PREREQUISITES: acute care healthcare providers (current or imminent RN, LPN, RT, PA, MD – includes students in graduating year)
FACILITATORS: dedicated, dynamic practitioners (RN, EMT, RT, MD) experienced in medical emergency care, human factors under pressure (communication, leadership and team membership in an emergency) and adult learning science
DURATION: 2 Days
TUITION: $375 + GST
The InTime Acute Care course employs a practical, 3-step approach to: 1) identify acutely deteriorating patients early; 2) successfully include and mobilize available resources; to 3) intervene effectively to prevent further harm.
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. These numbers are surpassed only by the number of patients who experience preventable complications that extend their hospital stay and often result in persistent injury after discharge. Ranked the 3rd most likely cause of death behind only heart disease and cancer, much effort is in play to help reduce these tragic injuries and lives lost.
Whereas strategies that reduce HAI and ME are in place with most settings across health care, surprisingly, measures to reduce episodes of failure to rescue patients with acute deterioration have lagged. Perhaps the complex causes to FtR have slowed an effective response i.e. procedural safety checklists and hand washing are technical approaches that can be brought in quickly. The complex causes behind failure to rescue can also be addressed with simple mechanisms but also require revisiting core knowledge and skills taught early in each health care provider’s training that are lost. The failure to rescue has several causes:
- gaps in knowledge of typical and atypical signs and symptoms of hemodynamic compromise
- lack of situational awareness of patient deterioration i.e. high patient to care provider ratio; infrequent exposure to emergencies, 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
What You Get To Do
The InTime Acute Care course is a 2-day 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 of 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
- Include – 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, 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.
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 every day 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.
515 West Hastings Street