Paediatric Major Incident Planning at a Major Trauma Centre; Learning from Simulation

Ruth Bird,Naomi Edmonds,Breda O'Neill,Ami Parikh,Jo Lowlor,Gin Peh

doi:10.15694/mep.2018.0000232.1

Abstract

This article was migrated. The article was marked as recommended. In light of the recent terrorist attacks in London and Manchester we wanted to test our Major Incident protocol for Paediatrics using simulation. A hospital wide MI Sim was completed in January but focusing on admission pathways, flow and theatre. As a follow up exercise, we wanted to test discharge pathways and our immediate bed capacity in PICU and paediatrics, allowing us to, assess immediate capacity, estimate discharge numbers, test communication pathways, staff responces and next shift planning as well as identifying issues allowing us to improve our major incident policy.

Highlights

A major incident is any event whose impact cannot be handled within routine service arrangements
These are events that are unpredictable, sudden, and that result in a large number of injured or ill casualties presenting to the emergency services over a short period of time
Regardless of immediate capacity, the utilisation of the extra two bed spaces, should, be able to be covered by the extra nursing staff available within the first hour

Summary

Introduction

A major incident is any event whose impact cannot be handled within routine service arrangements It requires the implementation of special procedures by one or more of the emergency services, the NHS, or a Local Authority to respond to it. As a follow up exercise, we wanted to test discharge pathways and our immediate bed capacity in the paediatric intensive care unit (PICU) and the paediatrics wards. Assess immediate bed capacity Estimate discharge numbers for the Paediatric Intensive Care Unit (PICU) and the wards Test Communication pathways Identify problems / issues Test Staff responses to communication pathways Test awareness of shift planning

Method

Discussion

Notes On Contributors