Improving resident safety across services By Colette Laws-Chapman Admission Avoidance Improving resident safety across services By Colette Laws-Chapman SaIL@ GSTT In collaboration with Southwark and Lambeth Integrated Care (SLIC)

Admission Avoidance Simulation Course New inter-professional, one and a half day course for healthcare practitioners working in primary, residential and community care services Low and high fidelity simulation of common clinical scenarios All scenarios are based on real clinical events, mapped to the 6 C’s of care, compassion, courage, competence, commitment and communication "People must always come before numbers. Individual patients and their treatment are what really matters….. …statistics, benchmarks and action plans are tools not ends in themselves. They should not come before patients and their experiences.” © SaIL 2015

Why was this course developed? Explore some of the core issues of care and compassion for care residents Explore some of the common conditions encountered by patients in the community and care homes Develop skills to help recognise the deteriorating patient early To reduce hospital admission or escalate a timely transfer To provide framework for communication & handover To enhance working in a multi- disciplinary environment These conditions can deteriorate but with early detection and intervention residents can be treated effectively thus avoiding an unnecessary hospital admission. © SaIL 2015

What are we trying to achieve? © SaIL 2015

In your shoes Specifically developed to reduce movement, hearing and vision to simulate the everyday conditions facing many older people Comments: ‘as if being punished’ ‘angry, restricted and frustrated’ ‘realised the need for patience and understanding’ ‘treat them how you want to be treated’ Aging suit © SaIL 2015

First Day (half) Second Day – Immersive simulation ABCDE assessment Pressure ulcer: assessment & management Using SBAR Aging: Nutrition, Mobility and Personal assistance UTI scenario Hypoglycaemia scenario Fall scenario Infected pressure ulcer X2 communication scenarios © SaIL 2015

‘The aging suit was an eye opener’ ‘learnt how elderly person feels’ Multidisciplinary delegates including: Care Home Care Assistance, Rapid response Team (AHP), SALT, District Nurses and GPs Very positive feedback with particular increased interest in utilising SBAR, ABCDE approach, TED stocking, pressure ulcers and NTS Comments: ‘The aging suit was an eye opener’ ‘learnt how elderly person feels’ ‘gained greater understanding at the frustration patients can feel and my patience and empathy are vital in every day care’ ‘recognising the importance of good handover for patient care to be smooth’ ABCDE 22, SBAR 20,ulcer 11, Suggest end of life care Care assistance 26, community staff nurse 3, DN 4, Specialist Nurse 1, Community Matron 1, Rapid response nurse 1, physio 2, OT1, SALT 1 © SaIL 2015