Pathway 1a is for administrative and Clinical Support Staff Objectives:
- How to call for help when faced with patient concern
Pathway 1b is for Clinical Support Staff who need basic life support skills
Objectives:
- How to call for help when paced with patient concern
- Recognise clinical deterioration
- Escalate in response to deterioration
- Commence basic life support
Pathway 2A is for PEWS ward nurses
Objectives:
- to measure vital signs
- recognise clinical deterioration
- monitor trends in patient condition using the Paediatric Vital Signs Chart
- escalate in response to deterioration
- and implement basic initial treatments as indicated
- Editing Trainer: Michael Gillham
- Editing Trainer: Natalie Rees
Pathway 2B is for nurses who work in Non PEWS clinical areas such as community and outpatient clinics.
Objectives:
- to know which vital signs to measure
- recognise clinical deterioration
- monitor trends in patient condition
- escalate in response to deterioration
- implement basic initial treatments as indicated
Pathway 2C is for PICU, NICU & CED nurses, and nurses asked to complete this pathway by their nursing lead.
Objectives:
- understand which vital signs should be measured
- how to use Paediatric National Vital Signs chart
- how to recognise, assess and escalate in response to deterioration
- understand which basic initial treatment should be used
- be competent to assist with advanced life support management including cardiopulmonary resuscitation
Pathway 3 is for House officers, senior nurses & nurses working in clinical leadership roles.
Objectives:
- to recognise, assess and escalate in response to deterioration
- implement basic initial treatments
- assist with advanced resuscitation management
Pathway 4 is for Registrars, Fellows, MOSS and SMOs.
Objectives:
- to understand how the PEWS system works and what the impact of making modifications to an individual patient's score will be
- understand how shared goals of care conversations should be used and conducted
- be able to begin life support until more help arrives
Pathway 5 is for PaR nurses, CNMs, PICU, NICU, CED, Anaesthesia SMOs or Registrars, and Registrars that carry a MET locator
Objectives:
- to understand how the PEWS system works and what the impact of making modifications to an individual patient's score will be
- be able to lead advanced resuscitation events using knowledge of current advanced life support algorithms