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Sikkim Manipal University
Capacity Building Training of Nurses in CRH On "BASIC4NOW: Basic Assessment and Support of Critically ill for nurses on wards" - Sikkim Manipal University
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Capacity Building Training of Nurses in CRH On "BASIC4NOW: Basic Assessment and Support of Critically ill for nurses on wards"

FROM 01 Feb 2024 TO 02 Feb 2024

Venue : SMU @

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
08:00-08:15 Registration 15 minutes
08:15-08:25 Introduction of the resource person 10 minutes Dr Aradhna
08:25-08:40 Introduction to BASIC 4 NOW Course 15 minutes Dr Ross Freebairn
08:40-09:20 Assessment of the seriously ill patient 40 minutes Dr Ross Freebairn
09:20-09:55 Acute respiratory failure - Part 1 35 minutes Dr Monika
09:55-10:25 Acute Respiratory failure - Part 2 30 minutes Dr Aradhna
10:25-10:40 Break 15 minutes
10:40-11:10 NIV management in wards 30 minutes Dr Prakash
11:10-11:40 Transport of critically unwell patients 30 minutes Sister Bandana
11:40-12:10 Routine Nursing Care of critically unwell patients 30 minutes Sister Sashirani
12:10-12:40 Airway Management 30 minutes Dr Tsering
12:40-13:25 Lunch 45 minutes
13:25-17:00 5 Skill Stations 40 minutes each
17:00-17:45 Transport skill station - whole group 45 minutes Sister Bandana / Dr Monika
Time Assessment of Critically Ill Acute Respiratory Failure NIV Management Airway Management CPR
13:25-14:05 Gr 1 Gr 2 Gr 3 Gr 4 Gr 5
14:05-14:45 Gr 5 Gr 1 Gr 2 Gr 3 Gr 4
14:45-15:25 Gr 4 Gr 5 Gr 1 Gr 2 Gr 3
15:25-15:40 Break
15:40-16:20 Gr 3 Gr 4 Gr 5 Gr 1 Gr 2
16:20-17:00 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 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 stations in total = 180 minutes)
1500-1515 Tea Break 15 minutes
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 Freebairn
Trauma A4 print out or powerpoint - Mannequin - Dr Prakash
Communication Powerpoint - Sister Sasirani / Dr Monika
Arrhythmias Powerpoint - Dr Aradhna / Dr Tsering
Routine Nursing Care of the 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%. The average score in the post-course test was 11.96. Each participant was awarded a Participant Certificate. The Passing Certificate was awarded to 23 participants who scored more than 50% in the post-test.

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

    • 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
    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 OBG
    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



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