP-BC is a Pediatric Nurse Practitioner at Texas Children's Hospital (TCH) with 20 years of clinical experience in pediatrics and has a genuine passion for innovation and staff-led solutions. In particular, Michael has an interest in product design, development, and implementation into clinical practice. Michael is the project lead and lead designer of the RediStik™ Wearable PIV and Port Task Trainer, and the Pediatric ECMO Cannulation Trainer proof-of-concepts. The novel simulation trainers were developed in collaboration with front-line innovators at TCH and Sawbones. The RediStik™ PIV and Port Trainers were piloted in 2019 and are being utilized throughout the TCH system and Global HOPE clinics in Sub-Saharan Africa. The Pediatric ECMO Cannulation Trainer is in the final design phase and currently involved in a pilot study at TCH.

In 2016, Michael helped initiate and became the founding chair of the Innovative Solutions Council (ISC), a new shared governance council at TCH. The ISC mission is to build an innovative ecosystem within TCH by developing collaborative relationships within the hospital, with leading manufacturers and with other innovators outside the TCH network to solve identified clinical needs. A cornerstone to the council’s success is connecting to end users within TCH by supporting staff-led solutions from a ground-up approach to innovation. Product design outcomes include three IV pole securement solutions: chest tube, oxygen tank and portable monitor securement devices, which were piloted and implemented on the intensive care units.

Michael transitioned to an ISC mentorship role in October 2018 and in January 2019 joined the TCH Global HOPE Nursing Advisory Council (NAC) as the nursing innovation expert. The NAC goal is to provide nursing expertise in the development of excellent nursing practice in the Pediatric Hematology/Oncology (PHO) Centers of Excellence (COE) in Sub-Saharan Africa.

Michael joined the Texas Medical Center (TMC) Innovation Institute as an advisor in 2018, supporting start-up companies with feedback and networking on their designs from the frontline perspective.

Michael has worked at Texas Children’s Hospital (TCH) for the past 16 years. He has worked in Pediatric Cardiovascular Anesthesia since 2016. Previously, he worked in the TCH Emergency Department for 12 years and prior to that he worked in a private pediatric practice for 3 years as a Pediatric Nurse Practitioner.

Education:
Duke University
Pediatric Nurse Practitioner Program
Master of Science in Nursing - 2000

University of Texas Medical Branch at Galveston
Bachelor of Science in Nursing - 1997


Product Development in Healthcare Settings Innovation Stories & Professional Presentations

INNOVATION STORIES & CASE STUDIES

INTERNATIONAL COLLABORATION:

INTERNATIONAL/LOCAL PRESENTATIONS:

  1. Sawbones© Vendor Booth, IMSH 2020, San Diego, California
    1. 2-day demonstration of RediStikproducts at Sawbones© vendor booth
    2. ECMO Cannulation Trainer procedure performed by Dr. Mazziotti
  2. IMSH 2021- International Meeting on Simulation in Healthcare
      1. ECMO Cannulation Trainer Proof-of-Concept Design and Implementation https://youtu.be/BDlr_RT86GQ
  3. IPSSV 2020- International Pediatric Simulation Symposia and Workshops
    1. Pediatric ECMO Cannulation Trainer Proof-of-Concept Design and Implementation
    2. Novel PIV task trainers support valuable outcomes in Sub-Saharan African Pediatric hematology/oncology clinics.
  4. IMSH 2020- International Meeting on Simulation in Healthcare
    1. SimVentor presentation on Design and Implementation of Wearable Task Trainer Proof-of-Concepts
    2. Pediatric ECMO Cannulation Trainer Proof of Concept Design and Implementation
    3. SimVentor Showcase category: International competition winner!
  5. IPSSV 2019 - International Pediatric Simulation Symposia and Workshops: Lead Presenter
    1. Sharing lessons learned on developing and implementing wearable task trainer prototypes into clinical practice.
  6. Biomedical Engineering Society, (Houston Chapter) 2018 – 2020
    1. Product Development During a Pandemic – ARC System for COVID – 19 Containment. (2020)
    2. Chest tube/02 Securement Device Design and Implementation. (2018)
  7. Nursing Professional Development and Education Council presents Professional Day 2019: Evidence-Based Approaches to Care in Pediatrics and Obstetrics.
    1. Design and Implementation of Wearable Task Trainer Proof-of-Concepts