Keeping up Clinical Skills in a Hospice setting Sharing, Learning - - PowerPoint PPT Presentation

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

11 96 95 11 96 97 9 93 91 20 40 60 80 100 120 2012 2014 2019

Nurse Competency Percentages 2012-2019

Tracheostomy Non invasive ventilation invasive Ventilation

Results : : CYP Numbers

4 11 33 9 19 48 1 3 13 10 20 30 40 50 60 2012 2014 2019

Children & young people admissions Tracheostomy/ NIV/TV 2012 -2019

Tracheostomy Non invasive ventilation 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.,

Any Questions ?