Authors: (including presenting author): :
Yu SYJ (1) (2), Wong KK (1)(3), Chuk MN (1)(3), Chan KHA (1), Chan CS (1), Leung WK (1), Ho HS (1)(4), Wong D (1)(5)
Affiliation: :
(1) Nethersole Clinical Simulation Training Centre, Hong Kong SAR (2) Department of Medicine and Geriatrics, Ruttonjee and Tang Shiu Kin Hospital, Hong Kong SAR (3) Nursing Services Division, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR (4) Department of Medicine, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR (5) Department of Obstetrics and Gynaecology, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR
Keyword 3: :
Critically ill
Keyword 4: :
Quality and Safety
Keyword 5: :
Oxygen safety
Keyword 6: :
Staff training
Introduction: :
Safe transport of critically ill adult patients is of paramount importance. Incidents during transport drew attention to growing training needs. In 2024, Hospital Authority Head Office Guidelines on Transport of Critically Ill Adult Patients was published. A new simulation program was created to train doctors and nurses since 2024.
Objectives: :
This program inclusive of a lecture, scenario-based simulation, and hands-on activities takes place at the Nethersole Clinical Simulation Training Centre. It aims at raising staff awareness of transport of the critically ill, improving checklist use and oxygen device safety.
Methodology: :
1) A lecture highlights the 2024 Hospital Authority Head Office Guidelines on Transport of Critically Ill Adult Patients. Transport Categories and Checklist use are introduced. Participants then take part in two simulation scenarios involving intra- and inter-hospital transport. Checklist use is assessed after each scenario, followed by instructor-led debriefing. Checklist completion rate after the first and second scenarios is compared. 2) Oxygen cylinder use assessment- Return demonstration of proper oxygen cylinder use is observed individually. 3) Group based activity- Eye-tracking device can track one’s gaze and display user’s ‘point of gaze’ onto a screen. Team leaders wearing the device are evaluated on how they keep watch on vital signs and equipment during bed transfer. End-tidal carbon dioxide monitoring is introduced, with real-life demonstration of nasal end-tidal capnography. Groups are given an interactive quiz on recognition of key capnography waveforms. 4) Post-course questionnaires assess participants’ response with scores and comments.
Result & Outcome: :
Since 2024, 6 workshops were attended by a total of 65 doctors and nurses from various specialties (Medicine and Geriatrics, Medicine and Rehabilitation, Surgery, Orthopaedics, Ophthalmology, Oncology, Hyperbaric Oxygen Therapy, Specialist Outpatient Department, Accident and Emergency) in PYNEH, RTSKH, TWEH and CCH. Checklist completion rate improved from 52% to 85% by the end of the workshop. 90.3% of participants had proper handling of oxygen cylinders through return demonstration. Groups showed improved attention focus during bed transfer, and correctly recognized key capnography waveforms. Post-course questionnaires revealed that the program raised awareness in transport of critically ill patients, with a mean rating of 5.0 out of 6. The overall course mean rating was 5.3 out of 6. This new simulation program positively impacted staff on transport of critically ill adult patients. Future in-situ programs in convalescent hospitals and remote venues may be explored.
