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University Hospital of South Manchester Wythenshawe

University Hospital of South Manchester Wythenshawe. what we’ve done and how we’ve done it.......so far. what we’ve done and how we’ve done it. John Moore Teaching the teachers Tracheostomy Safety Project 2011. Need Developed algorithm Begin training. Training people in the algorithm.

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University Hospital of South Manchester Wythenshawe

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  1. University Hospital of South Manchester Wythenshawe

  2. what we’ve done and how we’ve done it.......so far what we’ve done and how we’ve done it....... John Moore Teaching the teachers Tracheostomy Safety Project 2011

  3. Need Developed algorithm Begin training.......

  4. Training people in the algorithm • How we started • How you might want to start...

  5. Teaching programme begins-training interested people • Day course • Faculty • Medics and nurses attend • Simulator afternoon part to the course

  6. 2009-10 Training a trust our experience

  7. Information resource • On-line • Interactive • Comprehensive • ‘One-stop shop’

  8. 250 nurses 100 medics 60 nurses 50 medics First responder courses 2009-10 training a trust

  9. 2009-10 SRFT RPH BOLTON

  10. 2010-11 SRFT ANWICU AMICU NETWORKS RPH BOLTON ICS DAS NPSA

  11. How to teach a trust

  12. Something new.......

  13. Resistance to change.. Agenda.. What do these guys know.. We had a recent problem too.. There was no joined up thinking There was no standard algorithm People hadn’t thought about Never events When they happen they are catastrophic The coroner

  14. SRFT – a possible model Patient safety initiativeTracheostomy Steering Group Patient safety initiative National Tracheostomy Safety Project Stakeholder group Tracheostomy steering group Training

  15. NURSES PHYSIOS TracheostomySteering Group INTENSIVE CARE ANAESTHETISTS SURGEONS MEDICS MANAGEMENT NEURO REHAB RESUS TRAINERS MEDICS LEAD NURSES PRACTICE EDUCATORS LEAD NURSES PRACTICE EDUCATORS

  16. Tracheostomy Steering Group Agenda -Trust remit All elements of tracheostomy care (?) Where do patients with tracheostomies go Standardise kit Programme of training.....Who/ Which to train first Make it mandatory.....

  17. Provide pre-course material www.tracheostomy.org.uk • Short introductory lecture to algorithm and bedhead technology • Scenario based teaching 1st responder programme Trainers

  18. Information resource • On-line • Interactive • Comprehensive • ‘One-stop shop’

  19. Training - Personalise the story ...MG is a 24 year old man with mild learning difficulties who spends 4 weeks on intensive care following problems with recurrent fittings and subsequent aspiration he is on minimal oxygen but his cough his felt not to be good enough to tolerate decannulation ..Beds are scare and he is sent to a respiratory ward that takes tracheostomies ..the following night the nurses finds the patient unresponsive, and quickly they discover he is actually had a respiratory arrest....

  20. Training - Personalise the story The cardio-respiratory team arrives and are unable to intubate or ventilate the patient.. the patient dies... The tracheostomy is not removed during the arrest and post-mortem examination finds a blocked tracheostomy was the cause of death

  21. what we’ve done and how we’ve done it.......so far • Website • Pathway for training • National Tracheostomy day (DAS) • What do you think...?

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