PG71 Using simulation-based learning within emergency training for redeployed nurses in response to the Covid-19 pandemic

Abstract

Background Throughout March this year, UK Government announced numerous initiatives to protect the NHS, ensure its ability to cope with demands of the pandemic, ultimately saving lives.1 Redeployment of staff and the training needed to maintain quality and safety, was an acknowledged essential step in the management of COVID-19.2 Locally to stabilise unpredictable ward staffing levels, nurses working in a non-ward based role were required to be redeployed to meet service needs. They were required to support an established ward in delivering more complex elements of care to an increased number of patients whilst maintaining a high-standard approach to patient safety. As a departure from the standard staffing model, it was identified that additional training was required. The Clinical Education Team were asked to develop and implement this. Summary of Work Ward Surge Nurse Training was developed and commenced on 26th March 2020, running Tuesday to Friday for the following four weeks. The session was four hours in length, with capacity restricted to 16 to maintain participant safety by social distancing. Training comprised of a PowerPoint presentation, interactive clinical skill workshop stations and simulated clinical environments with content based on current evidence-based practice along with GSTFT clinical guidance, policies, and training. A scope of practice and e-learning were sent out to participants prior to attendance. As of 7th May 2020, 124 adult nurses, 20 paediatric nurses, two midwives and three school nurses/health visitors and five undisclosed practitioners have attended this training. Summary of Results An evaluation form was sent to participants’ to evaluate levels of confidence following their training, assess if content was suitable to their needs and whether the training achieved the learning outcomes. Synopsis of key findings: delivered learning objectives, training delivered well, relevant clinical skills, simulated set up interactive and provided opportunity to practice, participants felt prepared and reassured. However additional skill gaps were identified and varying experience of participants within a group discouraged confidence in some. Discussion and Conclusion Despite the restricted time-frame and the urgency of implementation, the training developed prepared surge nurses for their role in the ward area during the pandemic. The simulated environment facilitated the opportunity to practice skills, interact with skilled clinicians thus preparing and reassuring participants. Recommendation Having successfully implemented this training, particularly the benefit of clinical simulation, it would be suggested that this training should continue to be used during this pandemic and any future emergencies. Reference PM address to the nation on coronavirus - 23 March 2020. Available at: https://www.gov.uk/government/speeches/pm-address-to-the-nation-on-coronavirus-23-march-2020 Redeploying your secondary care medical workforce safely – 26 March 2020. Available at: https://www.england.nhs.uk/coronavirus/publication/redeploying-your-secondary-care-medical-workforce-safely/