Interprofessional Patient Safety Programme for Final Year Medical Students & Staff Nurses

Interprofessional Patient Safety Programme for Final Year Medical Students & Staff Nurses

Course Structure/Outline & Interprofessional foci

This course emphasises multidisciplinary team training in acute care settings. Final year medical students work as FY1 doctors in pairs alongside qualified nursing staff. Leadership, decision-making, distributed cognition and situational awareness in complex clinical settings are a prime focus in the instructional design to enhance interprofessional collaborative practices. The idea is to simulate more closely real ward or A&E environments and working practices where junior doctors and nurses deal with acute events whilst seeking to escalate to more senior staff to provide further management and advice. In this way participants are offered opportunities to reflect on individual, team and system factors affecting the delivery of high quality care and enhance patient safety. In addition, feedback from clinical nursing faculty and peers underlines our belief that developing positive attitudes to inter- professional team debrief practices is an important learning outcome of the programme in its own right. This course incorporates two practical workshop; IV infusion setup that involves practical interprofessional learning techniques and discussions around fluid challenge administration, and a second workshop that utilises case based discussions to identify appropriate oxygen administration devices.

Nursing: To book your place on one of the below dates please seek agreement from your line manager and then email simulation.admin@stgeorges.nhs.uk  to confirm your place. Alternatively ring ext 1119 and ask to be placed on the course / date of your choice.

The course will focus on the following core skills, knowledge and attitudes:

CLINICAL

• Use ABCDE approach to assess and treat the patient
• National Early Warning Score (NEWS)
• SBAR Escalation
• Targeted history and examination
• Identification of risk factors for particular clinical conditions
• Establishing a working diagnosis
• Testing and refining a diagnosis
• Calling for help appropriately
• Use of observation charts to evaluate developing severity of illness
• Immediate management of a myocardial infarction
• Application of ALS guidelines in resuscitation
• Handover of severity of illness to a senior
• Know treatment options for GI bleeding including PPI and endoscopy
• Competent blood product request and administration
• Interpretation of blood gases
• Understanding the causes of shock
• Delivery of a fluid challenge and interpretation of the results
• Understanding of treatment algorithm for anaphylaxis

NON-CLINICAL/ HUMAN FACTORS

COMMUNICATION

CO-OPERATION

• Team building
• Supporting others
• Considering others
• Conflict resolution

DECISION MAKING

• Problem definition – what to do
• Option generation – what else could be going on?
• Risk assessment – what could the risks to the patient be of a course of action?
• Outcome review – did my treatment do what I expected eg. O2, fluid challenge?

LEADERSHIP

• Assertiveness – making point made in relation to seriousness of problem
• Providing standards – using Grey Book and following protocols
• Planning / co-ordination – setting an order to the management plan and telling others
• Workload management – being systematic about achieving objectives

SITUATIONAL AWARENESS

• System awareness – impact of system on this crisis and how to overcome it
• Environment awareness – how is my environment influencing this crisis?
• Anticipation – what is likely to happen and how will I prepare for it or prevent it?