Yorkshire Immersive Paediatric
Simulation (YIPS) Course
“A day in the life of a registrar”
“Promoting excellence in medical education
through a supportive environment”
January 2014
Introduction:
“Simulation is a technique — not a technology — to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner.” (David Gaba, 2004).
Hull Institute of Learning and Simulation in collaboration with Yorkshire and the Humber School of Paediatrics have created an opportunity for paediatric trainees to participate in simulated scenarios and receive formative feedback on their performance.
Objectives:
· To apply principles of Advanced Paediatric Life Support (APLS) in management of critically unwell children.
· To apply principles of Neonatal Life Support (NLS) when providing resuscitation and care to a newborn infant.
· To demonstrate effective management of common acute paediatric conditions.
· To demonstrate awareness of safeguarding principles when caring for children.
· To demonstrate awareness of the principles of safe prescribing and safe administration of medicines.
· To apply skills of effective discharge planning to achieve safe discharge.
· To demonstrate effective leadership skills when managing clinical situations.
· To demonstrate skills of prioritisation and team management.
· To be able to exercise assertiveness when dealing with conflict.
· To demonstrate good listening and communication skills using simple language when talking to parents and patients.
· To apply SBAR principles in handover of information to colleagues and seniors.
Programme:
08:45 – 09:00 Registration
Pre-course questionnaire
09:00 – 09:45 Welcome and Introduction
Aims of the day
Short tour of the facility
Introduction to paediatric mannequins
09:45 – 10:40 Scenario 1
10:40 – 11:00 TEA/COFFEE
11:00 – 12:00 Scenario 2
12:00 – 13:00 Scenario 3
13.00 – 13:40 LUNCH
13:40 – 14:40 Scenario 4
14:40 – 15:40 Scenario 5
15:40 – 16:00 TEA/COFFEE
16:00 – 17:00 Scenario 6
17:00 – 17:30 Summary and Closure
Feedback
Evaluation forms
Certificate of attendance
Please aim to arrive before 9:00 am.
Please either turn your smart phones “off” or switch to “airplane mode” during the course.
Director of Post Graduate Medical Education
Lead of Hull Institute of Simulation and Learning
Dr Asim Ahmed
Clinical Education and Leadership Fellow
Yorkshire and the Humber Postgraduate Deanery
Dr Helen Moore
Clinical Education and Leadership Fellow
Yorkshire and the Humber Postgraduate Deanery
Ellie Peirce
Clinical Education and Leadership Fellow
Yorkshire and the Humber Postgraduate Deanery
Ashin Lok
Clinical Education and Leadership Fellow
Yorkshire and the Humber Postgraduate Deanery
Chris Gay
Senior Technician
Hull Institute of Learning and Simulation
Stuart Riby
Technician
Hull Institute of Learning and Simulation
Faculty
Visiting Faculty:
We also have visiting faculty on courses which comprises of paediatric consultants, senior registrars, nurse educators and advanced neonatal nurse practitioners.
Useful resources:
· Advanced paediatric life support: the practical approach. ALSG; Fifth edition.
· Neonatal life support guidelines. Resuscitation Council UK, 2010.
· Spotting the sick child: https://www.spottingthesickchild.com
· SBAR resources: http://www.institute.nhs.uk/safer_care/safer_care/SBAR_resources.html#elearning
· Safeguarding children resources (RCPCH): http://www.rcpch.ac.uk/safeguarding
A brief introduction to simulators:
Paediatric HAL, 5 year old
Airway
· Can be orally and nasally intubated
· An ET tube or LMA can be inserted
· Sensors can detect depth of intubation
· You can hear a variety of upper airway sounds
Breathing
· Manikin has different breathing patterns and lung sounds
· It can accommodate assisted ventilation, including BVM and mechanical support
· Efficacy of ventilation breaths can be measured and logged
· Manikin will develop gastric distension with excessive BVM ventilation
Circulation and colour change
· Bilateral carotid, brachial and radial pulses can be palpated and respond to circulatory changes
· Multiple heart sounds, rates and murmurs can be auscultated
· Efficacy of chest compressions can be measured and logged
· Colour and vital signs respond to hypoxic events and interventions
Paediatric HAL, 1 year old
Airway
· Can be orally and nasally intubated
· An ET tube or LMA can be inserted
· Sensors can detect depth of intubation
· You can hear a variety of upper airway sounds
Breathing
· Manikin has different breathing patterns and lung sounds
· It can accommodate assisted ventilation, including BVM and mechanical support
· Efficacy of ventilation breaths can be measured and logged
· Manikin will develop gastric distension with excessive BVM ventilation
Circulation and colour change
· Bilateral carotid, brachial and radial pulses can be palpated and respond to circulatory changes
· Multiple heart sounds, rates and murmurs can be auscultated
· Efficacy of chest compressions can be measured and logged
· Colour and vital signs respond to hypoxic events and interventions
Paediatric HAL, Baby
Airway
· Can be orally and nasally intubated
· You can hear a variety of upper airway sounds
Breathing
· Manikin has different breathing patterns and lung sounds
· It can accommodate assisted ventilation, including BVM and mechanical support
· Efficacy of ventilation breaths can be measured and logged
Circulation and colour change
· Brachial and femoral pulses can be palpated and respond to circulatory changes
· Multiple heart sounds, rates and murmurs can be auscultated
· Efficacy of chest compressions can be measured and logged
· Colour and vital signs respond to hypoxic events and interventions
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