2nd Edition Programme Launch 2014

Susan Garland PGdip, BA (Hons), RNT,RN, RM, FHEA

Debbi Atkinson MA, BSc (Hons), RGN, RN (Child), DipHE, PGCE

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• Bedside

• Emergency

• Assessment

• Course for

• Healthcare staff

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What is BEACHTM ?

IntroductionIntroduction

Both AWARETM and BEACHTM

are aimed at:

improving recognition and management of

the deteriorating patient and developing

underpinning knowledge and skills.

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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.

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Learning Aims: 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

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Learning Objectives: 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

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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

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What else has Changed?

• 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

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Do you need to call for help now?

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Disability

• What is your patient’s level of consciousness?

• What are your patient’s pupils doing?

• Is your patient in pain?

How can be implemented

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Portsmouth Hospitals bespoke programme

Time Topic09.00 Intro, housekeeping,

evaluation forms

09.05 – 09.45 Recapping on recording vital signs

09.45 – 10.45 Medical equipment competencies –use of the Greenlight manual sphygmomanometer and the portable suction unit

10.45 – 11.00 Coffee11.00- 11.30 Airways and alertness

11.00-12.00 Breathing

12.00 – 12.30 Circulation and chest pain including the Abbey Pain Score

12.30- 13.15 Lunch13.15-14.15 Handover/ RSVP/ record keeping including ‘The

trouble with handovers’ DVD

14.15-14.45 Case study (prioritisation exercise)

14.45 – 15.30 Hoverjack and mat (Manual handling equipment)

15.30-16.00 Evaluation quiz / game. Please hand in your evaluation form.

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Learners’ feedback

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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

Impact in Clinical Practice

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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 theyare there one to one with patients (Senior Sister, Cardiology)

I have noticed that our HCSWs have become more aware and report back to the RNs. Handovermeans more to them as they have a better understanding,which helps them to prioritise. (Senior Sister, Respiratory)

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

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You may need this……

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