Enhancing Awareness and Reacting to Deteriorating Patient Conditions

1. Awareness Why Anticipation and Reacting is Essential and Susan Garland PGdip, BA (Hons), RNT,RN, RM, FHEA

2. Introduction Both programmes are aimed at: improving recognition and management of the deteriorating patient and developing underpinning knowledge and skills.

3. BEACHTM • is suitable for more experienced HCA’s and for unregistered health care staff.

4. AIM: To identify and provide early treatment to any patients whose condition is deteriorating . OBJECTIVES: How to work out whether a patient is sick How to deal with a sick patient When to call for help BeachTM Aims and Objectives

5. Uses the following assessment models: • ABCD framework • Look , Listen, Feel • These are linked to patient scenarios specific to ABC and Handover

6. Your feedback was generally positive but………! Include competencies "Lost learning opportunities " "Add N.E.W.S." "Beef it up" "Change some language" "Change the Name" Add visual slides - eg ALERT Cartoons not popular! Broaden target audience "Improve scenarios" "Add SBAR" "Use Youtube clips - respiratory" Communication barriers Neurological scenario? "Add Diabetes - hypoglycaemia" Improve flow and structure (typos / split scenario slides)

7. Version 2 – Launch 2014 New content: Track and Trigger System National Early Warning Score (NEWS) Disability - AVPU Glucose Pain RSVP & SBAR tools Other changes: Title /audience Case study and names Cartoons/ Images? Evaluation? Updated references

8. ? Any Questions

9. 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.

10. 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.

11. 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

12. 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

13. AWARETM Sample Programme

14. Class discussion Group work Question and answers Quiz Teaching & Learning Strategies Competency assessment in practice Patient scenarios Decision making and role play Class workbook

15. 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

16. Programme Evaluation

17. Any Questions ?

18. 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