Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
Wong HY(1), Lui HL(2), Tsui ST(2), Ho NY(3)
Affiliation :
(1) Accident & Emergency Department, Yan Chai Hospital
(2) Operatiing Theatre, Yan Chai Hospital
(3) Intensive Care Unit, Yan Chai Hospital
Introduction :
Increased Critical Airway Cases, KWC ENT center in YCH, an increase chance to receive and manage critical airway cases.
Difficult intubation is an important source of stress for health care providers, too high level of stress may decrease performance.
For assisting difficult intubation, nurse supervisors and leaders must be confident and competent in managing their team during difficult intubation.
Sharing platforms for advanced airway devices are scarce and many nursing staff lack the necessary skills to manage such devices.
Survey suggest that close cooperation is needed among A&E/ICU/OT to manage difficult intubation
.
Objectives :
1.Improved communication between A&E, OT & ICU
The sharing platform allows better communication between departments to improve emergency airway management.
2.Increased confidence in nursing staff
Gain confidence in assisting and preparing for advanced airway devices
3.Improved staff competency
Staff competency will improve in managing difficult airway cases
4.Easy access to learning materials
The platform makes it easier for everyone to access materials
Methodology :
To Review A&E, ICU outreach service for airway management in YCH frm 2021 to 2023.
To conduct a pre-workshop Survey on experience with advance airway management to A&E/ OT/ ICU nurses in August 2023.
To prepare training material, powerpoint, video script
To develop sharing platform
To Conduct workshops on 14 & 21 Ootober 2023 for A&E, ICU & OT nurses by Anaes CONS YCH.
To conduct Pre-test & Post test after the workshop
To perform the evaluation questionnaires.
Result & Outcome :
Pre-workshop survey was found that 76 total replies from A&E, OT, and ICU APNs and RNs.
1. More than 70% of nurses frequently or very frequently encounter advanced airway cases
2. One third of nurses hesitate to assist physicians with advanced airway cases
3.88% of nurses with somewhat or not very confidence are willing to have more training
4. Relatively high percentage (77%) of participants reported experiencing very high, high, or moderate stress levels
5. Significant majority (96%) of participants believed that increasing knowledge can reduce stress levels
6. Majority (>81%) considered aintree was the least familiar device
7. A considerable proportion (46%) of nurses did not have any idea to get the guideline
8.Nearly all expressed interest in a sharing platform for devices in other specialties related to difficulty intubation
9.Nearly all were willing to participate in a workshop to enhance staff competency in the management of difficult airway
Comparsion of pre-test & post-test after the workshops, the knowledge & skills were significant enhanced.
Post evulation of the workshop's effectiveness was positive feedback on all of theoretical lecture, demonstration & hands-on practice.
Results & Outcomes:
1. Increased Confidence
Many nurses gained confidence in their ability to manage difficult intubation cases
2.Improved Communication
Sharing of knowledge among specialties increased, contributing to staff competency and overall professional development
3.Better Patient Outcomes
Patients benefited from better-prepared nursing staff and improved emergency airway management.
Conclusion
To establish a knowledge-sharing culture among specialties via an intranet connection.
To provide equal opportunities for staff to learn and acquire cross-departmental knowledge.
To enhance staff’s knowledge about emergency advanced airway management.
To build staff confidence and skills in handling difficult airway management.
