Proposed Topic (Most preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Proposed Topic (Second preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Lee KF(1), Mok YT(1), O HH(1), Leung YYC(1)
Affiliation :
(1)Physiotherapy Department, Princess Margaret Hospital
Introduction :
Chest physiotherapy (CPT) is one of our major service provisions at LKB of PMH. Simulation training is organized to facilitate our junior Resident Physiotherapists (RPTs) translating chest interventions skills from theory to clinical practice. The first trial run of CPT simulation training (Phase 1) was implemented in November 2023. Training content included 1. Proper infection control preparation for CPT, 2. Proper open and closed suctioning procedure, 3. Management of change of patient’s condition during CPT, 4. Application of manual chest maneuver, and 5. Proper postural drainage procedure.
Objectives :
To audit the CPT skills learnt and practiced in training practicum and conducted correctly, safely and effectively to patients who have cardiopulmonary problems.
Methodology :
Introductory session, pre-training materials included power points from local hospitals, HA guidelines, e-learning courses from HA and Clinical Skills Development Services of Australia were required to complete before practicum. Practicum included mannequin based simulation and debriefing sessions. RPTs were required to ‘Pass’ the assessment of defined competency requirement during practicum and practiced on real patient under their supervisors’ supervision in post practicum. ‘Pre’ & ‘Post’- training self-competency questionnaire, ‘Self-rated program evaluation form’ from RPTs were reviewed.
Result & Outcome :
Total 3 RPTs (average 1.3 year working experience in 1 year acute / extended care ward experience) nominated and passed the training. In 'Pre-training self-competency questionnaire', all RPTs selected ‘uncertain’ in 1. ‘Modify positioning and breathing control for breathlessness according to patient’s needs/response’ & 2. ‘Explain how to progress treatment’. 2 out of 3 RPTs selected ‘certain’ to above matrix in 'Post-training self-competency questionnaire'. In 'Self-rated program evaluation form', all RPTs satisfied and agreed the training, 1. Meet learning objectives, 2. Meet RPTs’ training needs, 3. Content was useful, 4. Effective in enhancing their confidence in treating cardiopulmonary cases, 5. Able to apply theory into practice, and 6. Effective in self-reflection and learning from mistakes in a safe environment. Individual comment included preference of, 1. Distributing competency questionnaire before pre-reading materials, 2. Pre-reading power points in "Group class" than "Individual" for better training engagement. Simulation training further enhanced quality and safety of our CPT services. This trial run reviewed and offered recommendation to future simulation training to be organized at PMH.
