Authors (including presenting author) :
Leung TTJ(1), Lo WPJ(1), Kwan YF(1), Lee CH(1), Shum HP(1)
Affiliation :
(1)Department of Intensive Care, Pamela Youde Nethersole Eastern Hospital
Introduction :
Introduction:
Continuous Renal Replacement Therapy (CRRT) and various blood purification techniques in critical care settings have undergone significant advancement in recent years. However, inadequate training for healthcare professionals, particularly critical care nurses, pose challenges to utilize these advancement. Limited opportunity for specialized training leads to inconsistent practice as a result of reliance on senior staff instruction in managing complex therapies. Incorporating evidence-based practice into the training programme ensures healthcare professionals are equipped with the most current and effective techniques, hence, enhances patient safety and treatment outcomes.
Objectives :
Objective:
To provide update knowledge on critical care nephrology and enhance the skills of healthcare professionals in managing CRRT for critically ill patients through hands-on simulation training.
Methodology :
Methodology:
Simulation training on CRRT has been incorporated into a critical care nephrology course since 2019 and healthcare professionals from local hospitals has attended the course actively. It covered non-dialytic strategies or bundles of acute kidney injury, for example, timing of CRRT initiation, duration and choice of RRT modalities. Besides, participants were involved in scenario-based workshops, which required monitoring and troubleshooting multiple complications for complex cases simultaneously. These scenarios also addressed multiple common intradialytic life-threatening conditions such as arrhythmia, arterial punctures, filter clotting, citrate toxicity and circuit alarms. Real-life case scenarios were reviewed and individual site culture was respected. Debriefing sessions emphasized on the best practices, reasoning challenges, solutions and supplemented with areas for improvement.
Result & Outcome :
Results:
The interactive and comprehensive training significantly improved nurses’ proficiency in managing CRRT for critically ill patient by addressing nephrological pathologies and other critical conditions, thereby improving patients’ outcomes effectively. The post-training evaluation revealed that the programme objectives were met, with a satisfactory score of 4.7 out of 5. Participants also found the workshops were useful and applicable to their work, with an average score of 4.5 out of 5. Additionally, 100% of the participants stated that they would recommend the course to friends and colleagues.
Conclusion:
The enhancement programme has been conducted for more than 20 sessions while content review and updates has never been stopped. In future iterations, additional physicians from various intensive care units will be invited to share their expertise, facilitating broader knowledge exchange among trainers and trainees.
