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Haemofiltration Education in a nurse-led service. D.Colvin, L.Heggan, C.Corbet. 11-bedded Paediatric Intensive Care Unit. Approximately 1200 patients admitted and treated per year. 30-40 patients require haemofiltration every year. Background.

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haemofiltration education in a nurse led service

Haemofiltration Education in a nurse-led service.

D.Colvin, L.Heggan, C.Corbet.

Great Ormond Street Hospital for Children NHS Trust. London. UK

slide2
11-bedded Paediatric Intensive Care Unit.
  • Approximately 1200 patients admitted and treated per year.
  • 30-40 patients require haemofiltration every year.

Great Ormond Street Hospital for Children NHS Trust. London. UK

background
Background.
  • Continuous veno-venous haemoflitration has been an established therapy at Great Ormond Street Hospital since 1994.
  • The service was set up by a Consultant Intensivist and a team of senior nurses.
  • Education, training & management of the service is nurse-led with prescription from Consultant Intensivists.

Great Ormond Street Hospital for Children NHS Trust. London. UK

patient groups
Patient Groups

Great Ormond Street Hospital for Children NHS Trust. London. UK

haemofiltration course
Haemofiltration Course
  • This is a two-day course.
  • It is aimed at nurses with a prerequisite of two years’ intensive care experience and an intensive-care qualification.
  • They should also have an interest in advancing nursing practice and the responsibilities encapsulated within this.

Great Ormond Street Hospital for Children NHS Trust. London. UK

course programme
Day One

Indications for CVVH.

The principles of CVVH.

Clotting & ACT measurement.

Fluid & electrolyte management.

Day Two

Nursing care of a child requiring CVVH.

Fluid calculations & scenarios.

Lining & priming the circuit.

Complications & troubleshooting.

Course Programme

Great Ormond Street Hospital for Children NHS Trust. London. UK

post course
Post Course
  • Post-course nurses are classified as trainees, working only with experienced haemofiltration nurses.

Great Ormond Street Hospital for Children NHS Trust. London. UK

clinical governance
Clinical Governance
  • A system through which NHS organizations are accountable for continuously improving the quality of the services they provide. This also ensures the safeguarding of high standards of care, by creating an environment in which clinical excellence will flourish.

Great Ormond Street Hospital for Children NHS Trust. London. UK

competency books
Competency Books
  • These are based on Benner’s theories & models of nursing (1982).
  • Trainees will develop from advanced beginner to expert practitioner.
  • The time frame will be dependent on each individual and their exposure to CVVH.

Great Ormond Street Hospital for Children NHS Trust. London. UK

competency books10
Competency Books
  • Trainees must show evidence of, and demonstrate, a level of competency in the following areas:
  • Priming the circuit.
  • Commencing CVVH.
  • Fluid & electrolyte management.
  • Anticoagulation therapy
  • Troubleshooting
  • Discontinuing CVVH

Great Ormond Street Hospital for Children NHS Trust. London. UK

conclusion
Conclusion:
  • In order for a our haemofiltration service to be successful, co-operation between the multi-professional team is essential.
  • Dedication, enthusiasm and commitment are required from all involved.

Great Ormond Street Hospital for Children NHS Trust. London. UK