Archive | Emergency Care Learning

Scotland’s Mobile Simulation Unit – our experience on Arran

In January 2017 the team at Arran Medical Group and Arran War Memorial Hospital hosted a visit from the NHS Education for Scotland Mobile Skills Unit (MSU) – or ‘Skills Bus’ as some folk refer to it. In case you haven’t seen it: the MSU is a lorry, which expands into a workshop area where patient simulation scenarios can be run from a separate control room (also on the lorry). This setup enables a modern simulation facility to be delivered anywhere in Scotland – particularly rural areas – as it only requires a flat piece of land and an electricity hook-up similar to most caravans.

The skills unit just needs a flat area of ground, and an electricity hook-up. We were grateful to Scottish Fire & Rescue for hosting the unit at Lamlash Community Fire Station.

The folks at the Managed Educational Network (MEN) at NHS Education for Scotland (NES) [don’t worry, the acronyms will stop soon!] are keen for awareness to be raised about the unit, particularly its benefits to rural teams. We hope this description of our experience will encourage others to consider arranging a visit with the associated teaching that can often be organised to coincide.

Stop Press 8/9/17 – we were delighted to learn yesterday that the Arran NHS team were awarded the Gordon Nixon Award for this emergency training week. For more details see this page or watch the video below…

Tell me more about the unit…

The MSU operates from its base in Tayside, and can be booked by contacting the MEN team. At the time of writing, Lynn Hardie is overseeing the unit’s bookings and couldn’t have been more helpful in organising for its delivery to Arran for a week.

Once the unit is set up and expanded by the driver, who usually returns the same day back to their base following delivery, there is a large teaching area which comfortably seats up to 12 people. The unit has heating and lighting, and offers a comfortable teaching space.

The unit can be set up – using the James-Bond style concealed TV – to deliver didactic teaching presentations. Whilst this is its most basic of functions, there are some areas in Scotland which will will find this to be a useful function as part of a more comprehensive course.

However, the main purpose of the Unit is by using its SimMan, SimJunior or SimBaby, along with various provided medical paraphernalia, to enable a wide range of patient assessment simulations to be carried out. The unit has been custom-built: its layout enables pragmatic connection points for the mannequins; there is a separate control room set up with appropriate control software; and an impressive ‘SMOTS’ video system records scenarios from three different angles. This is useful both for monitoring progress through a simulation, as well as for playback during scenario feedback.

This sounds a bit complex

The kit is certainly modern, technically impressive, and requires familiarisation. However the MEN runs excellent (and free) Faculty Development Courses (FDC) – usually at the Scottish Simulation Centre in Larbert – to introduce potential hosts to the simulation equipment and also the daily setup and operation of the unit.

We found the FDC to be fun, interesting and useful – not only for the operation of the unit but for generic skills in running simulations and delivering effective feedback.

The unit also comes with relatively idiot-proof set up instructions, as well as an A-Z guide of equipment and a very helpful troubleshooting guide. This is all covered in the FDC and the MSU team also make themselves available by phone to help sort out any urgent problems during a visit.

OK, but who can we get to help us?

Dr Mark Davidson, Consultant with the ScotSTAR paediatric team, was one of several skilled colleagues who provided excellent teaching during the week.

The unit can be used by confident local teams to deliver training, however we would highly recommend requesting input from the ScotSTAR transfer teams who are often able to provide outreach support for rural training visits. In our case, over the duration of a week, we allocated Monday & Tuesday for paediatric acute care, Wednesday for obstetric emergencies, and Thursday & Friday for adult acute care. For this we were able to enlist the excellent help of the ScotSTAR Paediatric Retrieval Team, the Scottish Multiprofessional Maternity Development Programme (SMMDP) and EMRS (Emergency Medical Retrieval Service) who each came to Arran and delivered excellent teaching – including simulation sessions – during their stay.

In addition we invited a number of clinicians at Crosshouse Hospital – to whom we usually refer our cases – and their involvement was crucial both in clarifying local protocols and also understanding some of the challenges that we face in the rural and community hospital setting when referring to them and their teams.

How did it go?

Our local fire station provided excellent additional presentation space to run workshops, lectures and ample catering facilities.

We found that smaller groups worked best for simulation sessions. We also benefitted from the free use of our Lamlash Community Fire Station (who also kindly provided electricity and additional training space) as well as a daily donation of snacks and food for our Faculty from the Co-op.

Over the week the programme progressed through paediatric, obstetric and adult sessions. We allocated 10-14 clinicians into each morning or afternoon session, usually splitting them up into two groups to alternate between simulation and workshop training. We also held lunchtime ‘drop-in’ update sessions on topics such as sepsis, DKA (diabetic ketoacidosis), drug overdose and ECG interpretation; and we invited our First Responders to an evening of simulation too.

We delivered over 540 training hours during the week to Arran’s GPs, nurses, nursing assistants and paramedics/technicians, and collated feedback using SurveyMonkey – which was generally very positive and indicated an enthusiasm for doing more simulation training in the future.

What went particularly well?

Multidisciplinary colleagues worked together in simulations, and this reflected the nature of work on Arran in our community hospital.

Our teams enjoyed working in the same multi-disciplinary setup that we usually work in. For example, at our community hospital, it is common for a GP, two nurses, a nursing assistant and paramedics to continue working on an emergency case on arrival at the hospital, and we emulated this in teaching scenarios. The quality and experience of our Faculty – comprising experienced consultants, nurses and paramedics – was clearly appreciated by participants, along with the relevance of the teaching.

Prior to the training week, we surveyed our colleagues to identify what they felt were priority areas for development. As expected, sepsis and acute coronary syndrome were low down the priorities – there has already been a focus on these areas in our hospital (and nationally) over the last few years. Higher up were – obstetric emergencies, unresponsive/hypoxic children, severe asthma, drug overdose and major trauma; and so these were the areas that we focussed our training on this year.

During the week we kept a ‘Great Ideas’ board updated using post-it notes, to capture great suggestions and points for further consideration following the course. Collating this at the end of the week provided not only a snapshot of over 40 learning outcomes, but a great range of action points for implementation, as a result of discussion during the week.

What would we have done differently?

Based on feedback, we might have built in more time for skills stations – for example airway management, NG tube placement, chest drain insertion and femoral line access. There is equipment to provide this training on the Unit, however we opted to focus on more simulation training for our week.

Any further efforts to keep groups small and reflective of typical team configurations would have had benefits too, although the feedback indicated that most of the time this was achieved.

We also found – as do organisers of similar training – that running a week can be tiring!  Inevitably, there is a bit of running around before and during the week, to sort out equipment, printing documents and keeping a track on the programme.  Two of us kept an eye on this, and our advice to anyone considering running a training week would include the importance of running the week as a team, with adequate time to oversee the logistics!

What about funding?

We used local training funding to free up time in order for two Arran clinicians to attend the Faculty Development Course, as well as some admin time required before, during and after the training week. Funding was also identified for GP locums – and this, combined with restricted leave during the week – meant that we were able to maintain normal service whilst maximising participation in the training scenarios.

The crucial advantage that we had by involving ScotSTAR teams is that they were able to fund their input via their own team outreach budgets – this is centrally funded with the aim of supporting rural clinicians, and so the conversion factor between local funding and the ‘worth’ of the week was 3-4 (i.e. we gained nearly four times as much value from the local funding required to organise the week).

Interested?

The SMMDP programme ran a fantastic, relevant- and fun – one day course on obstetric emergencies for us. Twenty staff from all disciplines attended.

David Hogg (GP) and Ailsa Weir (Senior Charge Nurse) oversaw the week of training. We can both be contacted via Arran War Memorial Hospital if you wish to find out more about our week. Lynn Hardie (Mobile Skills Unit Project Officer) was instrumental in organising the unit to be available, and our attendance at the Faculty Development Course. Lynn’s contact details are available on the MEN website.

In terms of team contacts, Sandra Stark (Nurse Consultant, ScotSTAR Paediatric Team) and Kate Silk (Programme Administrator at SMMDP) were our key links and very helpful in setting up the training. Every rural area in Scotland has an EMRS ‘link consultant’ and this should be the route that EMRS involvement is requested. In our case we were grateful to Dr Drew Inglis and Dr Doug Maxwell for their input.

If you are keen to consider a visit to your local area, contact the MSU team in the first instance, and they will be able to advise on availability, and advise on how to set up an appropriate programme of training.

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Retrieval 2017 Conference programme now available

Details are now available for the annual Retrieval conference, hosted by the Emergency Medical Retrieval Service of Scotland.

Once again, there is a broad range of topics covered, and another impressive line-up of local and international speakers.  As well as clinical topics, there are also presentations about working with the media in the prehospital setting, and ‘Looking After the Team’ – being aware of the stressors and pressures placed on responders in the emergency prehospital setting.

Registration is now available and abstracts can also be submitted via the Retrieval 2017 website.

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BASICS Scotland reports on over 15,000 hours of tele-education

BASICS Responders provide prehospital care across Scotland, especially in rural and remote areas.

BASICS Scotland – the charity that promotes the provision of high quality pre-hospital emergency care by health professionals across Scotland – recently produced a report that brings together experience of providing over fifteen thousand hours of online educational material.  And the conclusion: it’s cost effective, it increases access (particularly to remote and rural practitioners) to high quality education, and it works.

Tele-education has been available from BASICS Scotland since 2011, and since then the team have built on their experience to improve the learner’s experience, and reflect on what makes this form of learning most accessible.

Some participants manage to join these sessions in real-time, but the sessions are also recorded so they can be viewed at a later date via the BASICS Scotland website.  The sessions are usually packaged to run over ten weeks, covering adult and paediatric emergency prehospital care respectively.  A dedicated IT Facilitator assists participants with any initial difficulties in using the Adobe Connect software – which has proven to be an effective platform on which to deliver the content.  Participants who are watching in real-time are able to ask questions or type comments, and all of this is recorded for later viewing too.

As well as tele-education, BASICS Scotland also uses this technology for its Clinical Governance meetings (open to all member responders) and for Board meetings.  Scottish rural broadband speeds continue to pose some problems, but having knowledgeable IT assistance allows some of the technicalities to be tweaked, to maximise the use of available bandwidth.

The report (PDF) can be downloaded from the button below.  Further details on the tele-education programme can be found here, along with all the other training opportunities that BASICS Scotland provides.  A BASICS Scotland tour of the Adobe Connect platform can be found here.

Download the report here (PDF 733KB)
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15th December: Next BASICS Scotland Clinical Governance Meeting

basics_logo_new_large_csBASICS Scotland Clinical Governance Meeting

15th December 2016, 7.00pm – 8.30pm

 

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

Our meeting on 15th December will feature the following cases:

  • Fall from a horse: Iain Craighead (Highland)
  • My drive to Newcastle: Paul Gowens
  • An Entrapment: Brian Fitzsimmons (Highland)
  • Multiple Casualties: Mark Worrall (Ayrshire)

The meeting will also cover ‘Rudeness and clinical performance‘ with Richard Price.

Join us at the next meeting

This is a free benefit to all BASICS Scotland members and counts towards your CPD!

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

The programme for this meeting will be distributed in due course and invites will be sent out on the Tuesday before the meeting.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the members area of the BASICS Scotland website ( http://basics-scotland.org.uk/members/clinical-governance/recordings/ ).

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BASICS Scotland Adult Tele-Education Course

BASICS Scotland Tele-Education presents…

Adult Pre-hospital Emergency Care

basics_logo_new_large_csStarts Monday 16th January 2017

(closing date for registration is Friday 23rd December 2016)

Course cost: £150 for non-members / £135 (BASICS Scotland members)

This Course is primarily for doctors, nurses & paramedics delivering care in the pre-hospital environment. 

BASICS Scotland provide two types of Tele-education courses which are Paediatric and Adult Emergency Medical Care

New evidence based topics are delivered by weekly 1 hour sessions over 9 weeks for the paediatric course and 10 weeks for the adult course. These are presented live through our internet based video conference system using Adobe Connect which can be accessed anywhere in the world that you have a computer with an internet connection and up-to-date web browser with the latest Flash Player plugin installed.

Can’t make the live sessions? Don’t worry. Each live session is recorded and made available on our E-learning website along with supporting materials so you can view them in your own time.

adult-tele-ed-pic-slider

 

The adult course covers topics such as:

Allergy & Anaphylaxis; Asthma; LVF – Adult Pneumonia; Stroke & TIA; Chest Pain & Thrombolysis; Head Injury; ENT Emergencies; Wounds, Burns & Tetanus; Pain Relief; Seizures

Feedback from previous courses:

I picked up lots of useful tips, particularly regarding the range of drugs that I should consider using in a remote pre-hospital environment and the management of wounds and minor injuries.

Excellent course, loved been able to do it online, like structure of a topic each, 2 week break worked well. I enjoyed that the sessions were interactive, learned lots of useful information, thank you.

A very useful course that has increased my confidence in emergency situations.

Introduction on Adobe Connect and how it works

A short video is available from the BASICS Scotland page (link below) introducing what Adobe Connect is and how to use it for BASICS Scotland courses and meetings. Watching this recording is a good test to ensure you are able to watch the recordings made during this course.

Full details, including the application form, are available from this page at the BASICS Scotland website.
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14th September: Next BASICS Scotland Clinical Governance Meeting

basics_logo_new_large_csBASICS Scotland Clinical Governance Meeting

14th September 2016, 6.30pm – 8.30pm

Do you have a case that you would like to discuss at the next or future Clinical Governance Meetings?

Currently the cases we discuss are gathered from PRF’s that have been submitted to BASICS Scotland. We are keen for these Clinical Governance Meetings to be an open forum so if you have any case that you think would be of interest or you would like to discuss with your peers, contact us now at clinicalgovernance@basics-scotland.org.uk.

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

Join us at the next meeting

This is a free benefit to all BASICS Scotland members

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

The programme for this meeting will be distributed in due course and invites will be sent out on the Tuesday before the meeting.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the members area of the BASICS Scotland website ( http://basics-scotland.org.uk/members/clinical-governance/recordings/ ).

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BASICS Scotland Paediatric Tele-Education Course

basics_logo_new_large_csNews just in from BASICS Scotland about their latest educational offerings…

We are pleased to announce the latest start date for our popular Paediatric Tele-Education Course

Book now for 5th September Start!

This course is specifically designed to refresh your knowledge of Paediatric Emergency Medicine

The 9 week 1 hour course will offer you the chance to refresh &/or advance your knowledge on a variety of topics. Run over 9 weeks with a 2 week break, the course starts on the 5th September 2016 and covers a different topic each week over 1 hour live web based tele-conferencing sessions using our Adobe Connect system.

Topics covered include:

  • Child with fever and Meningitis
  • Head Injury
  • Seizures
  • Allergy Anaphylaxis
  • Asthma
  • LRTI
  • Epiglottitis & Croup
  • Gastroenteritis & Dehydration
  • Pain Relief

Can’t make the live sessions?

Don’t worry, each live session is recorded and made available on our E-learning website for you to view in your own time – access to course materials ends 6 weeks after last live session.

Book Now as closing date for registration is Friday 19th August 2016!

What does it cost?

The cost for this course is:

  • £135 for BASICS Scotland members
  • £150 for non-members

To download the information flyers and application form, visit the BASICS Scotland Tele-education page.

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BASICS Scotland Clinical Governance 14th June – programme now available

BASICS Scotland will be holding its next Clinical Governance meeting on Tuesday 14th June 2016 from 18:30 – 20:00.

This meeting will be chaired by Catrina Hewitt and cases being discussed include:

  • A diving emergency (Skye) presented by Andrew Harris
  • RTC (Grampian) presented by Alan Clauson
  • Prolonged Arrest (Arran) presented by David Hogg

We also have Neil Sinclair discussing CPD: Capnography and Richard Price will be covering SPHERE reports.

You can download the programme for this meeting here.

basics_logo_new_large_csThese meetings – held quarterly – tend to attract more than 20-30 responders from across Scotland.

This is a service for members of BASICS Scotland, and you can join by contacting the BASICS Scotland office in advance.  All you need is a functioning webcam & microphone/speaker – and the BASICS office will provide details on how to join the meeting by Adobe Connect (a form of videoconferencing).

We hope to see you there – either to listen in the background, or in contributing your views!  Don’t forget that you can listen to previous BASICS Scotland clinical governance meetings by logging into the website and looking under member benefits.

More about these meetings…

Currently the cases we discuss are gathered from PRF’s that have been submitted to BASICS Scotland. We are keen for these Clinical Governance Meetings to be an open forum so if you have any case that you think would be of interest or you would like to discuss with your peers, contact us now at clinicalgovernance@basics-scotland.org.uk.

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

This is a free benefit to all BASICS Scotland members

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the BASICS Scotland members website and visiting the Clinical Governance section.

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EMRS Clinical Governance: next VC meeting 9th September

emrs minilogoDate for the diary… the next clinical governance meeting of EMRS (Emergency Medical Retrieval Service for Scotland) – available to any rural health practitioners in Scotland – will take place on Friday 9th September from 1.30 – 3.00pm.

The usual format will be presented: a general review of activity since their last meeting, along with two cases of interest, representing elements of both primary (from scene) and secondary (from rural hospital) retrieval.

To attend, you will need access to either a VC site connected to the NHS Scotland network, or your own NHS Scotland VC Jabber account.

To register, you can contact Anne Cadman at: Anne.Cadman@ggc.scot.nhs.uk with your ISDN number or Jabber account ID.

 

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BASICS Scotland Clinical Governance 14th June – sign up now

BASICSlogoBASICS Scotland will be holding its next Clinical Governance meeting on Tuesday 14th June 2016 from 18:30 – 20:00.

The programme for the next meeting is in the process of being developed.  BASICS Scotland is keen to hear from any members or responders who would like to contribute to this meeting – either about an interesting case or about a topic that has caused some discussion.

 

basicsThese meetings – held quarterly – tend to attract more than 20-30 responders from across Scotland.

This is a service for members of BASICS Scotland, and you can join by contacting the BASICS Scotland office in advance.  All you need is a functioning webcam & microphone/speaker – and the BASICS office will provide details on how to join the meeting by Adobe Connect (a form of videoconferencing).

We hope to see you there – either to listen in the background, or in contributing your views!  Don’t forget that you can listen to previous BASICS Scotland clinical governance meetings by logging into the website and looking under member benefits.

More about these meetings…

Currently the cases we discuss are gathered from PRF’s that have been submitted to BASICS Scotland. We are keen for these Clinical Governance Meetings to be an open forum so if you have any case that you think would be of interest or you would like to discuss with your peers, contact us now at clinicalgovernance@basics-scotland.org.uk.

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

This is a free benefit to all BASICS Scotland members

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the BASICS Scotland members website and visiting the Clinical Governance section.

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