About this course

This is the face-to-face component of the Adult Between the Flags Tier Two education known as DETECT.

This workshop includes didactic lectures and case studies to improve your knowledge and skill in recognising and responding to the adult patient who is clinically deteriorating.   

Who should attend?

All nursing and medical staff that provide direct patient care to adult patients.

What will you learn?

By the end of this course you will be able to:

1. Discuss the importance of effective communication and identify barriers in the health care setting.
2. Identify methods for improving communication including specific strategies for telephone communication.
3. Demonstrate effective communication including use of a systematic communication tool. For example, ISBAR.
4. Discuss the importance of accurate and timely documentation and a clearly documented medical management plan.
5. Discuss the importance of teamwork and demonstrate the ability to work effectively within a team.
6. Demonstrate the systems-based approach to patient assessment.
7. Discuss the physiological changes that occur in a woman’s body during pregnancy and how these will alter common findings (included for non-midwives that work in maternity services and cannot attend the FONT course).
8. Identify, interpret and evaluate early (Yellow Zone Criteria) and late (Red Zone Criteria) warning signs of deterioration as part of a systematic approach to assessment.
9. Provide initial management of deterioration and identify patients at particular risk of clinical deterioration.
10. Discuss the process for escalation of concern in your facility.
11. Identify roles and responsibilities in relation to ongoing management and monitoring of the patient who has clinically deteriorated.
12. Demonstrate a comprehensive assessment of a patient’s respiratory status (airway & breathing), cardiovascular status and neurological status.
13. Discuss the physiological requirements for maintenance of adequate urine output and state the range for normal urine output.
14. Discuss causes of oliguria and anuria and polyuria and demonstrate accurate assessment and documentation of urine, urine output and fluid balance.
15. Discuss the investigations that are used to identify and monitor renal function.
16. Identify, interpret and evaluate the early & late warning signs of respiratory deterioration, cardiovascular deterioration, neurological deterioration and renal deterioration.
17. Provide initial management and demonstrate appropriate escalation for respiratory deterioration.
18. Provide initial management and demonstrate appropriate escalation for cardiovascular deterioration.
19. Provide initial management and demonstrate appropriate escalation for neurological deterioration.
20. Discuss the initial management of a patient with renal deterioration and demonstrate appropriate escalation.
21. List equipment required for transporting deteriorating patients.
22. Describe the process for verification that the patient is safe for transport.

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