Hey everyone two podcasts in a week- as you can see we are a regular as ever! This one we have been promising you for ages and it goes very nicely with Petes Blog which you can find here. The landscape of ED's have changed so much on the last 5-10 years and this development of early senior clinical decision making as close to the front door as possible is still under review. Have we overtaken the role of triage nurses and amalgamated into one? Have we changed the jobs of ED clinicians? Join Pete and I to chat about this. Pete mentions about the ECHO study and here is the link Here are some other options for reading around RAT but as we said there isn't actually much out there... https://emj.bmj.com/content/30/10/873.2 https://emj.bmj.com/content/32/2/112 https://journals.sagepub.com/doi/10.1177/1355819614560449 https://www.researchgate.net/profile/Mark_Sujan/publication/274313481_Translating_tensions_into_safe_practices_through_dynamic_trade-offs_the_secret_second_handover/links/551b17450cf251c35b5062ba/Translating-tensions-into-safe-practices-through-dynamic-trade-offs-the-secret-second-handover.pdf Hope you enjoy and any comments get in touch, also if anyone has great experience of RAT or wants to get some research out there... Pete is your man!    Thanks all   Ash

EDeducatePodcasts

Rapid assessment in the ED- with Pete Chessum

Hi All,   Liz and I just felt it was vital that we had a quick chat about what we have been up since the whole world changed earlier this year. Both of us have had huge changes, I stepped across from ACP to become the interim ED matron in my department and Liz dropped her hours in ED to take up a uni lecturer job. We chat about how this year has been.   There are a couple of areas where the sound isn't great as we were trying a new style so bear with us, its only minor.  Hope you are all surviving and doing amazing things and giving amazing patient care in ED. 

Career Crossroads in Emergency nursing

Hi Guys, A cheeky catch up with Liz and I about the upcoming content we will be working on and also a bit about what's been going on in our respective departments. We would love to hear from you about what has been happening in your departments too.  We hope you are all staying safe and being supported by your #TeamED family. As promised in this episode we have linked the Faculty of Emergency Nursing (FEN) webpage here  Keep doing great things and delivering amazing patient care. 

#7- Catch up and what's next

Hey #TeamED legends here it is episode 6 of our podcast and in response to your twitter votes we have chosen the assessment of the acutely unwell adult in ED and a look at ABCDE and NEWS 2 and Front door investigations. As usual we had a brief chat about the current challenges and a small debate about the front door investigations that we should or should not be doing for our patients. We signposted a few links in the podcast and here they are; Nigel from Strata5- the website genius that is https://www.strata5.co.uk We are now being sponsored by Adprac- A new take on the traditional agency https://www.adprac.com We talked a lot of about end of the bed-O-grams and liz mentioned this blog and I hadn't read it until now but I can see why she mentioned it- its awesome thanks St Emlyns great read- http://www.stemlynsblog.org/when-is-a-door-not-a-door/ Royal College of Physicians NEWS 2- https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2 The resus council ABCDE approach principles- https://www.resus.org.uk/resuscitation-guidelines/abcde-approach/ The British Thoracic Society guidelines for emergency oxygen https://www.brit-thoracic.org.uk/quality-improvement/guidelines And as promised some hints of where to go for the rest of this section; Check out COPD management here https://www.rcemlearning.co.uk/references/community-acquired-pneumonia/ And once you have done this go find out some stuff on type 1 and type 2 respiratory failure and diagnosis of PE. This should give you enough work for an evening of study!! And remember carry on being #TeamED legends 

EDeducate #6- Assessing the Acutely Unwell Adult in ED

Hi guys, This is episode 5- thank you for bearing with us and we are sorry we have been so quiet, it has been a challenging year academically for Liz and I. This is a summary podcast of whats happened in 2018 both for us and the wider education/FOAMED community and what we hope for 2019.  The last 9 months have been crazy since we started this thing... we are well aware that we are not fully 'there' yet, wherever there is. We know our website and podcast sound quality needs more professional support and we are working on that. We want to make the most of next year in adding content and streamlining it more so that you can easily find what you are looking for.  That said this year has been great and we genuinely feel like the ED world and the nursing world is starting to join the conga line and realise that we need to act now from an education point of view if we are to preserve the ED nursing workforce.  SO we have pulled 10 things which have happened which are all good things associated with improving ED nurse education.  As promised some links...   The RCN- Investing in a Safe and Effective Workforce- CPD for nurses https://www.rcn.org.uk/professional-development/publications/pdf-007028   The NTACC course- https://www.ataccgroup.com/product-category/ntacc/ Cool people to follow on Twitter- @davehartin @carrings @Hols_cat    Have a great Festive Period and if you have questions, comments, ideas then please get in touch!  Bye for now.   

EDeducate #5

This is slightly different to our previous podcasts- Liz (@SisterScrappy) and I (@ashleighlowther) having a chat about how we got into being an ED Nurse and what the current situation is. This was sparked by a conversation I had with an amazing ED nurse talking about leaving the job and I found myself trying to convince her but with a struggle, as everything she said was completely legitimate.  Anyway in the podcast we make reference to Liz's blog so here is the link to that.  We also chatted about the absolutely fabulous presentation by @LizCrowe2 available here https://vimeo.com/188765724 We hope you enjoy and as always are very open to suggestions for future blogs or chats.  Coming soon, Liz and I + Harmony are going to chat about becoming an ACP- the future is bright!    Much love  

EDeducate #4 - Emergency Nursing... maybe the best job in the world

Hi lovely people, Welcome to our 3rd podcast and we actually forgot to say on the podcast that we have a new jingle!! Thanks to Nigel (@Nrtaylor101) from the @RCEMLearning team for his help with that. Ok so we are pretty chuffed with the support you guys have given us so far and we want to keep improving, this podcast does have a couple of blips- bear with me as I am still trying to get good at editing the content.  This episode is all about Pain in the ED and centered around the CCT2 part of the framework, we talk about each part although we never did quite get to what the 3 parts of pain management were so if you can help get in touch.  We also talked about Fascia Iliaca Blocks (FIB) at the end which is becoming a very common technique for the management of pain associated with fractures to the Neck of Femur (NOF). Check out this fantastic blog by the guys at St Emlyns which explains it all here We talked about the RCEM safety alert for FIB and this can be found here Finally we wanted to link you to the framework again but specifically what each page says about the level of competency and how you get to each level so those images are below.  The more you use the framework the more it'll become second nature to pick a subject do some self directed learning around it then return to the competency to link it.  Take home points- Assess pain using a tool (i.e. 1 to 10) Give appropriate analgesia  Please reassess pain after analgesia is given    Keep doing amazing thing in ED!!   

EDeducate #3 - Pain assessment and management in the ED

Hi everyone,  This is our second podcast and today we are discussing the cross cutting theme on patient assessment in the ED and looking at the knowledge and skills elements of that section.  We have mentioned a few documents in the podcast so they are linked below for your viewing pleasure.  We are still trying to get the audio right so please keep listening and we hope it will improve each time- thank you for supporting this and don't hesitate to get in touch!  Education is power!    RCEM Assessment standard- https://www.rcem.ac.uk/docs/SDDC%20Intial%20Assessment%20(Feb%202017).pdf Liz's SBAR blog-https://www.ededucate.co.uk/blog/raising-the-s-bar-on-handovers... The Manchester Triage System- https://www.triagenet.net/classroom/  

EDeducate #2- Assessment & Triage

This is our first podcast and is really an outline of what we are all about and what we want to do.  Its mostly Liz and I chatting which may feature again in future podcasts.  Enjoy!    Link to out self development blog and access to RCN competencies  https://www.ededucate.co.uk/blog/self-development-is-the-way-to-go   Link to Kirsty's blog on diagnostic bias   https://www.ededucate.co.uk/blog/casey-and-the-case-of-the-missed-diagnosis    

EDeducate #1- The Beginning

We are a group of passionate Emergency Department (ED) educators all working in some form in emergency medicine. We will expand as quickly as the demand does to include a range of nurses, ODP's, advanced practitioners and doctors all contributing to sharing knowledge about how we should manage patients in the Emergency Department. ​ ​ As an ED nurse today there is ALOT to learn and its not an easy job, never fear there are plenty of resources here to make your job easier. If you haven't already seen it- the RCN Emergency Care Association (ECA) have produced a framework of skills and career progression for the ED nurse. Our resources will hopefully follow this and enable you to link your learning. Check out the blog explaining self development below- https://www.ededucate.co.uk/blog ​ These Podcasts are out way of getting some of the learning into a chat between us as we know everyone learns in different ways. We hope you enjoy and do please get in touch.

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EDeducatePodcasts

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