Capacity Building Training of Nurses in CRH  On “BASIC4NOW: Basic Assessment and Support of Critically ill for nurses on wards”

Capacity Building Training of Nurses in CRH On “BASIC4NOW: Basic Assessment and Support of Critically ill for nurses on wards”

  • Start Date : February 01,2024
  • End Date : February 02,2024
  • Venue : SMU
  • Category : Event

Two days BASIC FOR NURSES ON WARDS critical care course for Nurses of CRH was conducted on 1st and 2nd February 2024, in level 6 skill Lab SMIMS building. There were series of lectures and hands on skill stations for two days.

  • Start Date : February 01,2024
  • End Date : February 02,2024
  • Venue : SMU
  • Category : Event

Two days BASIC FOR NURSES ON WARDS critical care course for Nurses of CRH was conducted on 1st and 2nd February 2024, in level 6 skill Lab SMIMS building. There were series of lectures and hands on skill stations for two days.

Two days BASIC FOR NURSES ON WARDS critical care course for Nurses of CRH was conducted on 1st and 2nd February 2024, in level 6 skill Lab SMIMS building. There were series of lectures and hands on skill stations for two days. It was taken by two Resource person from abroad and certified instructors of CRH, SMIMS trained during Phase I under the supervision of intensivist from the abroad. Training was organized by Dr Aradhna Nazareth, Professor and HOD  Department of Critical Care and Dr Lhamo Dolma, Assistant Professor, Department of Anaesthesiology under the guidance of advisory Dr. Mingma Lhamu Sherpa, Professor and Head Department of Biochemistry & Co Chair SFCDC, SMU. Training was facilitated by two resource faculties who were senior Intensivist:- Dr. Ross Callum Freebairn from New Zealand and Dr Monika Gulati from Singapore. It was attended by total of 25 Nurses from CRH. A month before this session a hard copy of course manual were distributed to all the participant to read.

 

 

 

 

 

 

 

OBJECTIVES:

  • To train the nurses in wards and emergency to monitor critically ill patient
  • To enable early detection of deterioration of patients and identifying patients needing critical care.
  • Improving the Patient outcomes.

EXPECTED OUTCOMES:

  • 25 Trained nurses to recognise critical events and management for day to day patient care in wards and emergency.
  • Improving critical care for patients of CRH. 

Inaugural Session

 

The training program was inaugurated by honourable Vice Chancellor, Sikkim Manipal University AVM (Dr.) Dilip Chandra Agarwal VSM (Retd).  Dean SMIMS Dr. Muralidhar V Pai, Registrar SMU, Head HR SMU, AMS CRH, COO CRH, HOD of clinical department, Principal SMCON and Nursing Superintendent and ANS CRH were the Special Invitees who graced the inaugural session. The session started with a welcome address by Dr Aradhna Nazareth, Professor  & HOD, Department of Critical Care. The Honourable Vice Chancellor in his address emphasized on the need and importance of training of Doctors and Nurses at all capacity which will enable them to provide quality service in the wards and Emergency Department. He also congratulated the organizing team and SFCDC for organizing and continuing in conducting the training under SFCDC for Nurses working in different wards and Emergency of CRH. Dean Sir congratulated the team and appreciated the resource faculties for conducting the workshop. Dr. Mingma Lhamu Sherpa Professor and Head Department of Biochemistry & Co- Chair SFCDC gave a presentation on Introduction to Capacity Building Council of SMU. Inaugural session ended with a vote of thanks by Dr Lhamo Dolma, Assistant Professor, and Department of Anaesthesiology. It was followed by a technical session for a period of two days

 

 

DAY 1:1st February 2024

The Day started with registration and the introduction of resource person which was done by Dr Aradhna Nazareth, Professor  & HOD of Department of Critical Care. Then introduction to BASIC4NOW course was done by the resource person Dr Ross Callum Freebairn. After that five lectures were taken by the instructors (Doctors And Senior Nurses of CRH) and two lectures by the resource person from 8:00 AM to 12:40 PM. After lunch Break six Hands on Skill Stations were taken from 1:25 PM to 5:45 PM. The Transport skill station was the live skill station. The topics for lectures and skill Station covered were:

Day 1

1st  February 2024 (Thursday)

Time

Topic

Duration

Speaker

08.00-0815

Registration

15 minutes

 

0815-0825

Introduction of the resource person

10 minutes

Dr Aradhna

0825-0840

Introduction to BASIC 4 NOW Course

15 minutes

Dr Ross Freebairn

0840-0920

Assessment of the seriously ill patient

40 minutes

Dr Ross  Freebairn

0920-0955

Acute respiratory failure-Part 1

35 minutes

Dr Monika

0955-1025

Acute Respiratory failure- Part 2

30 minutes

Dr Aradhna

1025-1040

Break

15 minutes

 

1040-1110

NIV management in wards

30 minutes

Dr Prakash

1110-1140

Transport of critically unwell patients

30 minutes

Sister Bandana

1140-1210

Routine Nursing Care of critically unwell patients

30 minutes

Sister Sashirani

1210-1240

Airway Management

30 minutes

Dr Tsering

1240-1325

Lunch

45 minutes

 

1325-1700

5 Skill Stations - 40 minutes each

 

 

1700-1745

Transport skill station- whole group

45 minutes

Sister Bandana/Dr Monika

 

Time

Assessment of Critically ill

Acute Respiratory Failure

NIV Management

Airway Management

CPR

1325-1405

Gr 1

Gr 2

Gr 3

Gr 4

Gr 5

1405-1445

Gr 5

Gr 1

Gr 2

Gr 3

Gr 4

1445-1525

Gr 4

 Gr 5

Gr 1

Gr 2

Gr 3

1525-1540

Break

1540-1620

Gr 3

Gr 4

Gr 5

Gr 1

Gr 2

1620-1700

Gr 2

Gr 3

Gr 4

Gr 5

Gr 1

 

Assessment of the critically ill

A4 print out or powerpoint

Dr Devraj/Dr Ross Freebairn

Respiratory Failure

A4 print out  or powerpoint

Dr Lhamo/Dr Monika

NIV

NIV machine

Dr Prakash/Dr Ross Freebairn

Airway (BMV/ LMA/Assisting Intubation)

2 sets of airway mannequin and equipment

Dr Tsering/Dr Aradhna

CPR

Full Mannequin, defibrillator

Sister Bandana/Sister Sashirani/Dr Monika

Transport of critically ill

All the groups together

Transport Ventilator

Sister Bandana/Sister Sashirani/Dr Monika/Dr Ross Freebairn

 

DAY 2: 2nd February 2024

Five lectures were given by the instructors and two lectures by the resource person from 9:00 AM to 12:45 PM. Six Hands on Skill Stations were taken after the lunch from 1:30 PM to 4:45 PM. The session was followed by online Post-Test and Valedictory session. Online Post Test was conducted from 4:45 PM to 5:45 PM. The topics for Lectures and Skill Station covered were:

Day 2

2nd February 2024 (Friday))

Time

Topic

Duration

Speaker

0900-0930

Shock

30 minutes

Sister Bandana

0930-1000

Sepsis

30 minutes

Dr Lhamo

1000-1030

Acute renal failure

30 minutes

Dr Ross Freebairn

1030-1045

Tea/ coffee Break

15 minutes

 

1045-1115

 Fluid and Electrolyte Management

30 minutes

Dr Devraj

1115-1145

Trauma

30 minutes

Dr Prakash

1145-1215

 Communication

30 minutes

Dr Monika

1215-1245

 Pain Management

30 minutes

Sister Sasirani

1245-1330

Lunch

45 minutes

 

1330-1645

Skill Station - 30 minutes each/6/In total=180 mins,1500- 1515 Tea Break

 

 

1645-1745

POST TEST

60 minutes

 

1745-1800

Vote of thanks

15 minutes

 

 

Time

Shock

Sepsis

Trauma

Communication

Arrhythmias

Routine Nursing care of the Critically ill

1330-1400

Gr 1

Gr 2

Gr 3

Gr 4

Gr 5

Nil

1400-1430

Rest

Gr  1

Gr 2

Gr 3

Gr 4

Gr 5

1430-1500

Gr 5

 Rest

Gr 1

Gr 2

Gr 3

Gr 4

1500-1515

Break

 

1515-1545

Gr 4

Gr 5

Rest

Gr 1

Gr 2

Gr 3

1545-1615

Gr 3

Gr 4

Gr 5

Rest

Gr 1

Gr 2

1615-1645

Gr 2

Gr 3

Gr 4

Gr 5

Rest

Gr 1

Shock

Powerpoint

Dr Devraj

Sepsis

A4 print out or powerpoint

Dr Lhamo/Dr Ross Frebairn

Trauma

A4 print out or power point Manniquin

Dr Prakash

Communication

Power point

Sister Sashirani/Dr Monika

Arrhythmias

Powerpoint

Dr Aradhna/Dr Tsering

Routine nursing Care of critically ill

Volunteer

Sister Bandana

 

Valedictory Session

The last technical session was followed by Valedictory session on the second day from 5:45pm. Co-Chair SFCDC Prof Mingma Lhamu Sherpa graced the session and distributed the Certificates to the participants, trained instructors and the organizing team. The session concluded with a vote of thanks by Dr Aradhna Nazareth Organizing Secretary to the participants, resource faculty, Advisory for guidance and AMS CRH for providing the logistic and financial support for the training program.

 

Training Activities:

 

  • Lecture
  • Brainstorming session
  • Interactive session
  • Hands on Skill Station

 

Evaluation:

 

Pre- test and Post test was conducted online.

 

Feedback:

 

Feedback was obtained using self - structured google form. Total 25 participants have given their feedback. Findings are as follows:

 

Feedback day 1: 279 responses

  • Out of all the topic maximum rating was given to NIV management in the ward (10%) followed by transport of critically ill patient (9.3%), routine nursing care (9.3%) and acute respiratory failure II (9%).
  • Among all the skill station maximum rating was given to CPR station (8.65) followed by Airway (8.2%) and Acute respiratory failure (7.5%).
  • 84.2% of the participants gave excellent rating to the topics covered, 11.1% gave very good and 4.7% gave good.
  • 80.3% of the participants gave excellent rating to the relevance of the topics covered, 14.7% gave very good and 5% gave good.
  • 79.9% of the participant gave excellent rating to the quality of information provided and 14.7% gave very good.
  • 80.3% of the participants gave excellent rating to the knowledge and attitude of the facilitators and 14.7% gave very good.
  • 95.7% of the participants said the training met their requirement.
  • 95.7% of the participants said that the training provided the valuable information to help them perform their job as a trainer.
  • Few participant expressed that the lectures were very informative, interesting, classes were useful and it was worth attending the workshop.

 

Feedback day 2: 296 responses

  • Out of all the topic maximum rating was given to Trauma (8.8%) followed by shock (8.4%), Pain management (8.4%), Sepsis (8.1%) and communication (8.1%).
  • Among all the skill station maximum rating was given to Trauma station (8.1), shock (8.1%) followed by Sepsis (7.1%) and Arrhythmia (6.8%).
  • 89.2% of the participants gave excellent rating to the topics covered, 6.4% gave very good and 4.4% gave good.
  • 89.5% of the participants gave excellent rating to the relevance of the topics covered, 6.1% gave very good and 4.4% gave good.
  • 87.8% of the participant gave excellent rating to the quality of information provided and 7.8% gave very good.
  • 87.5% of the participants gave excellent rating to the knowledge and attitude of the facilitators and 7.4% gave very good.
  • 100% of the participants said the training met their requirement.
  • 99.7% of the participants said that the training provided the valuable information to help them perform their job as a trainer.
  • Few participant expressed that the workshop was Excellent and interseting.

 

 

Credentialing:

 

Average Pre-test course score was 39.8% and post course score was 92%. Average score was 11.96 in post course test. Each participant was awarded with participant certificate .The passing certificate was awarded to 23 participant who scored more than 50% in post-test.

 

Name of the Instructors who delivered the sessions( lectures and skill stations) were:

Dr Ross Callum Freebairn, Consultant Intensivist, New Zealand

Dr. Monika Gulati: Consultant Intensivist, Singapore

Dr Aradhna Nazareth: Professor and HOD, Department of Critical Care.

Dr Lhamo Dolma: Assistant Professor, Department Of Anaesthesiology, Course Director

Dr Tsering Yougyal: Assistant Professor, Department Of Anaesthesiology

Dr Prakash Koirala: Associate Professor, Department of Chest and Respiratory Medicine.

Dr Devraj Saha: Assistant Professor, Department Of Medicine.

Ms Bandana Moktan : CNE Coordinator and member of SFCDC

Ms SashiRani Pangambam: Associate Professor SMCON and member of SFCDC

 

A FEW GLIMPSES

 

 

 

 

LIST OF PARTICIPANTS

SL/NO

NAME OF STAFF

WARD

1

HISSAY LHAMU BHUTIA

L9 PVT

2

PRITI RAI

L9 PVT

3

PRIYANKA GHATRAJ

L8 PVT

4

PRAJULATA   MANGER

L8 PVT

5

KESANG TAMANG

L7 FMW

6

BISHNU SHARMA

L7 FMW

7

ANUSHA SHARMA

L7 MMW

8

KESANG DOMA LEPCHA

L7 MMW

9

CHUNKI SHERPA

L7 MMW

10

SUSHMA LIMBOO

L7 FSW

11

MEERA RAI

L7 FSW

 

12

SUJATA PRADHAN

L7 MSW

13

MANISHA PRADHAN

L7 MSW

14

PRIYANKA TAMANG

L7 MSW

15

TSHERING LHAMU

L5 ORTHO

 

16

SHANTI CHETTRI

L5 ORTHO

17

MAMTA MUKHIA

L5 ORTHO

18

ALINA LEPCHA

L5 PAED

19

SUJATA RAI

L5 ORTHO

20

LHAMIT LEPCHA

L6 OBG

 

21

ANISHA BHANDARI

L6 OBG

 

22

CHANDRA KALA SHARMA

L6 0BG

 

23

PRAYAN HANGM

L6 L/R

 

24

BANISHA RAI

L6 L/R

 

25

PRIYA GURUNG

L3 ED

Acknowledgments:

Sikkim Manipal University and Ramdas Pai and Vasanti Pai Endowment Fund