Article Text

28 Improving standards of noninvasive ventilation via simulation training
  1. Sini John,
  2. J Agbetile,
  3. V Dimmock,
  4. A Bhowmik,
  5. M Jhugursing
  1. Homerton Hospital, UK


Background Noninvasive ventilation (NIV) is an established treatment for hypercapnic respiratory failure used in many medical wards and Accident and Emergency department. Training curricula in respiratory medicine set by the Royal College of Physicians (UK), the American Board of Internal Medicine and the European Respiratory Society, as well as other national Societies, specify training on NIV. However there is extensive evidence1,2 that medical and nursing team members lack such training and feel ill prepared to deliver NIV in accordance with the guidelines which can affect safe patient care. The 2008 National COPD audit highlighted the need for a structured training programme.

Method We introduced a half a day innovative simulated training programme designed for multidisciplinary team members (MDT) to improve competence in NIV. Participants were given a 30 minute lecture on theoretical aspects of NIV and hands on training on mask fittings and the NIV machine.3 high fidelity simulation scenarios mapped to learning objectives were conducted. De-briefs followed and a post-course feedback questionaire was collected.

Results 100% participants found the programme extremely useful. Qualitative data showed:

“Really useful and interesting session. Lots of learning points to take away”

“The scenarios were a really good way to practice and explore difficult issues with NIV”.

Conclusions Simulation is an effective way of training healthcare professionals in the diagnosis and treatment of patients in respiratory failure requiring NIV. We intend to roll out this programme to all members of MDT involved in the management of NIV with the objective of improving patient safety and outcomes in the trust. We aim to present the data at the ASPiH Conference in November 2016.


  1. Jones RC, Stanton A, Juniper M. Knowledge of non-invasive ventilation in a DGH-a cause for concern? Thorax 2014;69(suppl 2):A124.

  2. Plum JOM, Juszczyszn M, Mabeza G. Non-invasive ventilation a study of junior doctor competence. Open Med Educ J 2010;3.

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