Transfer Training Course

Welcome –NENC London adult Critical Care Network Covers 15 Hospitals Based at the Royal Free Hospital (Host) Started in 2014 Getting the most for patients with the available resources Quality/Governance/Development/Training Focus on training The NCNE London network for adults in Critical care covers Royal Free Barnet, Chase Farm, Whittington, UCLH,Queens Square, North Mid, Homerton, All of Barts health which include The Royal London Hospital, Barts, Whipps Cross and Newham, Queens and King Georges in Romford.

NENC Network www.nenclnetwork.co.uk

Aims of Today’s Training Understanding the principles underpinning safe transfer of critically ill patients Will cover Inter and Intra hospital For Junior’s – introduction For Senior’s – refresher To standardize care and provide updates A full-day course aimed at covering all aspects of safe transfer of critically ill adult patients from and to the intensive care units, including intra- and inter-hospital transfers, aimed at an introductory initiation for junior staff and refresher training for the more senior ones, in their understanding of the principles underpinning safe transfer of critically ill patients. This would not only help to standardise clinical practice for safe patient transfer across the network hospitals, but would also provide recent updates in transfer medicine. Eventually, this would be of benefit to our patients. The day is aimed at nurses, doctors, ODPs, paramedics etc.

Aims The day is aimed at Nurses, Doctors, ODPs, and Paramedics

Objectives Physiological effects of transfers on critically ill patients Pre-transfer stabilisation and rapid transfer ABCDE approach to stabilising patients before transfer Safety aspects of transferring patients for specialised care Medico-legal aspects   Define potential physiological effects of transfers on critically ill patients, and techniques for mitigating detrimental effects. Differentiate patients into those for whom pre-transfer stabilisation is appropriate (the majority), and those where rapid transfer is appropriate. Describe an ABCDE approach to stabilising patients before transfer. Describe essential safety aspects of transferring patients for specialised care – neurosurgical; vascular and bleeding; liver and cardiac. Outline essential medico-legal aspects of transferring critically ill patients.

Objectives Human factors, and effective communication Essential equipment Describe the importance of human factors, and effective communication and organisation for the safe transfer of critically ill patients. List essential equipment needed for a critical care transfer, and explain the importance of being competent in the use of all equipment.  

Today 08:30 – 09:00 Registration and coffee Welcome and introductions   Transfer of the Critically Ill Patient Why worry about transfers? What are the reasons for patient transfer? What can go wrong? Physiological effects of transfer Pre-transfer stabilization C O F F E E B R E A K Transfer of patients with head injuries and major trauma Medico-legal aspects of transfers Acute liver emergencies Communications / Crisis Resource Management Aortic emergencies film L U N C H B R E A K WORKSHOPS Ambulance workshop Oxylog workshop Equipment workshop Cardiac case base discussions Neuro case base discussions COFFEE BREAK 16 00 Certification, Evaluation, Feed-back and close

Audience Response system Clicker Quiz at the end Register your name Hold on to them and return at the end of the day

Some Practicalities Toilets Fire exit Lunch and water machine Workshops Evaluation forms

Future dates 2018/19 29th November at Homerton Hospital 28th January Royal London Hospital 27th March Queens Hospital Romford

Any Questions ?