HEARTBEAT February 2019

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Clinical training transformed through simulation MEDICINE AND EMERGENCY CARE Our medical student undergraduate simulation programme provides high quality training according to colleagues in pharmacy. The programme, which runs regularly throughout the academic year is said to be better than the OSPEs [Objective Structured Pharmacist Examination] that students had to take previously. Heartbeat caught up with Amardeep Singh, Lead Pharmacist for HIV/ GUM, to find out more about these collaborate workshops. He said: “From the perspective of the pharmacy training programme, the inter-professional scenarios provide better quality training. They are more cost-effective and less labour intensive than OSPEs - only one pre-registration tutor is needed to supervise and assist each time and the scenarios are easier to write. “From the perspective of pre-registration trainees from last year, they provided a good insight into the roles and problem solving approach of doctors and helped the trainees better understand how they can provide collaborative support to improve patient care.” “In addition to this, we believe that this is an excellent example of collaboration to deliver innovative and cost effect training on site.” Inter-professional simulation workshops aim to increase the awareness of different healthcare professionals, their roles and ways of working, and give students an opportunity to reflect how they can work within a multidisciplinary team to improve patient outcomes. This is done within the framework of a programme of simulations that are provided for fifth year medical students by the clinical teaching fellows. The main simulation programme is for final year medical students and is run by the clinical teaching fellows. The simulation scenarios are then adjusted to allow preregistration pharmacists to participate. The simulations for pharmacists were developed by Amardeep and his colleague Alkash Hilal, Deputy Group Pharmacist for surgical services. The training was first piloted in 2018 with very positive feedback from nursing and medical students and pre-registration pharmacists. There will be two more interprofessional simulation workshops in April at both our Sandwell and City sites. Further work is also taking place with the nursing education team with a view to develop multidisciplinary simulation scenarios with nursing students in the future. Have you got a story for Heartbeat? We want you to share your stories with us. • Have you got an event or special occasion in your department? • Do you have an inspirational colleague? • Does your department do something that makes a real difference to our patients? • Do you know anyone who goes the extra mile to support the delivery of quality care? The above are just examples of the types of stories we would like you to share. If you have anything else you feel would be great to include in Heartbeat, please do get in touch. Amardeep Singh Contact the editor, Chilufya Dawo on extension 3409 or e-mail chilufya.dawo@nhs.net 16
Nurse tells of moment she realised she was treating a superstar Accident and emergency Sister, Stacey McCormick has revealed the moment she realised she was treating superstar musician Mike Skinner City Hospital. The nurse had been working a busy Friday night shift, checking the X-ray of a patient who had come in with a dislocated shoulder. But it was only when she looked at his name and ushered him into a treatment room, that she clicked it was the Brummie rapper, who had been performing at a gig that night at the O2 Academy. He had been crowd surfing when he suffered the injury. “I asked him are you the Mike Skinner,” she recalled. “He answered yes. I was a bit shocked to see him there – it’s not every day that you treat a famous musician. He was very down-to-earth and waited with the other patients in the seating area. “When it was his turn he came along quietly, and that’s when I realised it was ED Sister Stacey McCormick who treated Mike Skinner. him. We gave him gas and air while my colleague Dr Sam Bourke popped his shoulder back into place. Throughout his time in our care he was really grateful and thought the service was amazing. He didn’t MEDICINE AND EMERGENCY CARE receive any extra special treatment though - and certainly didn’t expect it. “He was with his management team who filmed his experience. After he was treated, he invited both myself and Dr Bourke to his gig on Saturday night, but we couldn’t go along because we were both working, which is a shame.” Later that night the singer posted a video to his Instagram account in which he thanked the staff at the hospital. Skinner was also filmed telling the camera: "I could cry, I could literally cry." He later went on: "Thank you so much to everyone at Birmingham City Hospital for putting my arm back in." Radio star reveals how Sandwell Hospital “saved her life” Colleagues at Sandwell Hospital have been praised by BBC WM presenter Samantha Meah for her care after she went into septic shock. The host spent three weeks in our hospital’s critical care unit. She revealed details of the terrifying details live on her new morning show Sam & Daz, which she presents with Daz Hale, earlier this month. Sam said: "I didn't realise that it was sepsis at the time, but I was suddenly frozen cold. "I was shaking, my teeth were chattering. I could not open the computer that was in front of me. I knew something was seriously wrong. "We were about to interview Faye Tozer from Strictly and I was all excited about that, but was so incapable of doing anything. "So an ambulance was called and they took 45 minutes to stabilise me. I was taken to Sandwell Hospital where I was seen and treated extremely quickly." Sepsis is a life-threatening condition that comes when the body's response to infection causes injury to its own tissues and organs. UK Sepsis Trust said it kills 52,000 per year - five people per hour. Antibiotic treatment should start within an hour of diagnosis to reduce the risk of serious complications or death. Sam added: "I had a CT scan and discovered that I had been walking around for some time with a perforated bowel, because I have diverticular disease as a lot of people do. "In my case I had an episode I was unaware of; I had a perforation in the bowel, that had caused an infection. The infection had spread to my liver, so I had abscesses on my liver and then the infection in turn spread to my lungs. So I was full of nasty and unpleasant infection." Diverticular disease is a condition that affects the large bowel. It happens when small pouches develop in the lining of the bowel and push out through the bowel wall - which in some people can cause stomach pain. Her co-presenter Daz Hale has called Sam 'a pro' and asked her what would have happened if she had gone into septic shock at home. She replied: "I would have died. They saved my life at Sandwell. I was in intensive care for a few days, had two blood transfusions and I was in there for three weeks. They literally saved my life." Know Your Sepsis Six By doing these six simple things in the first hour, you can double your patients chance of survival • Give high flow oxygen • Take blood cultures • Give IV antibiotics • Give a fluid challenge • Measure lactate • Measure urine output Screening for Sepsis Know Your Sepsis Six NEWS score of 5 or more 1. Set flag on EBMS when screened 2. Set flag on EBMS if positive • Use Sepsis action tool • Start Sepsis Six 3. If negative for sepsis, place sepsis sticker in notes 4. Escalate as appropriate 17
Page 1 and 2: February 2019 Sandwell and West Bir
Page 3 and 4: School links expand thanks to forth
Page 5 and 6: How was it for you? Dress rehearsal
Page 7 and 8: Unity roadshows creating a buzz acr
Page 9 and 10: Aspiring to Excellence: Have you bo
Page 11 and 12: Colleagues come together to tackle
Page 13 and 14: Going smoke free - what does it mea
Page 15: Our top three areas to prioritise A
Page 19 and 20: It’s double delight for maternity
Page 21 and 22: A simple sip saves lives Can a pict
Page 23 and 24: New tech showcased in healthcare sc
Page 25 and 26: Dr Clark Crawford Head of Research
Page 27 and 28: Toby writes about… getting ready

HEARTBEAT February 2019

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