1. ALERT™ AWARE™ & BEACH™ Network Day
Tuesday 26th September 2017
Holiday Inn, Birmingham

2. Introduction The Team Fire procedures Facilities Mobiles
Bev, Pip, Laura, Mandy, Helen, Mark introductions.

3. Morning Programme
09.30 – Coffee and Registration – Welcome and ALERT™ HQ Update Human Factors – Mark Hellaby – Coffee and Networking – Paediatric ALERT™ Update – BEACH™ V2 Update

4. Afternoon Programme
Lunch & Networking – Lancaster 3 Foyer – Human Factors Development Workshop - Your Vision – Quality Assurance Guidance Q & A – Evaluation & Close

5. Any Questions?

6. Beverley Stockwell ALERT™Senior Clinical Educator
ALERT™ HQ Update
Beverley Stockwell
ALERT™Senior Clinical Educator

7. Review of the Last year Team update New Scenario New centres
Regulations Updated
Manual Updates
Quality Assurance
Social Media
Our first year scot now anna
Inadequate Analgesia
ACTION™ Melbourne, Perth and SECAMB
Manual – breathing diagram & new sepsis pathway
Social media – linked in, twitter, new website

8. Overview of the year ahead
Paediatric ALERT™ Course
BEACH™ V2 piloted
BEACH™ within the community
Network Day - Oct 2018
Teaching Guidance
Increase course centre visits
Human Factors update

9. Any Questions?

10. ALERT™ HQ
@ALERT_Course ALERT™ Course Headquarters

11. Clinical Educator ALERT™ & Resuscitation
BEACH™ V2 Update
Laura Wood
Clinical Educator ALERT™ & Resuscitation

12. Learning Outcomes Overview of the last year – Clinical Lead for BEACH™
Following Network Day 2016, you said….
Following Network Day 2016, I did…..
Brief overview of what I have been doing in the last year with BEACH. Importance to stress that following network day we pulled together your themes and this is where we think we are going with it.

13. Overview of the last year
ALERT™ HQ - Engagement and scoping exercise with course centres
ALERT™ HQ - Support with new BEACH™ centres
ALERT™ HQ - BEACH™ Manual update
PHT - Significant increase in PHT BEACH™ courses including bespoke obstetric BEACH™ course
ALERT™ HQ - Development of Record of Learning
PHT - Exploring BEACH™ within the community setting
Following network day last year completed a scoping exercise engaging course centres regarding the potential amalgamation of the BEACH and AWARE courses so get an overview of opinions. Generally happy with just one course, as long as the content remains truthful to BEACH and AWARE and core content from AWARE to remain. Plan going forward to still have half day programme, with an extended element available with scenarios for more advanced unregistered healthcare staff. Or extended version to include organisations own induction health care support worker programme followed by new BEACH V2 programme in the afternoon.
New BEACH centres in the last year. Visited OXFORD in July to watch their BEACH course.
Ongoing development with the BEACH V2 update manual. New content includes; Sepsis, accountability and delegation, human factors, fluid balance and AKI, diabetes, more focus on work book style like current AWARE booklet. Theory and content linked to Care certificate standards and KSF framework.
See massive increase in PHT BEACH courses, very popular course.
Development of the Record of Learning. This is similar in style to the ALERT ROL and references the Care certificate standards.
In development to take BEACH within the community. Exploring possible of this, and have been in contact with primary care organisations in developing this within the community. Looking at an income stream for the organisation.
If you want more info then please catch up with me at coffee.

14. Course Centre Feedback
“Combine BEACH™ and AWARE™ courses”
“Full day is best to incorporate”
“To include elements of the Care Certificate”
“Workbook style manual , like AWARE™”
“Scenario based like ALERT™ in the afternoon”
“BEACH™ as a half day”
“Add in Sepsis and AKI” “Competency based”
“Essential physiological teaching required”
“BEACH™ as a full day” “…keep the prioritisation exercise”
“more group work and table top discussions”
“AWARE is a good foundation”
Following last years network day we wanted to explore course centres moving forward with what was available for your band 1-4 workforce. Explore what course centres thoughts were regarding the two courses.
Following the network day I reviewed the paperwork from the course centres and the overall feedback of the courses was to combine them (dependant on how the course will look and its structure). We recognise at HQ that finances are tight within healthcare organisations and it is potentially more cost effective to have one course rather than two. We also recognise those course centres who only run the AWARE course, and we will endeavour to fulfil this gap with the look of BEACH V2 to have a lot of content from the AWARE courses and have a workbook style manual similar to that for AWARE.
Scoping exercise this year to see how course centres generally felt about this potential movement for ALERT HQ, and overall most course centres agreed with the one course strategy going forward.

15. Example of a BEACH™ V2 Template half day programme
Suggested minimum timings (can be extended)
Topic
Essential Content
ESTIMATED TIME
Welcome and Introduction
Setting the Scene Suboptimal Care
Why are you here at the BEACH™?
Yes
15 minutes
BEACH™ Systematic Assessment Framework (local NEWS & Escalation)
09.30 – 10.15
Accountability and Documentation – Human Factors Case Study
45 minutes
10.15 – 10.35
Sepsis
20 minutes
10.35 – 10.45
COMFORT BREAK
10 minutes
Airway Assessment and Alertness
30 minutes
11.15 – 11.45
Breathing Assessment
11.45 – 12.30
Circulation Assessment & Disability (Including Fluid Balance and AKI)
Handover, Escalation and Communication Tool (SBAR) including prioritisation exercise
60 minutes
13.30 – 13.35
Evaluation and Close
5 minutes
Still half day programme to enable flexibility to add in own organisations content.
Added in suboptimal care format (to align with AWARE™ and ALERT™) why are you here?
New BEACH™ Systematic Assessment Framework tool.
Added in accountability and delegation and roles/responsabilities as a unregistered healthcare staff, followed with a case study which demonstrates both accountability and human factors.
Sepsis added as mandatory content.
Scenarios to remain in each element Airway, Breathing etc. AKI and fluid balance added to Circulation element.
Prioritisation exercise to remain.
Record keeping and accurate documentation added throughout content.

16. Example of a full day BEACH™V2 programme
Suggested minimum timings (can be extended)
Topic
Essential Content
ESTIMATED TIME
Welcome and Introduction
Setting the Scene, why are you here? Suboptimal care – Why are you here at the BEACH™?
Yes
15 minutes
BEACH™ Systematic Assessment Framework (local NEWS & Escalation)
30 minutes
09.45 – 10.15
Accountability, Delegation & Documentation – Your scope of practice
10.15 – 10.30
BREAK
Airway Assessment and Alertness
45 minutes
11.15 – 11.45
Breathing Assessment
11.45 – 12.30
Circulation Assessment & Disability (Including fluid balance and AKI)
Sepsis

17. Example of a full day BEACH™V2 programme
LUNCH
40 minutes
Handover, escalation & communication tool (SBAR)
Human Factors Case Study (Table top exercise)
Yes
60 minutes
(Split into 3 groups of 4 candidates)
Table Top workshops – Patient Scenarios
Scenario A
Scenario B
Scenario C
Evaluation and Close – ROL & Evidence based future practice with BEACH™ workbook
30minutes
In full day course a module which organisations can do to extend to a full day is the scenarios. X 4 generic scenarios written which relate to scenarios from manual. Similar structure to ALERT™ V4 course. Designed to be only 10 minute in length.

18. Scenario A (Airway) : Airway Obstruction History for candidate:B A R
You are about to complete routine care on a patient when you hear the patient is snoring and appears pale and sleepy.
The patient is in hospital having had a TIA (Transient ischemic attack).
The patient is not responding to you and you can hear snoring which is not normal for the patient.
What are your next steps? Do you need help now?
NEWS score: 12
LOOK, LISTEN and FEEL
Assessment of patient – what you find
What assessments do you make in look, listen & feel?
Airway
The patient is not responding to you when you talk to them.
Patient is sat up slightly but slumped to the right hand side.
Look:
Listen:
Feel:
ACTIONS:
Example of how a BEACH™ scenario will look. Similar in structure to ALERT™ v4. This can be done as a table-top exercise for all candidates to work in small groups on their tables and complete the scenarios with actions, next steps, escalation and handover. Can then report back to the rest of the group with facilitator notes added. Main message for these scenarios is the ability for the unregistered healthcare staff to recognise a problem, call for help/escalate early and intervene appropriately (within scope of practice). Flexibility to stretch learners (if within scope of practice) facilitator dependant (Like ALERT™).

19. Example of BEACH™ record of Learning
Print Full Name:
Date of BEACH™ course:
Achieved on the BEACH™ Course
Application of learning in clinical practice
Reflection by the individual on use in clinical practice
Communication and Handover
Care Certificate Standards met: Work in a person centred way (5) Communication (6), Handling Information (14)
Initials of BEACH™ course facilitator
Initials of Supervisor or Self-Assessment and Date
Recognises when help is required and calls them promptly to ensure help arrives in a timely manner
Able to use a structured communication tool (SBAR or RSVP) to handover a patient to a more senior member of staff
Demonstrates good communication skills with the patient so they are kept informed
Demonstrates good communication skills with the patient by explanation of actions and any assessments made
Recognition and Management of the acutely ill patient
Care certificate standards met: Understanding your role (1), Your personal development (2), Duty of Care (4), Work in a person centred way (5), Handling information (14)
Uses an Airway (A), Breathing (B), Circulation (C), Disability (D), Glucose (DEFG) and Handover (H) approach to assessing a patient who is acutely unwell
Understands a ‘Look, Listen & Feel’ approach when assessing patients

20. Questions?

21. Summary
Overview of the last year at ALERT™ HQ and development ideas for BEACH™ V2.
Ideas for new programme structure for BEACH™ V2

22. Quality Assurance
All ALERT™ Centres asked to complete one set of candidate evaluations per year.
April- June
July-September
October- December
January –March
Evaluation Form from Management system – to be given to candidates

23. Human Factors Revamp
What works?
What doesn’t?
Resources