tA

cglp

Kt

d

D

M

cvnhoascf

iaoiiMwdtsaWsrteawgl

d

Pm

N

P

6th International Conference for Emergency Nurses

vide a community-based service model that is innovative,uses information technology and telemedicine to deliverimproved services for the community in general as well ashaving a focus on the complex and chronically ill with theadditional benefit of contributing to relieve the congestionof inpatient facilities.

Keywords: Super clinic; Urgent care; Nurse practitioner

doi:10.1016/j.aenj.2007.09.091

Improving team performance: Simulation training in theemergency department

Jenny Rawet∗, Jonathon Papson

Emergency Department, Royal Melbourne Hospital,Parkville, Australia

Introduction: Team training was commenced in theemergency department in 2005 with the primary focus ontrauma. It consisted of a half day training course center-ing around simulation of trauma scenarios and the functionof the trauma team. The reasons for the development ofthis project came out of the realisation that teams do notalways work well together and that this can sometimes leadto adverse patient outcomes.

Aim: The aims of project included enhance the traumateams function apply a multi-disciplinary approach utiliseadult learning principles create a transferable packageimprove teamwork within the department. Ultimatelyimprove patient outcomes. The training needed to be real-istic, relevant and reflective.

Method: The training sessions involved all members ofthe trauma team from both within the emergency depart-ment and the hospital as a whole. Emergency nurses,medical officers, anaesthetists, surgical registrars and con-sultants all took part. An initial introduction and orientationto the Sim Man and the trauma room would occur. Followingthis a trauma scenario with one team observing via videocamera and the other team participating would take place.Debriefing would take place at the end of the scenario. Thiswould then be repeated with the teams reversed.

Discussion: Some key points of crisis resource manage-ment were highlighted: The need to know your environmentwell; there must be a LEADER; the importance of antici-pation and planning; communicate as an integral part of awell functioning team; call for help early; allocate attentionwisely; and distribute the workload.

doi:10.1016/j.aenj.2007.09.092

An Englishman in Australia

Anthony Summers

Prince Charles Hospital, Brisbane, QLD, Australia

I have recently moved to Brisbane and since discoveredmany things that are similar to the way I worked in the UK

and many things that are different. This presentation is toexplore the similarities and discuss the differences betweenthe two nations. Also it is hoped any lessons the authorhas learned after being an emergency nurse practitioner in

mS

221

he UK for 6 years and how they can be used working inustralia.

This is a personal view and is hope to be used as a dis-ussion on working in the emergency department and howood practice is transferable from one country to anothereading to an improvement of service that is provided to theatient.

eywords: Emergency department; Emergency nurse prac-itioner; Use of the emergency department

oi:10.1016/j.aenj.2007.09.093

eveloping excellence in leadership within Urgent Care

ary Dawood

St Mary’s Hospital Trust, London, UK

Effective leadership is crucial for improving the quality ofare for patients, for developing staff and for creating theision necessary to effect and sustain change. Emergencyurses have played a pivotal role in reforming the NHS andave risen to the challenge of finding effective new waysf working. In order to support them in sustaining changend moving forward, a leadership program was designed byenior nurses and the Department of Health. Up to 100 nurseonsultants and modern matrons nationally were nominatedor the program.

The program of diverse experiences which began in 2005ncluded; 360 degree Leadership Effective Analysis: A robustssessment tool for each participant across six functionsf leadership highlighting areas for development. Coach-ng from experts supported the progress of the participantn meeting their development plan Terema Team Resourceanagement, Lessons from aviation which have resonanceith and are transferable to health care. Olivier Mytho-rama (Developing Authentic Leaders) Creative learninghrough the medium of Shakespeare’s Henry V. The Westmin-ter Experience provided valuable insight into the politicalgenda and a deeper understanding of how politicians inestminster make decisions and deal with competing pres-

ures. Discovery Interviews enhanced knowledge of theesearch process and gave participants privileged access intohe patient and carer experience of the over 75s accessingmergency care. Action Learning Sets supported and encour-ged learning throughout the program. This presentationill describe the originality of this innovative program inreater detail and the surprise outcomes and true nursingeaders that emerged from it.

oi:10.1016/j.aenj.2007.09.094

atient process improvements in the emergency depart-ent

atalie Retallick

Emergency Department, Flinders Medical Centre, Bedfordark, SA, Australia

Flinders Medical Centre Emergency Department is aetropolitan tertiary referral hospital that services the

outhern Adelaide Health region in South Australia. The