Authors (including presenting author) :
Cheung PH, Law SF, Chow WPA, Cheung YHK, Wong MSM, Wong MYM
Affiliation :
Department of Family Medicine and Primary Healthcare, HKEC
Introduction :
Apart from urban GOPCs, there are 3 Outlying Island (OLI) GOPCs in HKEC, including Peng Chau (PC), North Lamma (NL) and Sok Kwu Wan (SOK) GOPCs which provide First Aid Post (FAP) service to local residents in addition to general clinic service. PC and NL GOPCs also operate 24 hours FAP service. It is a great challenge for nursing staff to cope with emergency situations after clinic operation hours when no medical staff on duty. Since there is no hospital / A&E setting in islands, nursing staff are expected to have high competence to manage emergency care appropriately including obstetric, trauma cases and air medical transport.
Objectives :
1. To equip and enhance competence of nursing staff working to manage emergency care in OLI GOPCs 2. To review and evaluate the effectiveness of the enhancement program
Methodology :
A focus group was set up to review the FAP cases in the past 3 years and explore the areas to upgrade staff’s knowledge and clinical skills. A series of cross department collaboration lectures series and simulation workshops were conducted from 2017-19. Nurses were required to attend lectures, hands on skills and simulation training sessions with scenarios sharing and briefings. The workshops focused on the common emergency cases that may occur in OLI GOPC setting, including 1. Lecture series and Simulation Workshops on Emergency Care in OLI GOPC 2. Basic Obstetric Emergency Care Workshop 3. Practical approach for Advanced Life Support Crash Workshop 4. Air Medical Transport Workshop
Result & Outcome :
Over 40 GOPC nursing staff attended the training and participated in the pre and post survey to evaluate the effectiveness of the training and staff competence level in emergency care. The results showed significant improvement and strengthening in knowledge, practical skills and confidence in managing emergency care in out-patient setting. All nursing staff members were satisfied about the simulation training program, enjoyed the learning process and enhanced their competence in emergency care management. Regular review and empower nursing staff by enhancing their knowledge and practical skills are essential to ensure the provision of efficient, safe and high quality emergency service for local residents in OLI .
