2nd Edition Programme Launch 2014 Susan Garland PGdip, BA (Hons), RNT,RN, RM, FHEA Debbi Atkinson MA, BSc (Hons), RGN, RN (Child), DipHE, PGCE 1

B edside E mergency A ssessment C ourse for H ealthcare staff B edside E mergency A ssessment C ourse for H ealthcare staff 2 What is BEACH TM ?

Introduction Both AWARE TM and BEACH TM are aimed at: improving recognition and management of the deteriorating patient and developing underpinning knowledge and skills. 3

How is BEACH TM different to AWARE TM ? Uses an extended ABCD (ef) GH framework focusing on: Look, Listen, Feel Linked to “ABC” patient scenarios and handover Focuses on the overall role of the HCA integrating basic skills using the ABC framework. Links to specific practice based competencies and scenarios. 4

Learning Aims: To support the development of underpinning knowledge and skills to ensure safe management of deteriorating patients Provide tools and frameworks to support effective performance when observing and monitoring patients 5

Learning Objectives: Understand the importance of using a ‘look, listen, feel’ approach in relation to patient assessment Understand the A.B.C.D.defG.H. approach to managing a deteriorating patient Apply a track and trigger system to specific case studies Demonstrate the importance of effective communication in relation to deteriorating patients 6

What has Changed? New style manual Expanded target audience Changes in some of the language used. Cartoons removed Different anatomical illustrations Clear tables and diagrams Clearer headings and sign posting Track and Trigger system Early Warning Scoring Choking algorthym Communication Tools – SBAR and RSVP Updated presentation slides 7

What else has Changed? Updated case studies Case studies are less ethnocentric Relevance of glucose is included Pain has been included Basic neurological assessment added Top tips are emphasised Notes pages added Improved slides Updated references Updated BEACH TM evaluation tool 8 Do you need to call for help now?

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10 Disability What is your patient’s level of consciousness? What are your patient’s pupils doing? Is your patient in pain?

How can be implemented Working through the presentation and scenarios As a half day As above including locally identified training needs As a bespoke full day 11

Portsmouth Hospitals bespoke programme TimeTopic 09.00Intro, housekeeping, evaluation forms – 09.45Recapping on recording vital signs – 10.45Medical equipment competencies –use of the Greenlight manual sphygmomanometer and the portable suction unit – 11.00Coffee Airways and alertness Breathing – 12.30Circulation and chest pain including the Abbey Pain Score Lunch Handover/ RSVP/ record keeping including ‘The trouble with handovers’ DVD Case study (prioritisation exercise) – 15.30Hoverjack and mat (Manual handling equipment) Evaluation quiz / game. Please hand in your evaluation form. 12

Learners’ feedback 13 Book produced for BEACH Course very useful, really good idea Gives me more confidence in what we are doing Very interesting, informative and eye opening information, well presented. I can take all the information back to my ward and be more aware if a patient seems unwell I’m aware that if the smallest piece of information is missed it can result in patient experience being compromised

Impact in Clinical Practice 14 As the acuity of patients within the ward environment increases, it is important that the whole team can focus on recognition and escalation of the deteriorating patient, the BEACH course supports that awareness (Matron, Medicine) I love the BEACH course! It’s really important that HCSWs can spot the early changes as they are there one to one with patients (Senior Sister, Cardiology) I have noticed that our HCSWs have become more aware and report back to the RNs. Handover means more to them as they have a better understanding, which helps them to prioritise. (Senior Sister, Respiratory)

Table Top Exercise  You have laminated copies of the busy ward patients  Put the six patients in order of urgency and give reasons for your decisions 15

You may need this…… 16

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