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The PSP - a new role

The PSP - a new role. The PSP - a new role. the new role. background. EWTD crisis PSP manage the patient's journey professional background. EWTD crisis. junior doctors' hours cut Working Time Directive August 2004 crisis for hospital cover Department of Health

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The PSP - a new role

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  1. The PSP - a new role

  2. The PSP - a new role

  3. the new role

  4. background • EWTD crisis • PSP • manage the patient's journey • professional background

  5. EWTD crisis • junior doctors' hours cut • Working Time Directive • August 2004 • crisis for hospital cover • Department of Health • pilots for alternative solutions

  6. PSP • Perioperative Specialist Practitioner • new professional role • permanent member of the team • develop from the ground up • NOT extension of existing post

  7. manage the patient's journey • from admission • to discharge • excluding the operation

  8. professional background • ? • nursing • Allied Health Professions • pharmacy • medical science

  9. holistic role • patient-centred care • co-ordination of care • components • understanding of the clinical process • clincal knowledge • technical skills • communication skills • patients • team members • teach others • medical • nursing • future PSPs

  10. phased design • preparation • defining the role • designing the training • modular training • training centre • Imperial • clinical practice • own NHS Trust • evaluation • PSP role • training programme

  11. PSPs • started April 2003 • 12 participants • 9 nurses • 2 ODPs • 1 physio • 5 NHS Trusts

  12. modular training

  13. the programme • learner-centred • supportive • flexible • safe space for learning • iterative • to and fro • modules at Imperial College London • clinical practice • integrate simulation with clinical practice • video clips

  14. each module • Day 1 • review of previous topic • meeting learning needs • Days 2-4 • new material • lectures • simulations • scenarios • Day 5 • assessment • plan for clinical attachment

  15. clinical practice • within surgical unit • team member • team relationships • work alongside SHO • mentor • observing • supervised practice • relating theory to practice

  16. the learning portfolio • record of activity • written reflection • identification • monitoring

  17. record of activity • procedures observed • procedures performed • outcomes • complications • issues

  18. written reflection • learner • team members • sharing?

  19. learner • learning objectives • role-related issues

  20. team members • surgeon mentor • nurses • other colleagues

  21. sharing? • public reflections • private reflections

  22. identification • learning needs • learning outcomes

  23. monitoring • levels of activity • identify problems

  24. using PDAs

  25. desiderata • independent computer access • integration of PDAs • professional role • learning framework • electronic learning portfolio • logging activity • on the ward • at the time • on the spot • read only • written reflections • public • private • link with Imperial-based VLE • share information • course organisers • other participants • WebCT

  26. hardware • Compaq iPAQ • folding keyboard • support from LSE

  27. software development • London School of Economics • paper-based • PocketSOFT • abcDB • PDA • sync -> email

  28. evaluation • observation • independent interviews • LSE • course evaluator

  29. state of play • started Spring 03 • Module 3 this week • lessons so far

  30. started Spring 03 • issued PDAs • acclimatisation • complete novices • basic PDA training • activity logging • on paper • written reflections • paper • PDA - pocket Word

  31. Module 3 this week • load database • training how to use • current version

  32. lessons so far • start with basics • how to use a PDA • make no assumptions • repeated support • design on paper first • keep it simple • develop personal relationship

  33. evaluation

  34. map the PSP role • activity • outcome measures

  35. map the process • developing a new role • establishing a training template

  36. perspectives • key players • PSPs • surgeons • PRHOs • SpRs • SHOs • nurses • patients • evolving process

  37. share our findings • during • within this group • regular meetings • after • beyond this group • available within NHS

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