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