Reflection on the Implementation of a Nurse Practitioner training programme in a large Cardiothoraci...
Download
1 / 21

Acknowledgements- Nurse Practitioners - PowerPoint PPT Presentation


  • 86 Views
  • Uploaded on

Reflection on the Implementation of a Nurse Practitioner training programme in a large Cardiothoracic Surgical Unit. Presented by Sandra Laidler. Acknowledgements- Nurse Practitioners Sandra Laidler, Rowena Macfarlane, Lisa Clarke, Scott Naden, Gillian Newberry,

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Acknowledgements- Nurse Practitioners' - cadman-rhodes


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Reflection on the Implementation of a Nurse Practitioner training programme in a large Cardiothoracic Surgical Unit

Presented by Sandra Laidler

Acknowledgements-

Nurse Practitioners

Sandra Laidler, Rowena Macfarlane, Lisa Clarke, Scott Naden, Gillian Newberry,

Helen Baty, Julie Wood, Jackie Carlisle, Susan Colling, Nicola Rutherford

Cardiothoracic Matron

Fiona Thompson

Lead Consultants

Sasha Stamenkovic, Stephen Clark


Aim training programme in a large Cardiothoracic Surgical Unit

To discuss the employment, education and training of a group of experienced nurses to cover a 24/7 rota within a cardiothoracic unit, working at the level comparable to that of a Junior Doctor.


The nurse practitioner programme
The Nurse Practitioner Programme training programme in a large Cardiothoracic Surgical Unit

“The programme aims to deliver ward care by permanent members of the team who are experienced, motivated and committed to the job”

Mr. Leslie Hamilton

Former President SCTS

Cardiothoracic Surgeon


The nurse practitioner programme1
The Nurse Practitioner Programme training programme in a large Cardiothoracic Surgical Unit

Mr Stephen Clark, Cardiothoracic Surgeon, champions the NP programme and clinically takes responsibility for managing and overseeing the training


Why did we do it

Disillusionment of junior training programme in a large Cardiothoracic Surgical Unit

doctors (CT1, CT2 & non-trainees)

EWTD

Recruitment of junior doctors (non-trainees)

[email protected]

Improving Original NP initiative

Why did we do it?


The np training programme
The NP Training Programme training programme in a large Cardiothoracic Surgical Unit

  • Selection Criteria

  • Formal Training

  • Practical Skills

  • Informal/In-house Training


Selection criteria
Selection Criteria training programme in a large Cardiothoracic Surgical Unit

  • RGN 1st level Nurse - educated to degree level working at Band 6>

  • Teaching qualification/Mentor certificate

  • Cardiothoracic experience


Formal training
Formal Training training programme in a large Cardiothoracic Surgical Unit

  • Clinical Assessment and History Taking Module

  • Non-Medical Prescribing Qualification

  • CALS / ALS

  • Nurse Practitioner Certificate (Diploma/Degree)

  • Advanced Practitioner Award (Masters)

Northumbria

University

Carlisle

University


Multi-Dimensional Role training programme in a large Cardiothoracic Surgical Unit


Np multi dimensional role 1
NP Multi-Dimensional Role 1 training programme in a large Cardiothoracic Surgical Unit

  • Ward cover 24/7

  • Clinical assessment & history taking pre-op patients

  • Non medical prescribing

  • Daily consultant led ward rounds

  • Documentation & follow up from ward rounds

  • Ordering clinical tests & analysis of results

  • Transfer and discharge letters


Np multi dimensional role 2
NP Multi-Dimensional Role 2 training programme in a large Cardiothoracic Surgical Unit

  • Nurse led pre-assessment clinic (Monday – Friday)

  • Repatriation referrals

  • Referrals to other specialities

  • Clinical review of ITU & HDU transfers

  • Member of the cardiac arrest team

FIRST POINT of CONTACT

24/7 Rota


Junior doctor or nurse practitioner
Junior Doctor or Nurse Practitioner? training programme in a large Cardiothoracic Surgical Unit

MAXI NURSE

not

MINI DOCTOR

“The key is the skills and knowledge to do the job rather than the label that the post holds”

Mr. Leslie Hamilton

Former President SCTS


Conclusion
Conclusion training programme in a large Cardiothoracic Surgical Unit

  • Effective replacement of the junior doctors

    Improved timely and quality service provision

    Improved documentation & communication

    Efficient 24/7 service

  • Enhanced training for surgical trainees

  • Forecast long term cost effectiveness


Any questions

Any Questions? training programme in a large Cardiothoracic Surgical Unit

Thank You


Lessons learnt 1

Change – Psychology of training programme in a large Cardiothoracic Surgical Unit‘change’ not fully addressed/understood

Coping with attitudes and negativity from other disciplines

Acceptance of the role

Extended transitional time needed for some NPs

Role blurring

Lessons Learnt 1


Lessons learnt 2
Lessons Learnt 2 training programme in a large Cardiothoracic Surgical Unit

  • More training time

    • to reduce pressure on NPs

    • Assist transition

  • Non-medical prescribing limitations

  • Erecord launch

  • Environmental factors not addressed

  • Ongoing issues for HDU?

    Transplant & VADs patients?


Lessons learnt
Lessons Learnt training programme in a large Cardiothoracic Surgical Unit

“The team of NPs have worked extremely hard to acquire the knowledge and skills needed to implement this programme. The pressure was immense and intense at times and I do not think anyone realised how hard this would be. The NPs should be very proud of what they have achieved and should have confidence in their abilities as highly skilled Nurse Practitioners”

Fiona Thompson

Cardiothoracic Matron


Practical clinical skills 1
Practical Clinical Skills 1 training programme in a large Cardiothoracic Surgical Unit

  • Physical Assessment, Examination & History Taking

  • Suturing

  • Cannulation / Venepuncture

  • Arterial blood gas sampling- radial & femoral approach

  • ABG analysis

  • Catheterisation


Practical clinical skills 2
Practical Clinical Skills 2 training programme in a large Cardiothoracic Surgical Unit

Test requisition and analysis

Defibrillation

Emergency re-sternotomy (assisting SpR)

Entonox administration

Advanced sterile dressings & procedures (chest packs & VAC dressing)


Informal in house training 1
Informal/In-house Training 1 training programme in a large Cardiothoracic Surgical Unit

  • Anatomy and Physiology (medical school and mortuary)

  • Theatre - shadowing Consultants

  • Radiology Consultant teaching sessions

  • Consultant out-patient clinics

  • Departmental visits – Echo, Lung function, Microbiology, Haematology, Biochemistry


Informal in house training 2
Informal/In-house Training 2 training programme in a large Cardiothoracic Surgical Unit

Neurological Examination (Neurosurgeon)

Paediatric/Congenital Teaching (Paediatric surgeon)

Trust pharmacist teaching

OSCE with Consultant mentors

60 hours clinical supervision with mentors (NMP)

Weekly Educational Meetings (on-going)


ad