Vzdelávacie programy ERC a ich implementácia na Slovensku

Transcription

1 Vzdelávacie programy ERC a ich implementácia na Slovensku Kőppl J., Záhorec R Slovenská resuscitačná rada II. sympózium SRR, Bešeňová 2016

2 Slovenská resuscitačná rada Založená 25. septembra 2013 Oficiálny partner ERC za Slovensko Memorandum of Understanding between ERC and SRC od 17. januára 2014 Webová stránka

3 Slovenská resuscitačná rada Činnosť SRR Podpora a koordinácia výučby resuscitácie v súlade s aktuálnymi odporučeniami ERC Príprava a realizácia štandardizovaných vzdelávacích programov Zlepšovanie kvality resuscitácie na všetkých úrovniach a podpora systematickej kontroly resuscitačnej praxe

4 Slovenská resuscitačná rada II. KAIM LF UK Onkologického ústavu sv. Alžbety v Bratislave Akademická pôda Podpora dekana a spolupráca s ústavmi a pracoviskami LF UK v Bratislave Možnosť predklinického aj klinického výskumu Ovplyvnenie profilu absolventa LF

5 Vzdelávanie v KPR - laici Slovenský červený kríž Kurzy základnej KPR pre verejnosť Kurzy pre školiteľov a inštruktorov KPR pre vlastnú potrebu - v kompetencii IRC Ženeva Vzdelávanie dobrovoľníkov a mládeže SČK v poskytovaní prvej pomoci a KPR pre h u m a n i t á r n e c i e l e a z a b e z p e č e n i e hromadných akcií

6 Vzdelávanie v KPR - laici Akreditované organizácie MZ SR Kurzy základnej KPR pre žiadateľov o vodičské oprávnenie a pre verejnosť Kurzy PP a KPR počas školenia BOZP Vzdelávanie laickej verejnosti profesionálnymi poskytovateľmi zdravotnej starostlivosti vzdelávacie inštitúcie - Falck Academy, VŠ držitelia licencie ZZS zložky IZS

7 Vzdelávanie v KPR - profesionáli Pregraduálne vzdelávanie Lekárske fakulty: 1. ročník Prvá pomoc IV. ročník Anestéziológia a intenzívna medicína Fakulty ošetrovateľstva: Ošetrovateľstvo - Bc. denná forma 1. ročník Prvá pomoc Pôrodná asistencia - Bc. denná forma 1. ročník Prvá pomoc III. ročník Anestéziológia, intenzívna medicína a resuscitácia

8 Vzdelávanie v KPR - profesionáli Postgraduálne vzdelávanie Špecializačná príprava: Každý odbor má v rámci predpísaného zoznamu výkonov KPR (minimálne 5x) Systém sústavného vzdelávania: Kurzy KPR s praktickým nácvikom na modeloch v trvaní 8 hodín V rámci akreditácie zdravotníckeho zariadenia praktické školenie v KPR všetkých zdravotníckych pracovníkov Individuálne podľa pracoviska nácvik KPR (zložky IZS, poskytovatelia PZS, pracoviská AIM)

9 Vzdelávacie programy ERC 1. Objectives 1.1. The objective of training is to equip the learner with the ability to undertake resuscitation in a real clinical situation at the level at which they would be expected to perform, be they lay bystander, first responder in the community or hospital, a healthcare professional working in an acute area, or a member of the medical emergency or cardiac arrest response team The courses are taught by trained instructors who have undertaken an ERC course in teachingwww.erc.edu and assessment. Teaching is conducted by encouragement with constructive feedback on performance rather than humiliation. First names are encouraged among both faculty and candidates to reduce apprehension, and the mentor/mentee system is used to enhance feedback and support for the candidate. Stress is inevitable, particularly during assessment, but the aim of the instructors is to enable the candidates to do their best. $ BLS/AED Provider course programme 2. Terminology and Definitions Types of training Venue: 2.1. Basic Life Support (BLS) course, v.1 Date: Basic Life Support / Automated External Defibrillation Provider (BLS/AED-P) course The aims of the BLS/AED provider courses are to enable each candidate to gain competency in both BLS and AED. Duration Location BLS/AEDminimum courses are appropriate for a wide rangeactivity of providers. These may include clinical and non-clinical timing healthcare professionals (particularly those who are less likely to be faced with having to manage a cardiac arrest), 2.6. general Newborn Life Support (NLS)medical course students, first aid workers, lifeguards, those with a duty of care for others practitioners, dentists, Registration The NLS to provide theworkers), detailed and knowledge and practical instruction inmembers resuscitation of general babies atpublic. birth. It (such ascourse schoolaims teachers and care community responders, as well as of Course the Plenary introduction and welcome to the BLS with the is designed15 formin all health use workers, regardless of their discipline or status, who may be called upon to resuscitate a of an AED course Director baby. 2.2.newborn Immediate Life Support (ILS) course 15 min BLS demonstration: 15 min Break 1 ABCDE approach to the deteriorating patient, Basic Life The ILS-course aims to train healthcare providers in the Stage 1 (real-time demo) Plenary Flexible/minimum Support, BLS/AED-instructor course simple airway(bls/aed-i) management and safe defibrillation (manual and/or AED), enabling them to manage timing (see footnote) Stage 2 (commentary) Many candidates attending a BLS/AED Provider Course are laypeople, and some subsequently to become patients in cardiac arrest until the arrival of a resuscitation team and to participate as memberswant of that team. Stage 3 (instructor demonstration with candidate instructors themselves. For this reason, the ERC has developed a one-day BLS/AED Instructor Course. Candidates for 60 min commentary) Groups course must healthcare professionals or laypeople who hold the ERC BLS/AED provider certificate, and have 2.3.this Advanced Lifebe Support (ALS) course Stage 4: BLS practice been designated as IPto(see below). The ALS course aims train candidates to highlight the causes of cardiac arrest, identify patients in danger of deterioration and manage cardiac arrest and the immediate peri-arrest problems encountered in and around the 2.8.first Generic Instructor Course (GIC) BLS/AED demonstration: hour or so of the event. The target candidates for this course are doctors, nurses and paramedics working in This course is for candidates who have attended ALS, EPALS, ILS, EPILS, NLS who or ETC (European Trauma 20 min Stage 1 (real-time Plenary emergency areas of the hospital or Emergencydemo) Medical Systems, and those attend cardiac arrestscourse) on a regular Stage 2 ( commentary ) provider courses and beentorecommended having Instructor Potential (IP) by course faculty. The course basis or may be expected lead a cardiac as arrest team. It can also be suitable forthe individuals who are regularly concentrates on teaching technical and non-technical skills, leading team-work, providing feedback, assessing

10 2. Terminology and Definitions arrest response team The courses are taught by trained instructors who have undertaken an ERC course in teaching and assessment. Teaching is conducted by encouragement with constructive feedback on performance rather than humiliation. Types of training First names are encouraged among both faculty and candidates to reduce apprehension, and the mentor/mentee 2.1. Basic LifeisSupport (BLS) course, system used to enhance feedback and support for the candidate. Stress is inevitable, particularly during Vzdelávacie programy ERC Basic Life Support / Automated External Defibrillation course assessment, but the aim of the instructors is to enable the Provider candidates(bls/aed-p) to do their best. $ The aims of the BLS/AED provider courses are to enable each candidate to gain competency in both BLS and AED. courses are appropriate for a wide range of providers. These may include clinical and non-clinical 2.BLS/AED Terminology and Definitions healthcare professionals (particularly those who are less likely to be faced with having to manage a cardiac arrest), general practitioners, dentists, medical students, first aid workers, lifeguards, those with a duty of care for others Immediate#Life#Support#Provider#Course# 2015# Types training (such of as school teachers and care workers), and community responders, as well as members of the general public Basic LifeProgramme Support (BLS) course, Basic Life Support / Automated External Defibrillation Provider (BLS/AED-P) course 2.2. Immediate Life Support (ILS) course The aims of the BLS/AED provider courses are to enable each candidate to gain competency in both BLS and AED. The ILS-course aims to train healthcare providers in the ABCDE approach to the deteriorating patient, Basic Life Registration BLS/AED courses are appropriate for a wide range of providers. These may include clinical and non-clinical Support, simple airway management and safe defibrillation (manual and/or AED), enabling them to manage FacultyMeeting healthcare professionals (particularly those who are less likely to be faced with having to15minutes manage a cardiac arrest), patients in cardiac arrest until the arrival of a resuscitation team and to participate as members of that team. general practitioners, dentists, medical students, first aid workers, lifeguards, those with a duty of care for others Introduction 15minutes (such as school teachers and care workers), and community responders, as well as members of the general public Advanced Life Support (ALS) course SkillStation1 The ALS course aims to train candidates patients in danger of 2.2. Immediate (ILS) courseto highlight the causes of cardiac arrest, identify HighQualityChestCompression&Defibrillation 40minutes Life Support deterioration and aims manage cardiac arrest providers and the immediate peri-arrest encountered in and around The ILS-course to train healthcare in the ABCDE approachproblems to the deteriorating patient, Basic Life the SkillStation2 firstsupport, hour or so of the event. The target and candidates for this course areand/or doctors, nurses and paramedics working in simple airway management safe defibrillation (manual AED), enabling them to manage ALS#Provider#Course 40minutes 2015# TheDeterioratingPatientincl.Demo patients areas in cardiac arrest until the arrival of a resuscitation team and participate as members of that team. emergency of the hospital or Emergency Medical Systems, andtothose who attend cardiac arrests on a regular basis or may beevaluationform expected to lead a cardiac arrest team. It can also be suitable for individuals who are regularly SkillStation Advanced Life Support (ALS) course members of HandlingtheAirway&IntraosseousAccess resuscitation teams or regularly working in the EMSs. The course is also suitable for senior paramedics 40minutes ADVANCED#LIFE#SUPPORT#PROVIDER#COURSE# ALS course aims to train candidates to highlight the causes of cardiac arrest, identify patients in danger of andthe specialist hospital technicians. and manage cardiac arrest and the immediate peri-arrest problems encountered in and around the deterioration Lecture: TheALSalgorithmincl.NonSTechnicalskills first hour or so of the event. The target for this course doctors, nurses and30minutes paramedics working in Centre:## Date:are 2.4. European Paediatric Immediate Lifecandidates Support (EPILS) course emergency areas of the hospital or Emergency Medical Systems, and those who attend cardiac arrests on a regular EPILS is aimed at and children in training healthcare providers to recognise and manage critically ill children CASTDemo 20minutes basis or may be expected to lead a cardiac arrest team. It can also be suitable for individuals who are regularly cardiorespiratory arrest whilst awaiting the arrival of a resuscitation team (1 to 5 minutes). EPILS will also train the Tohelpusjudgetheeffectivenessofthiscourseandimproveitweaskyoutogiveeachtopicamark members of resuscitation teams or regularly working in the EMSs. The course is also suitable for senior paramedics candidate toskillstation4 participate as members of that team. from1(low)to5(high)accordingto:l and specialist hospital technicians. BasicLifeSupport40minutes TargetedTraining40minutes

11 Vzdelávacie programy ERC European Pediatric Advanced Life Support European Pediatric Immediate Life Support Neonatal Life Support European Trauma Course Generic Instructor Course Educator Master Class

12 Systém vzdelávania ERC

13 Systém vzdelávania ERC Titles and functions Faculty Course Director, Course Director Candidate, Full Instructors, Instructor Candidates, Instructor Trainers, Instructor Trainer Candidates, Educators and Educator Candidates make up the faculty of ERC courses Provider (P) A Provider is an individual who has successfully completed a provider course (BLS, BLS/AED, ILS, ALS, EPILS, EPALS, NLS). Instructor Potential Potential(IP) (IP) Instructor 4 of 21 ERC Course Rules An Instructor Instructor Potential Potential isisan anindividual individualwho whohas hascompleted completedaaprovider providercourse courseororrecertification recertificationcourse coursesuccessfully successfullyand and shown an an aptitude aptitude to toteach. teach. In Inaddition, addition,he heor orshe shemust mustfulfil fulfilthe thecriteria criterianecessary necessarytotoqualify qualifyasasa afuture futureinstructor instructor has shown have been been recommended recommendedfor forip IPstatus statusby bythe thefaculty Facultyofofthat thatcourse. course.only Onlycandidates candidatesidentified identifiedasasinstructor Instructor and have Potentials are are eligible eligible to toattend attendan aninstructor InstructorCourse. Course. Potentials Instructor Instructor Candidate Candidate(IC) (IC) An Instructor Instructor Candidate Candidate isisan anindividual individualwho whohas haspassed passedan aninstructor InstructorCourse Coursesuccessfully successfully(bls/aed (BLS/AEDInstructor InstructorCourse Courseoror Generic Generic Instructor Instructor Course). Course) Full Full Instructor Instructor (FI) (FI) A Full Instructor Instructor isis an an Instructor InstructorCandidate Candidatewho whohas hassuccessfully successfullycompleted completedhis hisfifitraining trainingasasdescribed describedininthe the Faculty Faculty section section below below and and has has recertified recertifiedififrequired[ ]. required[ ].full FullInstructors Instructorsteach teachon onaaprovider providercourse. course Instructor InstructorTrainer TrainerCandidate Candidate(ITC) (ITC) A Full Instructor Instructor from from aa relevant relevantcourse coursetype typewho whoisisinvited invitedto toteach teachon onan aninstructor InstructorCourse, Course,isiscalled calledananinstructor InstructorTrainer Trainer Candidate until upgraded to Instructor Trainer. Candidate until upgraded to Instructor Trainer Instructor InstructorTrainer Trainer(IT) (IT) Instructor Instructor Trainers Trainers teach teachon onan aninstructor InstructorCourse Courseafter aftersuccessfully successfullyhaving havingcompleted completedtheir theirinstructor InstructorTrainer TrainerCandidate Candidate training and after having recertified if required[10.5'10.8].

14 Systém vzdelávania ERC Instructor Trainer (IT) Instructor Trainers teach on an Instructor Course after successfully having completed their Instructor Trainer Candidate training and after having recertified if required[10.5'10.8] Course Director Candidate (CDC) A Course Director Candidate is an experienced instructor for that course type who is invited to shadow the Course Director. The Course Director Candidate is not an assistant, but a Course Director-in-training Course Director (CD) A Course Director is a senior instructor who takes overall responsibility for the course and ensures that the course is run according to ERC guidelines and rules. Course Directors exist at the level of provider courses (Provider Course Director) and instructor courses (Instructor Course Director). He or she sets out the programme and appoints the instructors. The Course Director also approves the results of the course candidates and assesses the instructors and CDCs National Course Director (NCD) A National Course Director is an experienced CD, endorsed by the relevant National resuscitation Council (NRC), who represents the Course Directors of a type of course of a certain country. They have voting rights in the election to select ICC members, if the NRC is self-sufficient for that type of course.

15 Systém vzdelávania ERC Selection of an Instructor Potential Course providers can be selected by the course faculty as Instructor Potential (IP). IPs can then go on to attend an Instructor Course. In order to be successful in being put forward for Instructor Potential (IP), the candidate must score a minimum total of 18. Candidate Name Course Date Course Director Nominated by Seconded by Candidate meets criteria Comments 1. Course provider 2. Demonstrated excellent skill knowledge 3. Demonstrated ability to communicate 4. Demonstrated ability to work as a team member Enthusiasm 2 6. Credibility 3 7. Interactive, supportive 2 8. Confident, flexible and adaptable 3 9. Ability to critique Faculty advice 2 TOTAL 25 Overall Recommendation (tick one) IP Not IP

16 Implementácia ERC vzdelávania Implemntácia systému vzdelávania Presne definovaná a jednotná štruktúra a náplň kurzov Presne definovaný počet účastníkov a inštruktorov kurzu Charakteristika profilu absolventa Definovať systém kontroly a spätnej väzby Systém tvorby inštruktorského potenciálu Systém udržateľnosti kvality

17 Implementácia ERC vzdelávania Implemntácia ILS do vzdelávania Skvalitnenie profilu absolventa LF Zaradenie tohto typu kurzu do vzdelávania sestier v rámci bakalárskeho a magisterského štúdia v dennej i externej forme Zlepšiť uplatniteľnosť absolventov na trhu práce v celoeurópskom kontexte

18 Implementácia ERC vzdelávania Implemntácia ALS do vzdelávania Nahradiť nevyhovujúci a iluzórny systém výkonu KPR za certifikát ALS kurzu pre špecializačnú prípravu Požiadavka ALS kurzu pre všetkých, ktorým z povahy povolania prináleží vykonávať KPR Univerzálnosť použitia každého člena resuscitačného tímu v kontexte dynamickej tvorby tímu Systémová jednotnosť, kontrola, zlepšovanie a udržateľnosť kvality

19 Prvý ALS kurz na Slovensku II. SYMPÓZIUM SLOVENSKEJ RESUSCITAČNEJ RADY Nové odporúčania pre KPR ERC 2015 Implementácia do praxe a vzdelávanie Hotel Bešeňová ADVANCED LIFE SUPPORT (ALS PROVIDER) KURZ Hotel Bešeňová

20 Ďakujem za pozornosť a Vašu podporu