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.
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:
EXPECTED OUTCOMES:
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:
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
Feedback day 2: 296 responses
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