1557 Implementation of a Procedural Sedation Programme in a Tertiary Paediatric Emergency Department. (October 2012)

• Record Type: Journal Article
• Authors: McCoy, SC; Barrett, D; Walsh, S; O'sullivan, R
• Is Part Of: Archives of disease in childhood. Volume 97(2012)Supplement 2
• Page Start: A440
• Page End: A441
• Publication Date: 2012-10
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2012-302724.1557
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Background and Aims: In the conduct of Paediatric Procedural Sedation (PPS) within the Emergency Department (ED) the combination of powerful drugs, variable competency levels and high staff turnover carry the potential for sedation-associated adverse events. Yet, currently, there is no set programme for education and accreditation of Irish ED staff in PPS. We describe the introduction of a structured educational programme for PPS within the ED for all ED clinical staff. Methods: Prior to the introduction of the PPS programme in July 2011 a Sedation Committee was established comprising a core group of senior nurses and a Consultant in Emergency Medicine. The committee developed the PPS programme including key educational elements (Sedation Manual; Lecture; treatment order form and checklist; Parent Information Leaflet) and credentialing through multiple-choice questions (online and open-book), bedside teaching (2 scheduled practice sessions) and 2 competency assessments (final clinical/moulage). Results: Since its inception (July 2011) a total of 48 ED staff members have started the PPS programme: 17 doctors (9 Registrars and 8 Senior House Officers) with 7 fully credentialled; 26 nursing staff (1 Clinical Nurse Manager (CNM) 3, 5 CNM2, 1 Advanced Nurse Practitioner (ANP) and 19 staff nurses) with 12 fully credentialled. Conclusions: The introduction phase of our ED PPS, the first of its kind in Ireland, has been successful. As a result of the multidisciplinary development process, the programme will likely have broad applicability in different types of ED, and potentially other clinical areas, caring for children.