Background and Aim The Emergency Department (ED) see children on a daily basis. Providing teaching in the ED is challenging due to unpredictable patient load. Paediatric teaching beyond mandatory is not routinely provided. While mandatory training is vital it does not equip staff for the common illnesses seen in ED. FMT was developed to provide a solution to these problems. The teaching has a multidisciplinary focus promoting a consistent heath message from paramedic to paediatrics.
Method A small group of doctors, nurses, paramedics and ancillary staff are taken aside for teaching leaving the department adequately staffed. A 10 min teaching session is delivered, with a handout. The staff return to work, then another small group is found and the teaching is repeated. This cycle is continued until all staff available are taught or the teacher is called away.
Attendance data was kept from the sessions and a feedback survey was distributed to the attendees from March – July 2016 (24 responses).
Results From the survey we found currently 30% of staff receives no paediatric teaching, 55% receive yearly and 15% receive 3 monthly. The teaching provided is mostly (61%) mandatory training such as BLS, APLS, Safeguarding.
To date 19 sessions have been delivered over 9 months, starting in March 2016. 153 staff attended 1–6 sessions each, averaging 14 people per ED session (range 4–25ppl). These staff represent 18 different job roles with experience from <1 to >10 years. Feedback said teaching was relevant and understandable (across the job roles). Confidence in management of children was increased after teaching. Staff felt this was a sustainable method of teaching for the ED.
Conclusions FMT has provided multidisciplinary teaching that is relevant to all professions of all experience levels. It has led to increased confidence in managing unwell children and it has been provided in a busy ED.
Moving forward this style of teaching has been adopted and used in 3 further hospitals within the deanery. It has also been modified for training days of both doctors and nurses
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