Emergency paediatric bronchoscopy: A freely available, durable,
effective training resource.
- Eric Farrell,
- Liam Skinner
Abstract
Objectives 1) To assess the theatre team’s performance through invited
participation in an audit cycle. 2) To develop a resource that would
outlast the audit and be applied universally to multiple departments. 3)
To evaluate the novel resource and audit cycle. Design A closed audit
cycle involving the ENT theatre team at a University teaching hospital
were invited to take part in assessment tasks involving the paediatric
bronchoscope. A 2 minute instructional video was developed.. Cycle 2
repeated naming, function and assembly tasks and scores were recorded
and compared to cycle 1 for improvement. Setting Operating theatre of a
combined adult and paediatric ENT service in a University teaching
hospital. Participants Medical and nursing staff who formed part of the
ENT theatre team in a University teaching hospital. Main Outcome
Measures Naming and function scores of the paediatric bronchoscope as
well as time to accurate assembly. Participant satisfaction and feedback
on the process was used to evaluate the resource. Results There were 15
participants. Average experience was 10.4 years. Average improvements in
naming and function scores were 29% and 15% respectively. The average
improvement in assembly time was 49 seconds. Participants rated the
resource highly, learned new skills and increased confidence. Conclusion
This paper presents a novel resource for maintaining theatre team’s
state of readiness for emergency paediatric bronchoscopy. Through
application of techniques from educational psychology the theatre team
maintained improvements following the exercise. This resource is freely
available and can be used by theatre teams to assess and maintain
important skills.