dr helen fardy lead clinician paediatric intensive care unit university hospital of wales, cardiff
TRANSCRIPT
Dr Helen FARDY
Lead ClinicianPaediatric Intensive Care UnitUniversity Hospital of Wales,
Cardiff
Regional PICU response
In preparing for a flu pandemic
Background
• Service established in 99/00• Service Configuration• The NHS in Wales
Perseverance and
determination
Unit response
• Increase capacity from 7 to 15 beds
• Beds• Equipment• Staff
“In house” challenges
• Personal protective equipment• Corporate direction and
ownership• Delayed and late authorization
Communication problems
The Network
Regional Education and Training
• Regional education and development nurse
• Paediatric life support “roadshow”• Stabilisation study days• Ad hoc sessions • Medical and nursing secondments• WEBSITE www.cardiffpicu.com
Current Situation
• DGH teams manage children well prior to retrieval
• Can be personnel dependant• Uptake of training patchy• Challenge of vast and rapidly
changing workforce
Preparing the Region
• Enhance document DOH 2006• WAG flu committee early 2007• No action• Winter 2008-raised at informal
network• Link into SEWCCN (adult
early2009)
Preparing the Region
• Information directly to DGH link consultants and nursing staff, May 2009
•“Surge”•Enhance•Regional plan•Action Points
Response
Silence!
3 month delay in asking for training sessions and
secondments
Challenges
• Lack of Managed Clinical Network• Staff being released for training• Limited personnel at lead centre to
provide training• NMC guidance• Clarity on legal issues
Extremely time consuming
ARE WE PREPARED?