O5 Developing a multi-professional faculty to deliver novel tracheostomy crisis team simulation training

Fiona Stanley Hospital is a new tertiary hospital in Western Australia. Patients with tracheostomies are managed on all wards, requiring a hospital-wide workforce knowledgeable and skilled in tracheostomy management. Staff confronted with such crises find themselves in unfamiliar territory and successful resuscitation requires immediate high quality multi-professional teamwork. The FSH Tracheostomy Safety Simulation Course has been developed by a group of expert clinicians from Anaesthesia, Speech Pathology, Nursing, Physiotherapy and Ear Nose and Throat Surgery – the key individuals in tracheostomy crises. However, the faculty drawn from a variety of locations were strangers to each other with differing views on and approaches to training, simulation, debriefing styles and appetite for passing judgement. Our faculty has a flat hierarchy with respect for the experience and skills contributed by individual members. We embraced our differences, combining our individual professional skills to create a unified strategy safely applicable to both faculty and candidates alike. The faculty devised a course comprising interactive talks, workshops, and high-fidelity simulation training based on international guidance,1 followed by structured debriefing. During simulations, we identified factors adversely impacting team performance and challenged them by actively confronting the observed behaviours. Simulation fellows were embedded at development to lead the debriefs utilising ‘Advocacy Inquiry with Good Judgement’ which allows actions to be challenged safely through genuine curiosity.2 Within 6 months we implemented an innovative, high quality, standalone, training course, which has to date trained over 200 allied health, medical and nursing staff working across acute, rehabilitation and outpatient settings. We developed an enthusiastic, expert faculty and concentrated on developing clinical, teaching, simulation and debriefing skills; cemented with frequent team meetings and social events. All faculty members have now been formally trained in simulation and debriefing using ‘Advocacy Inquiry with Good Judgement’. This course, the first of its kind in Australia, aims to improve patient safety, with truly multi-professional training, using standardised emergency management algorithms1 by optimising teamwork and communication. We challenge engrained medical hierarchies to encourage clinicians to step outside of their traditional scopes of practice. Safely confronting