The H@N initiative provides adequate opportunities for junior doctors to attain important clinical (Foundation) competencies. There appears to be sufficient opportunity to achieve these competencies within 1 year rather than the 2 years currently allowed in the UK Foundation Programme.
AimsTo ensure that the PPE guidance is strictly adhered to.To ensure that patient care is not compromised.To help us in areas of need in order to educate the staff regarding the techniques of PPE and thus ensure patient and staff safety and care during the pandemic.MethodNovel coronavirus 2019 was first described in December 2019 in Wuhan in China. Since those initial few cases, it has rapidly proliferated to a global pandemic, putting an inordinate amount of strain on healthcare systems around the world. We believe that the technique of donning and doffing if followed as per PHE guidelines would be of help in both preventing the infection and improve the care and safety of both patients and staff.This Audit includes both In-patient and Out-patient units in Psychiatric services across North Wales. Data were collected from 19 units out of 39. We observed covertly 325 staff members belonging to various cadres. Apart from the Donning and Doffing techniques, we also observed the availability of designated areas for this purpose and the availability of PPE as well.Data collection was by junior and senior doctors from various sites of the mental health unit in North Wales. A proforma was provided, the standards were based on PHE guidelines.ResultIt was noted that just about 50% of the staff followed donning as per guidance. Amongst all three sites, the Central team showed a better adherence with 85% of them donning PPE correctly. whereas only 22% adhered to donning in the West team.Only 21% of them managed to doff PPE as per guidance amongst all 3 centres in North Wales.It was also noted that there are no designated areas to Don and Doff in outpatient units. Staff, in general, seem to not adhere to the guidance of utilising a mask, especially when within 2 meters distance of other staff.ConclusionWe will be presenting the Audit at the regional meeting. After discussion with the infection prevention control team and Health and safety lead, we intend to improvise the wards with designated areas for donning and doffing. Teaching sessions for the staff in all three sites, reminders in various areas of the community mental health units and inpatient units.We are hoping that these recommendations will help us in achieving our aim of health and safety during this pandemic.
AbstractsResults 100 parents were contacted and 71 decided to participate. 62 out of 71 households had a domestic helper but only 22/71 parents (31%) said they would educate their domestic helpers. 39 parents (55%) said they did or would lock the medicines in the cabinets and 35 out of 71 (49%) said they would or did keep the cleaning materials out of reach of young children. Only 16 parents out of 71 (22.5%) said they would do or did both-lock the medicines in the cabinet and keep the cleaning supplies out of reach of their young children. Conclusion The domestic and behavior changes are not a foregone conclusion after accidental poison ingestions related ER visits. Follow up home visitation by a public health nurse for personalized tips in childproofing may have a positive behavioral outcome. Childrens with complex chronic diseases now survive past the age of adolescence and into adult life, however health services have not always recognized the need to prepare these patients for the move into their specific adult services. This issue has resulted in these adolescents having to find a way to obtain the necessary health care services from adult healthcare providers However, without proper preparation on both ends of healthcare, this transition is very difficult. For all adolescents, the transition from childhood to adulthood involves combining the patient's individual identity, need to achieve independence, establishment of adult relationships and obtainment of a meaningful occupation. This transition is made more difficult because of the patient's continuous concerns about whether their social and health care needs will be met. These are the more serious reasons why many adolescents with chronic diseases are greatly hindered during the transition process. The effects of these issues are the debilitation and deterioration of the patient's health, both physical and psychological, mostly due to the fact that the patient is not prepared properly for the transition to adulthood with regards to their healthcare. The goal in this process is to make sure that the adolescent with chronic diseases, as well as their respective family members, are trained, helping to facilitate the ability to accept and understand that the transition process is like any other stage in life, with the inclusion of implication and new responsibilities specific to the patient that will need to be incorporated quickly and effectively. doi:10.1136/archdischild-2012-302724.1753 S Madi, A Mandy, T Pountney. University of Brighton, Eastbourne, UK Background and purposes: Cerebral palsy (CP) is one of the most common childhood disabilities and makes heavy demands on health, educational, and social services as well as on families and children. In Saudi Arabia the term CP is recognized by most health professionals as a physically disabling condition, however this is not the case for the general public, nor more importantly for mothers of children with CP. Misinterpreting the term of CP by Arabic language, clearly exists. This research aimed to exp...
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