PP26 Simulation of endoscopic emergencies

BackgroundTraining needs were identified at a University Hospital for staff training in endoscopic emergencies. The JAG (Joint Advisory Group for Endoscopy) safety initiative in 20191 called for an improvement and awareness in safety in endoscopy, with one of the recommendations being more training for staff and a suggestion of simulation training. In response to the training need a simulation day was created with the local simulation centre.Summary of WorkStaff attended from three different units to improve team working and communication in emergency situations. Simulations were delivered using a combination of clinical mannequins and simulated patients to ensure a high fidelity experience. Simulations consisted of: vasovagal, respiratory arrest, variceal bleed leading to cardiac arrest. Staff confidence and knowledge managing emergencies was assessed before and after the training using a 1–5 Likert scale for the following questions:How confident do you feel……that your clinical knowledge is appropriate to your level?…to practice within the limitations of your level?…that you possess sufficient strategies to raise concerns when necessary…that you are receptive to feedback from others?…that the course can teach you something new?…that you possess the skills and knowledge to assess and treat acutely unwell patients?…that you possess the skills required to communicate information to the MDT?Responses were divided into registered and unregistered.Summary of Results19 RNs, 2 ODPs, 2 Nurse Endoscopists, 1 Trainee Nursing Associate, and 11 HCAs. 100% of registered staff and 91% of unregistered staff said they would recommend the course to a colleague. All registered staff showed an improvement in confidence after the course, with the most improvement being relating to communication during emergencies (Q3 +0.37) and clinical knowledge (Q1 +0.65). See figure 1 for the change in before and after responses from staff.DiscussionOn question 6, relating to treating the acutely unwell patient, unregistered staff had a drop in scores of -0.37. Conversations in the debriefs indicated that most were not aware of potential emergencies. It could be concluded that, along with their positive free text answers, this decrease was due to recognition of their need for further training.Abstract PP26 Figure 1Endoscopy simulationConclusionSimulation training was well received by staff and improved knowledge of emergency protocols and confidence in dealing with emergencies.ReferenceJoi