2 nd Edition Programme Launch 2014 Susan Garland PGdip , BA (Hons), RNT,RN, RM, FHEA

1. 2nd Edition Programme Launch 2014 Susan Garland PGdip, BA (Hons), RNT,RN, RM, FHEA Debbi Atkinson MA, BSc (Hons), RGN, RN (Child), DipHE, PGCE

2. What is BEACHTM ? • Bedside • Emergency • Assessment • Course for • Healthcare staff

3. Introduction Both AWARETM and BEACHTM are aimed at: improving recognition and management of the deteriorating patient and developing underpinning knowledge and skills.

4. How is BEACHTM different to AWARETM? Uses an extended ABCD (ef) GH framework focusing on: • Look , Listen, Feel • Linked to “ABC” patient scenarios and handover • Focuses on the overall role of the HCA integrating basic skills using the ABC framework. • Links to specific practice based competencies and scenarios.

5. Learning Aims: • To support the development of underpinning knowledge and skills to ensure safe management of deteriorating patients • Provide tools and frameworks to support effective performance when observing and monitoring patients

6. Learning Objectives: • Understand the importance of using a ‘look, listen, feel’ approach in relation to patient assessment • Understand the A.B.C.D.defG.H. approach to managing a deteriorating patient • Apply a track and trigger system to specific case studies • Demonstrate the importance of effective communication in relation to deteriorating patients

7. What has Changed? • New style manual • Expanded target audience • Changes in some of the language used. • Cartoons removed • Different anatomical illustrations • Clear tables and diagrams • Clearer headings and sign posting • Track and Trigger system • Early Warning Scoring • Choking algorthym • Communication Tools – SBAR and RSVP • Updated presentation slides

8. What else has Changed? Do you need to call for help now? • Updated case studies • Case studies are less ethnocentric • Relevance of glucose is included • Pain has been included • Basic neurological assessment added • Top tips are emphasised • Notes pages added • Improved slides • Updated references • Updated BEACHTM evaluation tool

9. Examples - New Additions

10. Disability Example slide • What is your patient’s level of consciousness? • What are your patient’s pupils doing? • Is your patient in pain?

11. How can be implemented

12. Portsmouth Hospitals bespoke programme

13. Learners’ feedback Book produced for BEACH Course very useful, really good idea Gives me more confidence in what we are doing Very interesting , informative and eye opening information, well presented. I can take all the information back to my ward and be more aware if a patient seems unwell I’m aware that if the smallest piece of information is missed it can result in patient experience being compromised

14. Impact in Clinical Practice I have noticed that our HCSWs have become more aware and report back to the RNs. Handover means more to them as they have a better understanding, which helps them to prioritise. (Senior Sister, Respiratory) As the acuity of patients within the ward environment increases, it is important that the whole team can focus on recognition and escalation of the deteriorating patient, the BEACH course supports that awareness (Matron, Medicine) I love the BEACH course! It’s really important that HCSWs can spot the early changes as they are there one to one with patients (Senior Sister, Cardiology)

15. Table Top Exercise • You have laminated copies of the busy ward patients • Put the six patients in order of urgency and give reasons for your decisions

16. You may need this……