SIMULATION COURSE PROGRAMME

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SIMULATION COURSE PROGRAMME 2016-2017 1

Contents PAGE Foundation Training.. 3 General Internal Medicine Regional Training. 4 ROBuST - RCOG Operative Birth Simulation Training. 5 Trauma Team Member Courses (TTM). 6 Acute Psychiatric Emergencies. 7 Toxicology 8 Acute Paediatric Trauma (APT).. 9 ST3 Part Task Training and Communication Skills in Paediatrics 10 Challenging Situations in Acute and Emergency Care 11 Human Factors in Virtual Endoscopy (HiFIVE).. 12 Simulation Training in Gastroenterology (STIG) 13 Screen Based Endoscopy Technical Skills (SETS).. 14 Train the Trainers Faculty Development for Simulation(funded).. 15 Train the Trainers Faculty Development for Simulation(unfunded)... 16 Regional Geriatric Training Days... 17 Ortho-Geriatric a Patients Journey 18 End of Life Care.. 19 Core Medical Training Full Immersion Simulation (CMT) 20 Core Medical Training Clinical Skills (CMT) 21 Anaesthetic Critical Incident Course (ACI).. 22 Obstetric Anaesthetic Training in the Simulator (OATS) 23 Difficult Airway Management Information and Techniques (DAMIT) 24 2

Foundation Training Who is it for Foundation Trainees and newly qualified Staff Nurses Develop skills to improve patient safety Understand more about clinical decision making Develop greater understanding of IP team working, communication, and awareness of each other s roles Enhance patient assessment skills Recognise and treat an acutely ill patient 12 th September 2016 23 rd September 2016 26 th September 2016 30 th September 2016 3 rd October 2016 4 th October 2016 10 th October 2016 11 th October 2016 17 th October 2016 18 th October 2016 Homerton Foundation Doctors will allocated to a course please see your programme information or contact hifza.malik@homerton.nhs.uk 3

General Internal Medicine Regional Training day Clinical Outcomes: Planning transfers of care and on-going care outside hospital chairing multi-disciplinary meetings (MDMs) & complex discharge planning Ethical & legal issues decision regarding life prolonging treatments, resuscitation following cardio-respiratory arrest, Do Not Resuscitate (DNAR) decision making, consent procedures. Medical leadership competencies Syllabus common competencies Decision making & clinical reasoning; The patient as a central focus of care; Prioritisation of patient safety in clinical practice; Team working & patient safety; Relationships with patients & communication within a consultation; Breaking bad news; Principles of medical ethics & confidentiality; Planning transfers of care including discharge; Duration: 1 day 24 th November 2016 1 st March 2016 Cost: Fully Funded 4

ROBuST - RCOG Operative Birth Simulation Training AIM The aim of the course is to provide instruction and hands-on practice in all methods of operative vaginal birth (both non-rotational and rotational) to facilitate the achievement of the OSAT competencies on the RCOG training matrix. Techniques for performing a caesarean section at full dilatation are also covered. The course consists of short lectures, hands-on workshops and small group discussions on teamwork and communication. Duration: 1 day 4 th November 2016 Cost: Fully Funded 5

Trauma Team Member Courses (TTM) Who is it for Emergency and Acute Care staff/odp s Multi-professional Contemporary trauma care in the UK TTM development & course aims Personal development pathway What s expected of you during TTM The future of trauma education in London Dates TBC 2016/17 6

Acute Psychiatric Emergencies (APE) Who is it for Emergency and Acute Care Staff/ Mental Health Professionals Multi-professional Know the important signs, symptoms and tests in order to establish a diagnosis: covered in all scenarios Examine the benefits of shared, informed decision making, including communication with the Mental Health Unit(s) Improve your clinical decision making skills and application of knowledge Develop an awareness of the problems associated with patient transfer to another facility; Understand the implications for patients, their families and healthcare professionals when making decisions regarding management and transfer of patients. 20 th September 2016 7

Toxicology Who is it for Emergency and Acute Care staff/odp s Multi-professional Know the important signs, symptoms and tests in order to establish a diagnosis: covered in all scenarios Know the pharmacology and management of poisoning of certain substances: Beta blockers, Ca channel blockers, amitriptyline, amphetamine covered Understand the role of antidotes: bicarbonate covered in amitriptyline OD Recognise the importance of toxbase: covered in all scenarios Dates TBC 2016/17 8

Acute Paediatric Trauma (APT) Who is it for Emergency and Acute Care staff/odp s/paediatric staff Multiprofessional Consider your approach to the paediatric trauma patient Examine the benefits of shared, informed decision making, including communication with the Major Trauma Centre; Explore and interact with the patient to apply clinical knowledge and non-technical skills (CRM) Improve your clinical decision making skills and application of knowledge Develop an awareness of the problems associated with patient transfer to another facility; Understand the implications for patients, their families and healthcare professionals when making decisions regarding management and transfer of patients. Dates TBC 2016/17 9

ST3 Part Task Training and Communication Skills in Paediatrics Who is it for ST3 Paediatricians Communication Counselling of parents Transfer of sick baby SUDI NAI Part Task Airway IO placement Chest Drain Lumbar Puncture PICC lines Dates TBC 2016/17 10

Challenging Situations in Acute and Emergency Care Who is it for Emergency and Acute Care staff Multi-professional Full immersion simulation sessions covering Team work in the Critically Ill Patient Team work in the critically Ill Child Rapid Sequence Induction in the ED (including can t intubate, can t ventilate) Transferring Critically Ill Patients within the hospital and to tertiary centres. Respiratory depression secondary to sedation Crisis resource management in a busy ED. Training in patient advocacy/centredness and enhanced communication skills (role play/actors) covering Breaking difficult/bad news to a patient and/or family who has been brought in deceased, or has died/is dying in the department Dealing with an aggressive patient Dealing with difficult colleagues/outside agencies Dealing with a complaint Debriefing staff after a difficult/failed resuscitation 21 st October 2016 11

Human Factors in Virtual Endoscopy (HiFIVE) Who is it for Endoscopy and Gastroenterology staff/odp s Multiprofessional immediate and subsequent management of endoscopic complications including transfer of care (e.g. to ITU or theatres) communication clinical decision making medical leadership competencies multidisciplinary team working Develop an awareness of the dilemmas faced by healthcare professionals when acting as an advocate Understand the implications for patients, their families and healthcare professionals when breaking bad news and/or making difficult decisions 3 rd November 2016 12

Simulation Training in Gastroenterology (STIG) Who is it for Endoscopy and Gastroenterology staff/odp s Multiprofessional Consider ways that you may meet patient and family needs and preferences; Examine the benefits of shared, informed decision making; Explore and interact with the patient to apply clinical knowledge and non-technical skills (CRM) Improve your clinical decision making skills and application of knowledge Develop an awareness of the dilemmas faced by Healthcare Professionals when acting as an advocate; Understand the implications for patients, their families and healthcare professionals when making difficult decisions. 6 th October 2016 13

Screen Based Endoscopy Technical Skills (SETS) Who is it for Endoscopy and Gastroenterology staff/odp s Multiprofessional To introduce the basic functions and operation of the endoscope To provide hands-on experience of a range of standard endoscopic manoeuvres (upper and lower GI endoscopy) To outline JAG guidance on Endoscopy Training in the UK To improve patient safety by cultivating a knowledgeable and skilled workforce. 16 th December 2016 3 rd March 2017 Cost: 250.00 unless you are a NE/NC trainee 14

Train the Trainers Faculty Development for Simulation Who is it for All staff Multi-professional To enable participants to develop, run and debrief simulation based courses for management of the acutely ill patient, addressing the issues surrounding Crisis Resource Management (CRM) in different environments This will include a follow up day (by arrangement) to consolidate de-briefing techniques 15 th September 2016 15

Train the Trainers Faculty Development for Simulation Who is it for All staff Multi-professional To enable participants to develop, run and debrief simulation based courses for management of the acutely ill patient, addressing the issues surrounding Crisis Resource Management (CRM) in different environments This will include a follow up day (by arrangement) to consolidate de-briefing techniques 29 th September 2016 Cost: These course are not funded by UCLP this year and will cost 100 16

Regional Geriatric Training Days Who is it for Higher Trainees/Nurses/OT s/physios/social Workers Multiprofessional Consider ways that you may meet patient and family needs and preferences; Examine the benefits of shared, informed decision making; Explore and interact with the patient to apply clinical knowledge and non-technical skills (CRM) Improve your clinical decision making skills and application of knowledge Develop an awareness of the dilemmas faced by Healthcare Professionals when acting as an advocate; Understand the implications for patients, their families and healthcare professionals when making difficult decisions such as DNR or withdrawal of treatment. Dates TBC 2016/17 17

Ortho-Geriatric a Patients Journey Who is it for ED/Anaesthetic/Geriatric trainees/nurses/ot s/physios/social Workers Multi-professional Admission of a patient through the Emergency Department with a Fractured neck of Femur Sub-acute optimisation for surgery/delay of surgery. Acute medical management & Conflict with Anaesthetic registrar Post op Delirium Post op inpatient fall Daughter complains post In Patient fall MDM/ Discharge Planning Meeting 27 th July 2016 18

End of Life Care Who is it for Higher Trainees/Nurses/OT s/physios/social Workers Multiprofessional Consider ways that you may meet patient and family needs and preferences; Examine the benefits of shared, informed decision making and learn about the priority of timing in the context of the patient journey/decline; Explore and interact with the patient to apply clinical knowledge and non-technical skills (CRM) Improve your clinical decision making skills and application of knowledge Develop an awareness of the dilemmas faced by Healthcare Professionals when acting as an advocate; Understand the implications for patients, their families and healthcare professionals when making difficult decisions such as DNR or withdrawal of treatment. Dates TBC 2016/17 19

Core Medical Training Full Immersion Simulation Who is it for Core medical trainees/nurses/ Multi-professional Information on human factors, and how best to incorporate human factors training; Communication skills training at senior levels; Inter-professional approaches; Improve inter-professional team working Inter-professional approaches to complex clinical emergencies; Management of rare situations; Dates TBC 2016/17 20

Core Medical Training Clinical Skills Who is it for Core medical trainees Formal teaching will be delivered at beginning of morning and afternoon so 3 skills will be delivered am and 3 pm allowing time for individuals to practice AM Demonstration Station 1 NIV/Tracheostomy Station 2 Central Line Insertion with USS guidance Station 3 Lumbar Puncture PM Demonstration Station 4 Pacing/DCCV/Arterial line insertion Station 5 Chest Drain Insertion with USS guidance Station 6 Naso-Gastric Tube Insertion Dates TBC 2016/17 21

Anaesthetic Critical Incident Course Who is it for Anaesthetists CT1 + To gain knowledge of the principle causes, detection and management of critical incidents that can occur in theatre To be able to recognise critical incidents early and manage them with appropriate supervision To learn how to follow through a critical incident with reporting, presentation at audit meetings, and discussions with patients To recognise the importance of personal non-technical skills and the use of simulation in reducing the potential harm caused by critical incidents Dates TBC 2016/17 and Lucy.Hamer@bartshealth.nhs.uk 22

Obstetric Anaesthetic Training in the Simulator OATS Who is it for Anaesthetists CT2 + Consent for epidural Dural Tap APH Eclampsia PE Failed regional High block Obstetric frenzy/failed intubation Dates TBC 2016/17 and Lucy.Hamer@bartshealth.nhs.uk 23

Difficult Airway Management Information and Techniques DAMIT Who is it for Anaesthetists ST6 Fibreoptic handling techniques Supraglottic airways Rescue techniques Awake FO intubation Video laryngoscopy Extubation Jet ventilation Dates TBC 2016/17 and Lucy.Hamer@bartshealth.nhs.uk 24

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