Awareness Why Anticipation and Reacting is Essential
and
Susan Garland PGdip, BA (Hons), RNT,RN, RM, FHEA
Introduction
Both programmes are aimed at:
improving recognition and management of the
deteriorating patient and developing underpinning
knowledge and skills.
BEACHTM
is suitable for more
experienced HCA’s and
for unregistered health
care staff.
BeachTM
Aims and Objectives
AIM:
To identify and provide early treatment to any
patients whose condition is deteriorating .
OBJECTIVES:
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•
•
How to work out whether a patient is sick
How to deal with a sick patient
When to call for help
Uses the following assessment models:
• ABCD framework
• Look , Listen, Feel
These are linked to patient scenarios
specific to ABC and Handover
Your feedback was
generally positive but………!
Version 2 – Launch 2014
New content:
Other changes:
• Track and Trigger System
• National Early Warning
Score (NEWS)
• Disability - AVPU
• Glucose
• Pain
• RSVP & SBAR tools
• Title /audience
• Case study and
names
• Cartoons/ Images?
• Evaluation?
• Updated references
Any
Questions
How is AWARETM different to BEACHTM ?
This programme focuses on integrating
basic skills with the overall role of the
HCA and is linked to specific practice
based competencies and scenarios.
AWARETM
Programme Aims
To provide a clinically specific development
programme to improve recognition and
management of the deteriorating patient through
exploring roles and responsibilities, and developing
underpinning knowledge and skills.
Learning Objectives
• Demonstrate understanding of principles and
correct technique when monitoring physical
observations
• Recognise and respond to physiological signs of
deterioration in patients condition
• Discuss use of ‘track & trigger’ systems, and the
importance of accurate record keeping
• Explore strategies for effective communication
• Recognise key emergency equipment
Programme Content
•
•
•
•
•
•
•
•
•
Accountability of the HCA
Monitoring physiological observations
Use of assessment frameworks
Understanding Blood Glucose monitoring
Fluid and hydration
Recordkeeping and Handover
Importance of ‘Track and Trigger’ & N.E.W.S.
Effective use of communication tools
Responding effectively in emergency situations
AWARETM Sample Programme
Time
Topics
09.00 - 09.15
Welcome and Introduction
Aims and Objectives
09.15 - 09.30
Your Accountability
09.30 - 11.45
10.30 - 10.50
VITAL SIGNS Workshop
Coffee
11.45 - 12.15
Monitoring Fluid Balance
12.15 - 13.00
Lunch
13.00 - 14.00
Recognising the Deteriorating Patient
14.00 - 14.25
Understanding Blood Glucose Monitoring
14.25 - 15.10
Responding in Emergencies
15.10 - 15.20
Tea
15.20 - 16.05
Recognising the Deteriorating Patient
And Communication Workshop
16.05 - 16.20
Record Keeping and Documentation
16.20 - 16.30
Demonstrating your Learning in Practice
and
Evaluation
Group
work
Class
discussion
Quiz
Competency
assessment
in practice
Teaching &
Learning
Strategies
Class
workbook
Decision
making and
role play
Question
and
answers
Patient
scenarios
Supporting Learning
AWARE is supported by
• Workbook
→ Supports participation in class activities
→ Supports learning activities in practice
→ Able to link to local competency frameworks
→ Action plan for learning
• Practice based supervisor
• Blood pressure workshops available for
additional coaching and opportunity for
practicing skill
Programme Evaluation
Any
Questions
Outcomes in Practice?
• Greater recognition of “at risk” patients
• Improved recognition of critical illness
• Improved communication
• Earlier recognition of need for assistance
• Appropriate use of assessment frameworks
• Greater confidence underpinned by
understanding
•Improved record keeping and handover