PP04 Early morning ED in-situ training to capture both night and day staff

Abstract

Aim: To provide high quality in situ simulation training to all staff across day and night shifts in the Emergency Departments of Calderdale and Huddersfield Royal. Objectives: To develop scenarios covering less frequently encountered presentations To provide training in the environment in which staff work and are familiar to remove some of the simulation artefact, identify areas where improvements could be made and ensure equality across both sites. To allow multidisciplinary training without the need for staff to attend on their day’s off. To provide the staff with the tools and confidence to deal with these infrequent presentations. Summary of work undertaken: We have now run three different scenarios in both Emergency Departments (CRH/HRI) covering presentations that are infrequent on one of these sites1,2 (we are a split site trust caring for different presentations on each site). We commence this training at 6am. Impact on practice: The training so far has highlight gaps in individuals’ practice but also departmental issues such as location of equipment, how to locate devices when they are not where they are expected to be and how to locate protocols. The training allows for human factors to be discussed within the team and a better understanding of roles and capabilities of each members. An understanding of these factors through simulations allows for better patient care and streamline of services when a patient presents in the same way for real. Providing this training out of hours adds realism to the situation as care is a 24 hour a day event in the ED. At CHFT CS and Simulation we try to support as much out of hours training as possible as we realise the benefits to staff training not only in their place of work, but time of work also. We aim to do this working alongside the HEE’s current standards and guidance on working together – training together. References Burton RL, Hope A. (2018). Simulation based education and expansive learning in health professional education: A discussion. Available at: http://journals.sfu.ca/jalt/index.php/jalt/article/view/8 Accessed: 11 June 2019. Kneebone R, Weldon S-M, Bello F. (2016). Engaging patients and clinicians through Simulation: Rebalancing the dynamics of care. Available at: https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-016-0019-9 Accessed: 11 June 2019.