Source: NORTH DAKOTA STATE UNIV submitted to
STOP THE BLEED: EMPOWERING NORTH DAKOTA RURAL COMMUNITIES PROJECT
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
ACTIVE
Funding Source
OTHER GRANTS
Reporting Frequency
Annual
Accession No.
1031381
Grant No.
2023-46100-41042
Cumulative Award Amt.
$349,018.00
Proposal No.
2023-04836
Multistate No.
(N/A)
Project Start Date
Sep 1, 2023
Project End Date
Aug 31, 2026
Grant Year
2023
Program Code
[LX]- Rural Health & Safety Education
Recipient Organization
NORTH DAKOTA STATE UNIV
1310 BOLLEY DR
FARGO,ND 58105-5750
Performing Department
(N/A)
Non Technical Summary
Uncontrolled bleeding is the number one cause of preventable death from trauma. Due to the rurality of North Dakota (ND), rural residents face time and distance barriers to accessing quick medical care to manage life-threatening bleeds (LTB). People living in northern Plans states have the longest travel times to the nearest hospital.The goal of this program is to reduce the number of hemorrhage-related deaths caused by unintentional injury by providing Stop the Bleed (STB) training to residents in rural ND.STB is a 90-minute, evidence-based course that teaches laypersons skills to manage LTB events. This program will also provide needed medical supplies, such as tourniquets, to rural residents for managing LTBs.North Dakota State University (NDSU) School of Nursing (SON) will collaborate with NDSU Extension agents located in Rural-Urban Commuting Areas 4-10 to bring life-saving STB training to ND residents. Select rural residents will also be identified and trained to become STB trainers within their community so training opportunities can continue past project completion. Objectives include:1. Educating rural North Dakotans about their susceptibility to LTB and the benefits of learning STB skills2. Increasing participant confidence to intervene during an LTB3. Increasing participant knowledge of hemorrhage control techniques4. Expanding the availability of high-quality STB kits and medical devices designed to control severe bleeding.NDSU has experience facilitating Stop the Bleed on our campus including over 30 training classes, instructing 500 plus NDSU students and faculty
Animal Health Component
100%
Research Effort Categories
Basic
(N/A)
Applied
100%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
72460993020100%
Knowledge Area
724 - Healthy Lifestyle;

Subject Of Investigation
6099 - People and communities, general/other;

Field Of Science
3020 - Education;
Goals / Objectives
Program Goal: Reduce the number of deaths caused by unintentional injury by providing Stop the Bleed (STB) training throughout rural North Dakota (ND)Objective 1: Educate rural North Dakotans about their susceptibility to life-threatening-bleeds and the benefits of learning Stop the Bleed skillsObjective 2: Increase participant confidence to intervene during a life-threatening bleedObjective 3: Increase participant knowledge on hemorrhage control techniquesObjective 4: Expand the availability of high-quality STB kits and medical devices designed to control severe bleeding
Project Methods
? Conduct a minimum of 25 STB trainings each year (total 75)? Recruitment and education for rural STB instructors (Train the Trainer)? NDSU Extension to recruit rural participants to be STB certified instructors? Procure and distribute 7 STB instructor training kits to keep onsite in rural areas each year (21 in total for project)? Procure and distribute 250 individual personal STB kits each year (total 750)? Engage regularly with NDSU Extension agent partners to assess rural training opportunities? Collect, track, and report performance measures

Progress 09/01/23 to 08/31/24

Outputs
Target Audience:North DakotaRural partners involved in the proposed project were East and West state extension agents and the representatives in our rural farming community. Our rural collaborations focused on providing Stop the Bleed (STB) training to rural adult community members. With this grant, the NDSU Scool of Nursing (SON) and our rural partners have provided training on crucial intervention techniques to over 330 participating community members and provided 26 training sessions throughout rural North Dakota in year one. NDSU Extension has been activelyinvolved in the selection of rural sites, coordinating STB sessions throughout ND with extension agents.Extension leaders with guidance from extension and NDSU faculty have scheduled 26rural ND adolescent/adults for STB educational sessions. Our North Dakota rural partners/extension agents have beenheavily involved in the selection of participants, scheduling of trainings, and recruitment of qualified individuals from rural communities to become STB instructors. They have provided a meaningful introduction on the importance of STB training in every each session and facilitated the closing of each training session. They have been very successful The NDSU grant team delivered STB trainings to 26 rural communities in year one throughout the state. Our total participants averaged over 13 per site, often giving two STB training sessions in the same day in that rural community. We have distributedseven STB instructor kits to North Dakota extension agents to be used by qualified STBinstructors in year one. We delivered over 300 STB bleeding control kits to participants Part of the initial challenge was development of qualified STB instructors in the rural areas. Part of the registration process we have identified over 30 potential new rural STB instructors. Though collaboration with the Stop the Bleed Collation theseparticipants can attend one of STB sessions and have theopportunity to become STB instructors though an online portal. NDSU is currently in the process of becoming a national Stop the Bleed Educational site through the Stop the Bleed Collation . Therefore, the grant has successfully targetedrural populations throughout ND with decreased access to critical care services. Changes/Problems:Nothing major- based on farmers schedules we have been focusing on winter months for STB trainings so no sessions during the summer when farmers are so busy. Original intent of training rural STB instructors has changed to allowing qualified participants to attend our session and now being directed to the STB collation for online verification of becoming a STB instructor. We will coordinate distant rural sites to be done on same day or consecutive days. Some rural sites are 8 hours away from faculty- so we will plan on having a better coordination of our scheduling between rural extension agents and faculty to allow faculty to be more pragmatic with time. What opportunities for training and professional development has the project provided?Grant personal have distributed sevenSTB training kits in year one to ruraland enabled for over 30 potential STB rural instructors who now can continue STB education in the rural communities that they reside in. All six NDSU Nursing faculty are now certified STB trainers The NDSU DNP Nursing program has complete the submission for an educational site STB license. We will be a licensed site for the Stop the Bleed collation by 2025 NDSU official STB Educational License •Applied for educational license that allows our program to: TeachSTB classes Utilizefree STB tools and resources Promoteactivities via STB Podcast, social media coverage, and guest posts Early accessto STB project programs AutomaticSTB Coalition membership Major sessions planned/in the works North Dakota Winter Show (Spring) Family Campers and RV'ers Convention (Summer) Big Iron Farm Show (Fall) North Dakota Farmers Union Annual Convention (Winter) How have the results been disseminated to communities of interest?Yes, vis NDSU extension and Health Human Services CollegeFacebook sites. Via extension monthly news releases Extension newsletter reports Television interview on North Dakota Today North Dakota Soybean Grower Magazine KFYR Television report Ag Week Weather and Ag Focus National Nurse Practitioner Symposium in Keystone Colorado - STB poster session What do you plan to do during the next reporting period to accomplish the goals?Completedata evaluation/analysis- submit one publication and one poster/presentation at a regional/nationalconference. Continue dissemination of STB information using Extension and Health Human college resources to reach rural ND Training an additional 300 rural participants and distribute 250 bleeding control kits Distribute an additional seven STB training kits to rural extension agents and facilitate an additional 30 STB instructors through support from USDA/NDSU STB grant activities.

Impacts
What was accomplished under these goals? Grant personal have exceeded year one goals by training over 330 rural ND residents We have surveyed over 250 eligible participants of STB training session- the surveys measure confidence and knowledge because of the STB training. (not all particpants have taken survey, those under 18 didnt take survey) Verbal feedback has been overwhelming positive from participants as well as the extension agents coordinating rural sessions. The survey data evaluation/analysisis in process for year one and will be completed/reported on by October 2024 for the Feb 2025 meeting and 2nd year annual report. We have distributed over 250 STB Bleeding Control kits in year one along with seven STB training kits to rural extension agents in seven communities.

Publications

  • Type: Conference Papers and Presentations Status: Published Year Published: 2024 Citation: Poster session National Nurse Practitioner Symposium Keystone CO July 18-20th 2024 "Implementing Stop the Bleed Training in Rural North Dakota" Dean Gross, PhD, FNP-BC, Carrie Nelson DNP, FNP-C, Allison Peltier, DNP, FNP-C, Kerri Benning DNP, FNP-C, Heidi Saarinen DNP, FNP-C, Mykell Barnacle DNP, FNP-BC, Angie Johnson NDSU Extension North Dakota State University School of Nursing