1. Deteriorating Patient

2. AIM To enable health care professionals :
To recognise the deteriorating patient
To initiate appropriate interventions
To initiate timely interventions

3. Objectives For participants to
Understand the importance & relevance of observations and the underlying physiology
Be able to recognise & interpret abnormal observations
To be able to communicate effectively to the right people at the right time
To feel confident in recognising & managing a deteriorating patient
To facilitate teamwork within the multidisciplinary team
To enable nurses, doctors & physiotherapists to develop management plans together
The deteriorating patient study day is aimed at improving the immediate recognition and treatment of the hospital patient.
The use of scenarios re-enforce the importance of rapid assessment and treatment with early referrals to both the home team and the Intensive Care Outreach service.
Today highlights patients who are at risk of deteriorating
Our aim is to teach staff how to anticipate, recognise and prevent critical illness at an early stage.
This may prevent an admission to intensive care or prevent a cardiac arrest and imporve the quality of care for those who may still require an ICU admission.
Improve the quality of observations taken
The EWS protocol ensures senior team involvement in patient care
Promotes and early definitive action plan in treatment

4. Deteriorating Patient
(Recognition Intervention and Management of the Deteriorating Patient.)
Monday February 4th 2013 (08.00 to 16.30)
08.00 Welcome and Introduction
08.30 Early Warning Score/ICU Outreach
09.00 Airways/Breathing/Pain
10.00 Break
10.20 Circulation –
11.10 Neurological assessment –
12.00 Urine Output
Temperature –
12.50 Lunch break
Scenarios- putting into practise
Break
Teamwork & Communication - Quiz
Recap & Question Time

5. Problems encountered
The aim was for the course to be interdisciplinary –
Nurses attend. Only one doctor so far.
I set up a team of dedicated speakers/trainers but some are not always available
Particularly difficult to find trainers for the scenarios among this group.
Attendees do not complete pre reading so are not as actively involved

6. Positives Good feedback from attendees High attendance numbers
Instigates thought and discussion
Those who start off anxious about taking part in scenarios often feel ok afterwards

7. Future plan
Change format to online learning followed by attendance at 3 hour session including scenarios
To encourage more active participation by attendees by necessary pre learning requirements
Need less trainers per course.
May be able to run more frequently

8. Link
Thanks to COMPASS course for sharing info with us.