university hospital of south manchester wythenshawe
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University Hospital of South Manchester Wythenshawe. what we’ve done and how we’ve done it.......so far. what we’ve done and how we’ve done it. John Moore Teaching the teachers Tracheostomy Safety Project 2011. Need Developed algorithm Begin training. Training people in the algorithm. - PowerPoint PPT PresentationTRANSCRIPT
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University Hospital of South ManchesterWythenshawe
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what we’ve done and how we’ve done it.......
John MooreTeaching the teachers
Tracheostomy Safety Project2011
what we’ve done and how we’ve done it.......so far
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Need
Developed algorithm
Begin training.......
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Training people in the algorithm
• How we started
• How you might want to start...
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Teaching programme begins-training interested people
• Day course
• Faculty
• Medics and nurses attend
• Simulator afternoon part to the course
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2009-10 Training a trustour experience
CMFT
UHSM
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www.tracheostomy.org.uk
First responder course Advanced Practitioners Trainers
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Information resource
• On-line• Interactive• Comprehensive• ‘One-stop shop’
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2009-10 training a trust
CMFT
UHSM
250 nurses
100 medics
60 nurses
50 medics
First
responder
courses
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2009-10
CMFT
UHSM
SRFT
RPH
BOLTON
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SRFT
RPH
2010-11
CMFT
UHSMBOLTON
ANWICU
AMICU
NETWORKS
ICS
DAS
NPSA
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How to teach a trust
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Something new.......
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We had a recent problem too..There was no joined up thinkingThere was no standard algorithmPeople hadn’t thought about
Resistance to change..Agenda..What do these guys know..
Never events
When they happen they are catastrophic
The coroner
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SRFT – a possible model
Patient safety
initiative
Stakeholdergroup
Training
Tracheostomysteeringgroup
National Tracheostomy Safety Project
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INTENSIVE CAREANAESTHETISTS
SURGEONSMEDICS
TracheostomySteering Group
RESUSTRAINERS
LEAD NURSESPRACTICE
EDUCATORSNURSES
MEDICS
PHYSIOS
NEURO REHAB
MANAGEMENT
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Tracheostomy Steering GroupAgenda -Trust remit
All elements of tracheostomy care (?)
Where do patients with tracheostomies go
Standardise kit
Programme of training.....Who/ Which to train first
Make it mandatory.....
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Agenda1st responder programme
Critical care
Wards that take tracheostomy
Trainers
Training
Trust
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• Provide pre-course materialwww.tracheostomy.org.uk
• Short introductory lecture to algorithm and bedhead technology
• Scenario based teaching
1st responder programme
Trainers
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Information resource
• On-line• Interactive• Comprehensive• ‘One-stop shop’
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Training - Personalise the story
...MG is a 24 year old man with mild learning difficultieswho spends 4 weeks on intensive care following problems with recurrent fittings and subsequent aspiration
he is on minimal oxygen but his cough his felt not to be good enough to tolerate decannulation
..Beds are scare and he is sent to a respiratory ward that takes tracheostomies ..the following night the nurses finds the patientunresponsive, and quickly they discover he is actually had a respiratory arrest....
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Training - Personalise the story
The cardio-respiratory team arrives and are unable to intubate or ventilate the patient..
the patient dies...
The tracheostomy is not removed during the arrestand post-mortem examination finds a blocked tracheostomy was the cause of death
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what we’ve done and how we’ve done it.......so far
• Website
• Pathway for training • National Tracheostomy day (DAS)
• What do you think...?