DURATION: 2 Days
TUITION: $375 + GST
Understand. Recognize. Mobilize. Prioritize. Save.
Understand the scope, causes and solutions to ‘Failure to Rescue’ in hospital. Recognize patient deterioration earlier. Mobilize colleagues and equipment more effectively. Prioritize treatment. Save your patients from preventable harm.
What is InTime?
The InTime Acute Care course is a program of interactive exercises, hands on skill building, simulated scenarios and case-studies. Abundant opportunities to build competence and confidence in patient rescue are available. All exercises are designed to either introduce or reinforce a 3-step approach to early recognition and effective response to acute patient deterioration. These steps include:
- Identify – strengthening the knowledge and skills behind situational awareness, patient assessment, the 8 vital signs, understanding core principles of human physiology and pathophysiology with attention to blood, oxygen and glucose
- Mobilize – how to craft effective messages to mobilize needed resources; taking stock of the resources available to each person’s setting (i.e. rural vs large centre); employing non-technical yet powerful skills of communication, leadership and team membership to ensure a timely response
- Intervene – with a goal of preventing arrest, using the knowledge and skills required to divert a medical emergency: airway management, effective chest compressions, room/bed optimization, fluid resuscitation, medication administration and electrical therapy (i.e. AED).
A course outline with a more detailed account of the InTime Acute Care course can be downloaded here.
In-hospital cardiac arrests occur at least as often in acute care medical and surgical areas as those equipped with critical care resources (ICU, CCU, ER). Survivability to discharge in acute care is typically significantly less than in critical care areas. Delays lasting several minutes are common between calling Code Blue and having the team there and ready to go. All evidence points to the effects of key interventions made in the first few minutes before the critical care team arrives. The work done in the first few minutes by medical and surgical personnel is often much more instrumental to survival than advanced interventions performed by the Code Blue team. What happens in the first few minutes can matter most!
Patient safety is a growing concern in and out of hospital. Recent reports point to hundreds of thousands of preventable deaths annually to patients in hospital attributed to the combined effects of Hospital-Acquired Infection (HAI), Medical Error (ME) and a Failure to Rescue (FtR) patients who are acutely deteriorating. Ranked the 3rd most likely cause of death behind only heart disease and cancer, being a patient in a hospital has a real risk for tragic injuries and lives lost.
InTime Acute care tackles Failure to Rescue. The complex causes behind FtR can often be addressed with simple measures. Research into FtR has identified several contributors:
- gaps in knowledge of typical or less frequent signs and symptoms of hemodynamic compromise
- lack of situational awareness of patient deterioration further hampered by high patient to care provider ratio, infrequent exposure to emergencies and caregiver fatigue
- handover communication failures
- inability to mobilize resources and employ needed skills
- choosing ‘one-size-fits-all’ interventions without identifying key actions that are most likely to yield the most success
- for the arrested patient, poor performance of chest compression (rate, depth, and recoil), over-ventilation, and delays in optimal interventions
InTime Acute Care brings: a practical approach to core competencies, key skills development, and the grounded knowledge to remain ready for those facing clinical deterioration.
Who Does InTime?
Nurses, physicians, respiratory therapists and paramedics – the knowledge, skills and opportunities to practice makes InTime relevant to all healthcare providers who care for patients at risk for acute deterioration in settings without the immediate availability of critical care resources.
I would recommend this course to colleagues – ideal for nurses not working in areas with Dr’s always available etc. where emergencies happen but not necessarily often
RN, Mills Memorial Hospital, Terrace BC
I loved it. I would have loved to have more days – we covered a lot of info in such a short amount of time. Teaching style was great, really makes things stick. I feel like I am motivated to use this knowledge. I feel much more comfortable than I did prior. I would want all my colleagues to take this course. I feel like it would make codes go smoother. I think it is great for new grads
New RN, Vancouver, BC
It was a great course, always enjoy courses from SkillStat. Always very informative and practical to have for everyday work and life.
RN Kitimat Hospital, 10 years experience
…variety of lecture/activities/team quizzing. Will definitely use these techniques. Comfort level increased, but definitely need all the practice/experience possible. I think that all RNs should take this course!
RN new to the ER, Surrey, BC
Great course. All nurses can benefit from this. Very practical for acute care nurses and new nurses.
CNE, Vancouver, BC.
To have InTime Acute Care offered at your hospital, please contact us by email or by phone (604.990.0063).
4553 Greig Avenue
Phone: (250) 635-0083
“Interactive learning style, easy to stay focused, interesting, informative, useful, simply stated and easy to understand.” – Jill (May 2018)- Jill – InTime Acute Care, Terrace