Keeping up Clinical Skills in a Hospice setting Sharing, Learning & Networking May 2019
Competence, Confidence & Courage •
Support Networks : : Practice Education • Development of PE Team - Honorary Contracts PICU/Resp Unit - Increase in PE hours from 48 to 104 pw • Specialist Study Days - LTV, Pall Care, IV’s, Peritoneal Dialysis. • Skills Lab/Simulation • Support on Shift • Pop up Sessions • Focused Solutions
Support Networks: Working in Partnership • Joint Posts with Specialist Hosp - Paediatric Palliative Care Consultant - Adult Palliative Care Doctor - CNS Palliative Care • Development of LTV Unit - Respiratory Consultant - CNS LTV • Physiotherapy Rotation • Practice Education - Preceptorship Nurses - Nurse Associates
Support Networks : Knowledge
Support Networks : : Skills & Confidence
Results : : Competency Figures Nurse Competency Percentages 2012-2019 120 100 97 96 96 95 93 91 80 60 40 20 11 11 9 0 2012 2014 2019 Tracheostomy Non invasive ventilation invasive Ventilation
Results : : CYP Numbers Children & young people admissions Tracheostomy/ NIV/TV 2012 -2019 60 50 48 40 33 30 20 19 13 10 11 9 4 1 3 0 2012 Tracheostomy 2014 Non invasive ventilation 2019 invasive Ventilation
In In their words • ‘I have never had so many learning opportunities.’ • ‘ I was worried I might lose my skills moving from hospital to hospice but I’m gaining new ones.’ • ‘Working with a PE has helped to build up my confidence working with ventilated children.’ • ‘it was really satisfying to be able to support a child on PD to enable the family to have a break.’ • ‘I love the workbooks as they help me to understand physiology and how things can go wrong.,
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