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2nd Edition Programme Launch 2014
Susan Garland PGdip, BA (Hons), RNT,RN, RM, FHEA
Debbi Atkinson MA, BSc (Hons), RGN, RN (Child), DipHE, PGCE
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• Bedside
• Emergency
• Assessment
• Course for
• Healthcare staff
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What is BEACHTM ?
IntroductionIntroduction
Both AWARETM and BEACHTM
are aimed at:
improving recognition and management of
the deteriorating patient and developing
underpinning knowledge and skills.
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How is BEACHTM different to AWARETM?
Uses an extended ABCD (ef) GH framework focusing on:
•Look , Listen, Feel
•Linked to “ABC” patient scenarios and handover
• Focuses on the overall role of the HCA integrating basic skills using the ABC framework.
•Links to specific practice based competencies and scenarios.
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Learning Aims: Learning Aims:
•To support the development of underpinning knowledge and skills to ensure safe management of deteriorating patients
•Provide tools and frameworks to support effective performance when observing and monitoring patients
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Learning Objectives: Learning Objectives:
•Understand the importance of using a ‘look, listen, feel’ approach in relation to patient assessment
•Understand the A.B.C.D.defG.H. approach to managing a deteriorating patient
•Apply a track and trigger system to specific case studies
•Demonstrate the importance of effective communication in relation to deteriorating patients
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What has Changed?
• New style manual• Expanded target
audience• Changes in some of the
language used.• Cartoons removed• Different anatomical
illustrations• Clear tables and
diagrams
• Clearer headings and sign posting
• Track and Trigger system• Early Warning Scoring • Choking algorthym• Communication Tools –
SBAR and RSVP• Updated presentation
slides
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What else has Changed?
• Updated case studies• Case studies are less
ethnocentric• Relevance of glucose is
included• Pain has been included• Basic neurological
assessment added
• Top tips are emphasised • Notes pages added• Improved slides• Updated references • Updated BEACHTM
evaluation tool
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Do you need to call for help now?
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Disability
• What is your patient’s level of consciousness?
• What are your patient’s pupils doing?
• Is your patient in pain?
How can be implemented
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Portsmouth Hospitals bespoke programme
Time Topic09.00 Intro, housekeeping,
evaluation forms
09.05 – 09.45 Recapping on recording vital signs
09.45 – 10.45 Medical equipment competencies –use of the Greenlight manual sphygmomanometer and the portable suction unit
10.45 – 11.00 Coffee11.00- 11.30 Airways and alertness
11.00-12.00 Breathing
12.00 – 12.30 Circulation and chest pain including the Abbey Pain Score
12.30- 13.15 Lunch13.15-14.15 Handover/ RSVP/ record keeping including ‘The
trouble with handovers’ DVD
14.15-14.45 Case study (prioritisation exercise)
14.45 – 15.30 Hoverjack and mat (Manual handling equipment)
15.30-16.00 Evaluation quiz / game. Please hand in your evaluation form.
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Learners’ feedback
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Book produced for BEACH Course very useful, really good idea
Gives me more confidence in what we are doing
Very interesting , informative and eye opening information, well presented.
I can take all the information back to my ward and be more aware if a patient seems unwell
I’m aware that if the smallest piece of information is missed it can result in patient
experience being compromised
Impact in Clinical Practice
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As the acuity of patients within the ward environment increases, it is important that the whole team can focus on recognition and escalation of the deteriorating patient, the BEACH course supports that awareness (Matron, Medicine)I love the BEACH course! It’s really important that HCSWs can spot the early changes as theyare there one to one with patients (Senior Sister, Cardiology)
I have noticed that our HCSWs have become more aware and report back to the RNs. Handovermeans more to them as they have a better understanding,which helps them to prioritise. (Senior Sister, Respiratory)
Table Top Exercise
You have laminated copies of the busy ward patients
Put the six patients in order of urgency and give reasons for your decisions
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You may need this……
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