Background Time critical transfers (TCT) are relatively infrequent events in paediatric1 and neonatal acute care. The Embrace Yorkshire and Humber Infant and Children’s Transport Service (Embrace) was established in 2010 and has been responsible for the majority of acute transfers in the region since then. This has potentially had a considerable impact on the confidence and capabilities of medical staff working at hospitals within Yorkshire and Humber to perform independent transfers if required.
Occasionally Paediatric, Emergency Medicine or Anaesthetic doctors will be expected to perform a TCT. It is suspected that most doctors, despite their background and experience, would feel quite unprepared and anxious about managing a time critical paediatric or neonatal transfer and it has been consistently highlighted to Embrace as a training need.
This project aims to determine the current confidence levels, experience and training needs of professionals who may be involved with acute paediatric and neonatal TCT. This information will be used to develop a multidisciplinary course for staff within the region which will allow teams to be better prepared for such situations.
Methods A survey will be sent out to senior doctors and nursing staff to determine current confidence levels and training needs. This information will be used in conjunction with results of Embrace TCT audits and case reviews to develop a one-day simulation course. This will be a multidisciplinary course which will be delivered in-situ to all hospitals in the Yorkshire and Humber region with frequent analysis of course feedback and adjustment of course content/delivery as necessary.
Potential impact Through developing and delivering a multidisciplinary in-situ simulation course, we are hoping to improve confidence and capability for managing paediatric and neonatal TCT. We anticipate that this will allow staff to feel better prepared for dealing with this eventuality and ultimately improve patient safety and outcomes.
Ramnarayan P, Polke E. The state of paediatric intensive care retrieval in Britain: respice, adspice, prospice1. Arch Dis Child 2011
- Category: Course or curriculum evaluation/innovation/integration
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