RT Journal Article SR Electronic T1 The Damage We Cause: Airway Securing Devices and Pressure-Induced Injuries JF Respiratory Care FD American Association for Respiratory Care SP 3949575 VO 68 IS Suppl 10 A1 Cappuccino, Robin Pearl A1 Gardner, Donna D. A1 Koster, Megan A1 Coyle, Joseph YR 2023 UL http://rc.rcjournal.com/content/68/Suppl_10/3949575.abstract AB Background: Securing an artificial airway in an intubated patient is of the utmost importance to avoid accidental extubations. Endotracheal tube (ETT) securing devices are associated with medical device-induced pressure ulcers (MDIPUs) and rates range between 7%-45%. MDIPUs have severe consequences for patients, clinicians, and facilities. This educational pre and post design study examined the knowledge of MDIPUs in a senior respiratory therapy program. Methods: A 10-item pre-test based on a thorough literature review targeting pathophysiology, prevention, and treatment of MDIPUs related to ETT retaining devices was administered immediately before an in-person lecture and hands on exercise to entry level respiratory students. The same test was administered immediately after the education program to compare information retention and understanding. Results: The class average on the pre-test was 51.9% ± 9.2% (mean ± 95% CI). Out of 14 students (7.1%) met or exceeded the criterion of success (70%) for the pre-test. The difference between the pre-test score and the criterion of success was statistically significant: t(13) = -3.85, P < .005. The difference between these scores had a large effect size (Cohen's d = -1.03). The class scores on this test fell short of meeting the criterion of success for this assessment. The class average on the post-test was 81.9% ± 10.9% (mean ± 95% CI). A total of 11 out of 14 students (78.6%) met or exceeded the criterion of success for the post-test. The difference between the post-test score and the criterion of success was not statistically significant: t(13) = 2.14, P > .05. The difference between these scores had a medium effect size (Cohen's d = 0.57). The difference between the pre-test and post-test scores (30%) was statistically significant using a two-tailed paired t-test: t(13), P < .001. The magnitude of this difference has a very large effect size (Cohen's d = 1.62). Conclusions: Entry level students' knowledge about avoiding MDIPU caused by airway securing devices increased after a lecture and hands-on exercise. Future research needs to be done across more respiratory care programs.