Awareness Why Anticipation and Reacting is EssentialAwareness Why Anticipation and Reacting is Essential

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

and

IntroductionIntroduction

Both programmes are aimed at:

improving recognition and management of the

deteriorating patient and developing underpinning

knowledge and skills.

BEACHBEACHTMTM

is suitable for more

experienced HCA’s and

for unregistered health

care staff.

AIM:AIM: To identify and provide early treatment to any patients whose condition is deteriorating .

OBJECTIVES: OBJECTIVES:

• How to work out whether a patient is sick • How to deal with a sick patient• When to call for help

BeachBeachTMTM Aims and ObjectivesAims and Objectives

Uses the following assessment models:

• ABCD framework • Look , Listen, Feel

These are linked to patient scenarios specific to ABC and Handover

Your feedback was Your feedback was generally positive but………!generally positive but………!

Version 2 – Launch 2014Version 2 – Launch 2014

New content:New content:

• Track and Trigger System• National Early Warning Score (NEWS)• Disability - AVPU• Glucose • Pain• RSVP & SBAR tools

Other changes:Other changes:

• Title /audience• Case study and names• Cartoons/ Images?• Evaluation?• Updated references

Any Questions

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.

AWAREAWARETMTM Programme AimsProgramme 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.

Learning ObjectivesLearning 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

Programme ContentProgramme 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

AWAREAWARETM TM Sample ProgrammeSample ProgrammeTime Topics

09.00 - 09.15 Welcome and IntroductionAims and Objectives

09.15 - 09.30 Your Accountability

09.30 - 11.4510.30 - 10.50

VITAL SIGNS WorkshopCoffee

11.45 - 12.15 Monitoring Fluid Balance

12.15 - 13.00 Lunch

13.00 - 14.00 Recognising the Deteriorating Patient

14.00 - 14.25 Understanding Blood Glucose Monitoring

14.25 - 15.10 Responding in Emergencies

15.10 - 15.20 Tea

15.20 - 16.05 Recognising the Deteriorating PatientAnd Communication Workshop

16.05 - 16.20 Record Keeping and Documentation

16.20 - 16.30 Demonstrating your Learning in Practice and Evaluation

Teaching & Teaching & Learning Learning

StrategiesStrategies

Quiz

Group work

Class discussio

nQuestion and

answers

Patient scenario

sDecision

making and role play

Class workbook

Competency

assessment in

practice

Supporting LearningSupporting LearningAWAREAWARE 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

Programme EvaluationProgramme Evaluation

Any Questions

Outcomes in Practice?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