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CRANAplus has added Paediatric Advanced Life Support to its Paediatric Emergency Care course, preparing participants to deliver high-quality care to paediatric arrest patients.
“There are no specialised paediatric facilities in remote Australia,” says Kylie Fischer, Remote Clinical Educator for the CRANAplus Paediatric Emergency Care (PEC) and Paediatric Advanced Life Support (PALS) course.
“When you’re a remote area nurse, you must manage a range of different presentations including complex paediatric presentations.”
Physical and professional isolation, paired with a lack of available courses, can present a barrier to accessing paediatric training.
“Unless you go and study paediatrics as a speciality such as a postgraduate certificate, you are unlikely to see these presentations regularly,” Kylie says.
“When you are presented with a paediatric patient, you want to have the confidence and necessary skills – and it’s the ability to gain these things in a safe learning environment that is attracting participants to this course.”
Your feedback inspired us to add Paediatric Advanced Life Support to our recently launched Paediatric Emergency Care course.
The new component focuses on paediatric arrest, clinical deterioration, and post-resuscitation care, and builds upon the PEC component dealing with trauma, medical emergencies, and the identification and management of life threats.
Airway, breathing and circulation emergencies, shock, sepsis, RHD scenarios, STIs, and medical emergencies are all covered.
“We’ve introduced human factors and situational awareness, recognising and responding to clinical deterioration, cardiac arrest and peri-arrest rhythms, and we also focus on debriefing and family/carer involvement,” Kylie adds.
As is the CRANAplus trademark, the course is contextualised to remote and isolated settings that are characterised by “low resources including limited staff and equipment, technology, communications, and infrastructure.”
“Sometimes you have to work with minimal amounts of stock,” Kylie says. “There’s a limited quantity of medications such as adrenaline and fluids available compared to a tertiary unit.”
Based on best practice and guided by ANZCOR guidelines, the evidence-based course is led by experienced facilitators and includes guided discussions, realistic scenarios, and hands-on skill stations featuring various training devices.
“We have a new little baby called TruBaby X,” Kylie says. “He or she – you can change it – has the realistic appearance, weight, size, and movement of a five-month-old. You can perform Airway Management techniques (oral and nasal), Peripheral Venous Cannulation, PICC line insertion, Lumbar Puncture, IO Tibia, Needle Thoracentesis, Chest Drain, Urethral Catheterization (male and female), and Cardiopulmonary Resuscitation.
“We also have equipment for nasogastric training. It’s a transparent, child-size torso with all the internal organs visible. You can correctly measure and place a nasogastric tube, take an aspiration, and test that it is correctly placed.”
Kylie has worked as a flight nurse out of Perth and the Kimberley, and on top of her present work for CRANAplus, she still does clinical placements for the Royal Flying Doctor Service out of Alice Springs.
“You get to see what the remote area nurses are dealing with and managing,” she says.
“You realise how far away they are from help.
“I think that’s important, to be able to connect with participants, to understand where they’re coming from. That’s how to be a good educator.”
While Kylie has paediatric success stories to share, she says remote area nurses are working against the odds when a paediatric arrest occurs.
“This program sets health practitioners up to give patients the best chance,” she says. “If their pre-hospital and hospital care can be managed really well, we know that their chances of survival are much higher.”
“The pre-course learning resources were very comprehensive. I loved the way it was structured and invited further reading and insight via specialist’s presentations and demonstrations. The information provided was extremely helpful and the additional links/videos and questions extended learning capabilities.”
“The course is presented by facilitators who possess a mix of expertise in rural/remote/regional experience in different platforms, i.e. RFDS/Midwifery/ED/ICU. The content is up to date and on point. You feel confident that the information being delivered follows and adheres to all current policy/procedures by creditable organisations.”
To book your spot or to learn more see Paediatric Emergency Care & Paediatric Advanced Life Support (PEC + PALS)