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  Clinical Skills Blog
Wednesday, 27th of May 2009 , 12:02:19 PM
Posted by Cherry Buckwell

The intention of this blog is to offer a forum to discuss all aspects clinical skills teaching and learning. This is a place where you can share learning resources, ideas, OSCE tips or worries and where you can comment on the skills workshops you have attended or hope to attend.

To post a comment email cherry at c.buckwell@qmul.ac.uk

May 27th  So who's Harvey?  posted by Peter Mahoney Skills Facilitator

Last Wednesday  three third year medics came to find out in the Harvey workhour.

Looking Scary? Enough to put you off your breakfast! well we did start at 8.30 am.

Students practiced listening to heart sounds whilst simultaneously  palpating the pulses. After the initial scenario, led by Peter, the students managed to successfully  diagnose various heart conditions from their clinical findings. 

All students found the session very helpful and asked for more time with our friend Harvey! More dates are advertised on the student pages.

May 13th -Late Night Learning-The human factor series- posted by Cherry

Wednesday April 21st  Late Night Learning and the Human Factor posted by Cherry

Savia, Aaron, Mirium and Suhur experience working in a multi- disciplinary team in the simulation ward. Our simulated patient was complaining of abdominal pain whilst presenting with a falling blood pressure of 85/40, a pulse rate of 120 bpm, and saturations of 88%.

Well done to the team, who between them successfully worked out the cause of Mrs Pitstops symptoms and initiated some appropriate interventions.

Recently, the Late Night Learning series has focused on the development of non-technical skills. Of course the opportunity remains to put technical skills into practice but equal attention is now given to human factors.  An example of the relevance of human factors

In 2001 during treatment for acute lymphoblastic leukaemia, Wayne Jowett was mistakenly given vincristine intrathecally instead of intravenously and subsequently died. Although failures were identified at almost every stage of care, inadequacies in non-technical skills were crucial. When vincristine was given, the junior doctor didn’t challenge the registrar’s instructions to give it intrathecally despite thinking that this was wrong (leadership skills, using authority and assertiveness). Afterwards he said, “I was a junior doctor and did what I was told to do by the registrar . . . I did not intend to challenge him.” Appropriate use of authority and assertiveness is an essential part of leadership, but it can be difficult to point out mistakes to senior colleagues. However, medical students have the potential to act as safety nets to prevent error by speaking up.
STUDENT BMJ | VOLUME 16 | DECEMBER 2008  Non-technical skills Naomi Engel.


Every year the NHS pays out about £400 million in settlement of clinical negligence claims.  It is increasingly recognised that up to as much as 70-80% of medical error could be attributed to poor non-technical skills. Those most at risk of committing errors are inexperienced practitioners. Creating simulated scenarios allows us to practice our skills and make mistakes in a safe environment.

Examples of non-technical skills include teamwork, communication and situational awareness. For more information see STUDENT BMJ | VOLUME 16 | DECEMBER 2008  Non-technical skills Naomi Engel.

The OSCE practice session on Wednesday March 25th looked specifically at Blood Pressure, CPR, handwashing and urine analysis. Over 20 first year student nurses came to practice their skills with Peter and I in preparation for the first set of formative OSCE's.

 

Remember, OSCE practice sessions are available to all students in all professions. If you have an OSCE coming up contact us at the clinical skills centre to arrange an OSCE pratice session for you and your group.  

February 18th 2009 saw a record number of students attend the clinical skills drop in. 24 in total. Most of the students attending came to practice for the medical OSCE finals which begin next month. However, this time we did see a few 3rd and 2nd year medics. Our special guest this week was Blood Transfusion nurse Emily Okunuku who helped bring us up to speed with issues around blood transfusion reactions. Doug Lothian joined us to go through Oxygen Therapy and there were opportunities to brush up on all the other skills that were requested including Suturing, NGT insertion, IV's, ABG's and blood pressure.

We don't have a picture this week but here are some comments from some of the students who attended;

'very beneficial'

'excellent session'

'this was so useful-really helpful for revision'

Remember, these sessions are open to all students from all professions, visit the student events pages to find out how to put your name on the drop in list

15th Janurary 2009 posted by Cherry

We saw over 20 students at the clinical skills session just gone. Thanks to everyone for your work, especially to Nicki Dickins and Melissa Goto the urology nurse specialists, for sharing her expertise with us.  As most of the students who attended will know, Barts and the london NHS Trust have updated their Catheterisation policy, so it's well worth getting hold of a copy. Keep an eye out on here, there may be a link to one soon!

With the help of Nicki, Melissa, Dr Mafoud and Dr Knight we managed to cover a long list of skills, including Oxygen therapy.  Short reminder - new emergency guidelines for Oxygen were published in October last year, there are a few significant changes so it's well worth reading up, the link is below in the last post.

Here are some of the comments from students who attended yesterday-

"Very good, really helpful to have specialist nurses"

"Very very useful"

"really helpful to have facilitated teaching"

The next clinical skills drop in is on the 18th February- and again we plan to have a special guest......... confirmation coming soon. Again let me know if you plan to come. c.buckwell@qmul.ac.uk

10th December 2008 15.45 pm posted by Cherry

Yesterday saw another busy clinical skills drop in. 20 students and 4 skills tutuors managed to cover a whole range of skills including, ABG's, Suturing, O2 therapy, IV's, Blood Transfusion, Injection technique and Cannulation. A big thanks to Dr Bernice Knight and Dr Max Mafoud for lending us their time and skills.

We talked about the new Oxygen guidelines published October 2008. If you would like to update heres the link www.brit-thoracic.org.uk For a quick read I would reccomend the executive summary.

For the next Drop in on Janurary 14th from 3-4.30pm, we have a  special guest tutor......

Nicki Dickins Urology Nurse Specialist will be here to teach male catheterisation

Please let me know if you intend to come.

Dr Maufoud takes Lucy, Sonia, Neha and Delna through Suturing at the clinical skills drop in (picture coming shortly)

13th November 2008.. 11.40- posted by Cherry (Lecturer Professional Skills)

Yesterday we held the first 'Clinical Skill Wednesday' drop in session at the Robin Brook Clinical Skills centre. Teaching fellow Dr Mahfoud and Fy2 doctor Dr Bernice Knight and I were on hand to help students get to grips with some core clinical skills. With the impending OSCE finals in mind several 5th year medics attended and in an hour and a half we managed to cover an impressive array of skills.   Catheterisation, ABG's, NG tubes, PR exam, Suturing, BP's, cannulation and phlebotomy. Not bad eh!

Here are a couple of comments from students who attended

'Excellent learning opportunities for students to improve clinical skills'

'the session was a big confidence booster'

Next month we can cover more of the same or different skills depending on what you need to cover. If you are planning on coming let me know what you want to focus on and I will try and get it covered. And by the way, this drop in is open to everybody, so all professions welcome.

 

 

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