GOOD MEWS, BAD MEWS

1. Learning & Teaching Conference 8 2011: parallel session 24 GOOD MEWS,BAD MEWS Paul Marshall Kevin Stevenson School of Healthcare Using simulated learning to increase confidence and decision making skills when managing medical emergencies – third year nursing students

2. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS • Session outcomes: • Briefly discuss simulation as a way to enhance decision • making • Discussion of three simulated case scenarios and • organisation of session (Managing Medical Emergencies) • Consider the use of the ABCDE approach as a clinical • assessment method and the use of MEWS scoring • Delegates complete MEWS scoring based on a case example • Summary of student evaluations of the Managing Medical • Emergencies simulation sessions

3. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWSSimulation as a learning approach

4. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS MEWS scoring tool Airway Breathing Circulation Disability Exposure

5. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS Three scenarios: Managing Medical Emergencies Acute respiratory difficulty Acute chest pain (acute coronary syndrome) Cardiac arrest http://lutube.leeds.ac.uk/hcspm/videos/4222 ABCDE LUTube - University of Leeds Acute post-operative complication - bleeding

6. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS • Scenario example: • Post-operative patient following abdominal surgery • (see hand out) In groups of two or three read the patient scenario and using the Modified Early Warning Scoring System (MEWS) decide on the score you would give 1 On warding - Following deterioration - 14

7. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS MEWS scoring - following deterioration:

8. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS Student evaluations (pre-session n = 68): P < 0.001 P < 0.001

9. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS Student evaluation (cont): Responses 3-5 indicate students perceived the session increased their skills highly

10. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS Qualitative statements: Enhanced my knowledge & skills I feel more confident to spot problems before they occur I do feel more confident and find simulation is a positive way to learn and develop skills I feel more confident to handle emergency situations Made me realise that I do know a lot more than I thought

11. Learning & Teaching Conference 2011GOOD MEWS, BAD MEWS Thank you for listening & participating Any questions