1. Transfer Training Course

2. 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.

3. NENC Network

4. 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.

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

6. 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.

7. 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.

8. 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

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

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

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

12. Any Questions ?