Page 145 - HA Convention 2015

Symposiums

S9.1 Strengthening Collaboration – from Inpatient to 09:00 Convention Hall C
Ambulatory Care

Essential Competencies of Specialised Transport Teams Tuesday, 19 May
Whyte H
Acute Care Transport Services, Neonatology, The Hospital for Sick Children, Canada

The use of a specialised retrieval team for interfacility transportation of high risk newborns and children is associated with
improved outcomes with significantly fewer adverse events during transport and a significant decrease in mortality rate
compared to the use of personnel without specialty training in transport medicine. Specialised teams transport high risk
pregnant women, neonates, infants and children up to 18 years of age or may be limited to one of these populations. By
combining populations, higher volumes of patients are retrieved, increasing the critical mass, permitting a dedicated team
to function solely for this purpose and enhancing competencies. The Canadian Association of Paediatric Health Centers
(CAPHC) has recently made recommendations for transport clinician competencies in the following domains: Professional
Responsibilities, Communication, Health and Safety, Assessment and Diagnostics, Therapeutics, Integration, Transportation.

The process by which these competencies can be achieved with full certification of each transport clinician will be presented.
Although transport teams are composed of at least two clinicians and a collaborative practice model of care is common with
each member coming from a different professional background, clinical competencies in all populations should be achieved
by all team members. Neonatal transfers require more interventions and have more complications compared to other
populations with almost half being airway related. Analysis of the potential interventions required during resuscitation and
stabilisation of the populations in question will determine the list of required skills and algorithms for competencies such as
management of the difficult airway. The methods by which acquisition and maintenance of competency in these procedures
will be discussed including task trainers and high and low fidelity simulation. Furthermore, the method by which each team
member maintains all competencies, including daily quality improvement processes evaluating clinical, process and systems
failures or near misses will be a focus.

S9.2 Strengthening Collaboration – from Inpatient to 09:00 Convention Hall C
Ambulatory Care

Multidisciplinary Team Effort in Pain Management and Rehabilitation
Yeo ASN
The Pain Specialist, Mount Elizabeth Hospital, Singapore

Pain management, whether in acute, chronic or cancer pain, requires a closely knit team of doctors, nurses, pharmacists,
therapists, family members to achieve the most optimal outcome.

Close communications, with mutual respect and cordial working relationship is key to the success of pain management.
Illustrations of such working dynamism will be presented in the management of patients with acute, chronic and cancer pain.

HOSPITAL AUTHORITY CONVENTION 2015

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