Yorkshire Immersive Paediatric Simulation (YIPS) Course “A day in the life of a registrar” “Promoting excellence in medical education through a supportive environment” January 2014 1 Introduction: “Simulation is a technique — not a technology — to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner.” (David Gaba, 2004). Hull Institute of Learning and Simulation in collaboration with Yorkshire and the Humber School of Paediatrics have created an opportunity for paediatric trainees to participate in simulated scenarios and receive formative feedback on their performance. Objectives: To apply principles of Advanced Paediatric Life Support (APLS) in management of critically unwell children. To apply principles of Neonatal Life Support (NLS) when providing resuscitation and care to a newborn infant. To demonstrate effective management of common acute paediatric conditions. To demonstrate awareness of safeguarding principles when caring for children. To demonstrate awareness of the principles of safe prescribing and safe administration of medicines. To apply skills of effective discharge planning to achieve safe discharge. To demonstrate effective leadership skills when managing clinical situations. To demonstrate skills of prioritisation and team management. To be able to exercise assertiveness when dealing with conflict. To demonstrate good listening and communication skills using simple language when talking to parents and patients. To apply SBAR principles in handover of information to colleagues and seniors. 2 Programme: 08:45 – 09:00 Registration Pre-course questionnaire 09:00 – 09:45 Welcome and Introduction Aims of the day Short tour of the facility Introduction to paediatric mannequins 09:45 – 10:40 Scenario 1 10:40 – 11:00 TEA/COFFEE 11:00 – 12:00 Scenario 2 12:00 – 13:00 Scenario 3 13.00 – 13:40 LUNCH 13:40 – 14:40 Scenario 4 14:40 – 15:40 Scenario 5 15:40 – 16:00 TEA/COFFEE 16:00 – 17:00 Scenario 6 17:00 – 17:30 Summary and Closure Feedback Evaluation forms Certificate of attendance Please aim to arrive before 9:00 am. Please either turn your smart phones “off” or switch to “airplane mode” during the course. 3 Faculty Visiting Faculty: Dr Makani Purva Director of Post Graduate Medical Education Lead of Hull Institute of Simulation and Learning Dr Asim Ahmed Clinical Education and Leadership Fellow Yorkshire and the Humber Postgraduate Deanery Dr Helen Moore Clinical Education and Leadership Fellow Yorkshire and the Humber Postgraduate Deanery Ellie Peirce Clinical Education and Leadership Fellow Yorkshire and the Humber Postgraduate Deanery Ashin Lok Clinical Education and Leadership Fellow Yorkshire and the Humber Postgraduate Deanery Chris Gay Senior Technician Hull Institute of Learning and Simulation Stuart Riby Technician Hull Institute of Learning and Simulation We also have visiting faculty on courses which comprises of paediatric consultants, senior registrars, nurse educators and advanced neonatal nurse practitioners. 4 Useful resources: Advanced paediatric life support: the practical approach. ALSG; Fifth edition. Neonatal life support guidelines. Resuscitation Council UK, 2010. Spotting the sick child: https://www.spottingthesickchild.com SBAR resources: http://www.institute.nhs.uk/safer_care/safer_care/SBAR_resources.html#elearning Safeguarding children resources (RCPCH): http://www.rcpch.ac.uk/safeguarding A brief introduction to simulators: Paediatric HAL, 5 year old Airway Can be orally and nasally intubated An ET tube or LMA can be inserted Sensors can detect depth of intubation You can hear a variety of upper airway sounds Breathing Manikin has different breathing patterns and lung sounds It can accommodate assisted ventilation, including BVM and mechanical support Efficacy of ventilation breaths can be measured and logged Manikin will develop gastric distension with excessive BVM ventilation Circulation and colour change Bilateral carotid, brachial and radial pulses can be palpated and respond to circulatory changes Multiple heart sounds, rates and murmurs can be auscultated Efficacy of chest compressions can be measured and logged Colour and vital signs respond to hypoxic events and interventions 5 Paediatric HAL, 1 year old Airway Can be orally and nasally intubated An ET tube or LMA can be inserted Sensors can detect depth of intubation You can hear a variety of upper airway sounds Breathing Manikin has different breathing patterns and lung sounds It can accommodate assisted ventilation, including BVM and mechanical support Efficacy of ventilation breaths can be measured and logged Manikin will develop gastric distension with excessive BVM ventilation Circulation and colour change Bilateral carotid, brachial and radial pulses can be palpated and respond to circulatory changes Multiple heart sounds, rates and murmurs can be auscultated Efficacy of chest compressions can be measured and logged Colour and vital signs respond to hypoxic events and interventions Paediatric HAL, Baby Airway Can be orally and nasally intubated You can hear a variety of upper airway sounds Breathing Manikin has different breathing patterns and lung sounds It can accommodate assisted ventilation, including BVM and mechanical support Efficacy of ventilation breaths can be measured and logged Circulation and colour change Brachial and femoral pulses can be palpated and respond to circulatory changes Multiple heart sounds, rates and murmurs can be auscultated Efficacy of chest compressions can be measured and logged Colour and vital signs respond to hypoxic events and interventions 6