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February 2020 update

Trauma NetworkZ Summary: 125 staff trained across 6 DHBs.

Sessions run with two NetworkZ faculty and local trained staff from NetworkZ OR training and local content expert. All locations provided a NetworkZ trained technical simulation person and at least one NetworkZ trained debriefer and an ED content expert.

The session days were identified as historically the quieter day of the week. All sessions are 4 hours in duration and have all be conducted in situ with business as usual patient care occurring. The feedback from actual patients has also been very positive.

The courses involve the local trauma team with all support services: St John and Wellington Free Ambulance were very supportive and have attended every session with at least two officers. Handover techniques and information sharing was a common topic discussed. ED care also included radiology and lab staff attending the simulations.

Findings from the sessions included:

  • roll clarity, handover techniques (the use of ISBAR, extended role of paramedics)
  •  ergonomics in trauma bays and how to improve this
  • use of names on staff members as well as role labels 
  • value of briefings for the complete trauma team before the patient arrived and how to facilitate this in the future
  • ad hoc nature of trauma teams and implementing structured recaps to improve situational awareness and prioritising

The uptake for this programme has been overwhelmingly positive and requests for more sessions at other DHBs continuing to be fielded. The current contract to June 30th 2020 will cover two more sessions – Waikato and Mid Central. A new contract is currently being sort to implement the programme at an additional 36 sites across all DHB ED departments.

 

Staff distribution for Trauma NetworkZ participants

 

DHB

Activities

Auckland – Proof of concept
13 staff trained

1 session completed

Excellent feedback from faculty and system and process issues identified.

Concern about having a trauma bay available however training didn’t impact on patient care or staffing. Extra nursing staff brought on shift for training. Excellent local simulation support from ADHB 

CCDHB

18 staff trained

2 sessions completed

Courses in 2018 and 2019. Excellent uptake for the training. Supported by local simulation faculty. Specific latent errors identified and ergonomic limitations. Have acted on the post course report to rectify specific potential harmful practices and issues. One example: saline and glucose were stored on the same shelf side by side. A participant primed an arterial line with glucose which would cause patient harm if in real life. The fluids have been separated to reduce the risk.

NMDHB

31 staff trained

2 sessions completed

Two sessions in 2018 and 2019. Both very well supported by local faculty and content experts. Both courses were very well received. Local faculty were involved in all aspects

Taranaki

18 staff trained

1 session completed

Very engaged local instructors and technical staff. Excellent course with full support from local trauma SMOs and staff. Very positive course feedback and request for more sessions.

BOPDHB

33 staff trained

Sessions completed at Whakatane and Tauranga

Two sessions were held with local support. SMO across both sites instrumental in implementing the training. Excellent feedback from both sites. The Whakatane session occurred two weeks before the White Island volcanic eruption. Feedback from staff indicated the training helped in the communication during the event.

Tairawhiti DHB

12 staff trained

1 session completed

Tairawhiti ran a half day course successfully and identified handover issue with St John and new staff. Discussions were very fruitful on best practice and role delineation. The session created an opportunity to discuss other aspects of care and transfer to a tertiary centre and the challenges to this that can be addressed.

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