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P3 Emergency algorithm project

During Learning from Error (LFE) training in the Simulation Suite it became apparent that many staff were not aware of the crucial steps in how to manage patients whilst waiting for the emergency teams to arrive. Adapting the emergency folder idea currently in use in theatres would be one way of enabling rapid access to management algorithms/protocols and at the same time facilitating effective communication, decision making, team work, team leadership and situational awareness Therefore the aim of this project was to provide staff with speedy access to an emergency algorithms to support clinical management during emergency situations. A pack of the most common emergency algorithms/protocols was piloted within the simulation suite and 5 adult wards to assess if ward staff thought this was a helpful tool. Baseline data was sourced by the simulation technician visiting wards and asking staff to access two typical emergency algorithms – only available on the trust intranet site – Anaphylaxis treatment and post falls protocol. The time taken for staff to do this was recorded. Packs of emergency algorithms were then supplied to the wards and the simulation technician then revisited each ward and asked staff to access the algorithms again. The time taken to locate the algorithm reduced markedly in all areas and with both algorithms thus – Anaphylaxis algorithm pre implementation –>7.5  min, post implementation <1.7  min Post falls protocol pre implementation –>4.9  min, post implementation <0.5  min This intervention was then presented to the senior nursing team and Director of Nursing with full approval and support to roll out. The simulation technician designed and implemented all emergency packs onto wards resus trolleys, a simulation champion was agreed for each area to disseminate information to staff and keep emergency packs up to date annually. All emergency packs were placed on wards and departments within 2 weeks of the pilot. Screen savers were displayed to inform all staff emergency folders were now in use. The simulation manager informed all medical staff on induction. Simulation and Resuscitation teams inform all staff during teaching sessions.