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Dr Helen FARDY. Lead Clinician Paediatric Intensive Care Unit University Hospital of Wales, Cardiff. Regional PICU response. In preparing for a flu pandemic. Background. Service established in 99/00 Service Configuration The NHS in Wales. Perseverance and determination. Unit response.
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Dr Helen FARDY Lead Clinician Paediatric Intensive Care Unit University Hospital of Wales, Cardiff
Regional PICU response In preparing for a flu pandemic
Background • Service established in 99/00 • Service Configuration • The NHS in Wales
Unit response • Increase capacity from 7 to 15 beds • Beds • Equipment • Staff
“In house” challenges • Personal protective equipment • Corporate direction and ownership • Delayed and late authorization
Regional Education and Training • Regional education and development nurse • Paediatric life support “roadshow” • Stabilisation study days • Ad hoc sessions • Medical and nursing secondments • WEBSITE www.cardiffpicu.com
Current Situation • DGH teams manage children well prior to retrieval • Can be personnel dependant • Uptake of training patchy • Challenge of vast and rapidly changing workforce
Preparing the Region • Enhance document DOH 2006 • WAG flu committee early 2007 • No action • Winter 2008-raised at informal network • Link into SEWCCN (adult early2009)
Preparing the Region • Information directly to DGH link consultants and nursing staff, May 2009 • “Surge” • Enhance • Regional plan • Action Points
Response Silence! 3 month delay in asking for training sessions and secondments
Challenges • Lack of Managed Clinical Network • Staff being released for training • Limited personnel at lead centre to provide training • NMC guidance • Clarity on legal issues