This combined CHA Paediatric Emergency Care and Paediatric Units face to face meeting was held on the 24 and 25 October 2017. This meeting was co-hosted by the Sunshine Coast University Hospital, and tours of the facility were conducted of this new service that opened in March this year.
Day 1 commenced with a presentation from Deborah Browne on the opportunities to collaborate on improving outcomes for children with sepsis. Collaboratives are a proven method of translating evidence into practice and in achieving reliability in the delivery of evidence based care to children.
Andy Lovett from Bendigo presented on the outcomes achieved from paediatric in-reach to the ED. A key message was that successful strategies need to be funded on an ongoing basis. It is a continuing discussion to gain and maintain support (both in-principle and financial) for initiatives that are proven to be very successful. Later Kylie Stark from the Sydney Children’s Hospital led a discussion around paediatric ED nurse development. The key elements to having well-equipped Paediatric ED staff are: identify what you want to achieve, identify the key areas where you will need to build skills to achieve that aim, and to be very structured in your ED staff development strategies.
There was active discussion around the management of the behaviourally disturbed child in the ED. Consideration was given to how, and who, should best manage kids with developmental delay or acute behavioural disturbance, and who the prescriber/manager should be for kids requiring ongoing psychiatric medicines.
Day 1 ended with bidding farewell to the emergency care delegates, with a call for everyone from both wards and EDs to “extend some forgiveness to the other tribe”, in the interests of improving care for children. There was much goodwill in the room about fostering more understanding & mutual respect between EDs and wards and about the value of having been together for the day.
Day 2 started with a breakfast meeting during which Desiree De Silva from Joondalup (WA) presented on the ORIGNS study that is being undertaken with support from Telethon Kids and now the Federal Government. Congratulations to Desiree and Professor Susan Prescott who are joint leads for this multi-year, multi-faceted and multi-million dollar research that will follow a very large group of families through the early years of life. It is exciting to know that they will introduce prevention/rectification strategies as they go, and that the information created for these many thousands of young people will be available for other researchers to utilise long term. This will be one of the large population studies/databases that many other researchers will be able to interrogate over the forthcoming decades. Well done to everyone who has worked so hard to put this long-term study together!
We were also lucky to hear from Preggie Nair from St John Of God Hospital, Midland in WA. Preggie presented on how you can gain and keep the attention and support of your hospitals senior executives to achieve better outcomes for paediatrics overall. Preggie encouraged the building of mutual trust and understanding between clinical leaders & their executives as the strongest recipe for successfully advocating for the needs of children.
The meeting finished with some great presentations on innovations in ambulatory care from South Australia at both Flinders (Liberty Gallus on asthma) and in the SA country health service (Wendy Thiele & Darlene Wyatt).
Thank you to all of the clinicians from across Australia and New Zealand who took the time to join us for this stimulating meeting. We hope you have had safe travels home, and we look forward to joining with you and your colleagues in a teleconference coming up soon!
Please Click Here for the program.
The first day was a combined meeting with the participants in the CHA Paediatric Emergency Departments SIG. This day provided opportunities to share best practice approaches to meeting the needs of families & of ED and ward staff. Please see below for presentations:
- Sunshine Coast Hospital and Health Service - Cathy Styles
- Improving flow thorugh a Short Stay Service - Michelle Hutch
- Building the capacity of your ED workforce in paediatric care - Christa Bell
- Establishing a Paediatric Nursing workforce fit for purpose that supports streaming efficiency flow and safety - Kylie Stark
- Case study of a young person with acute behavioural disturbance - Matt O'Meara & Kylie Stark
The second day was for Paediatric Units SIG participants only. The program focussed on the key themes identified by the SIG as priority topics for networking. Please see below for presentations:
- The ORIGINS project (sponsored Breakfast) - Professor Desiree Silva
- Tales of the wonderful & the weary: the transition from small paediatric unit to tertiary service provision - Laxmi Camadoo & Anne-Maree Holmes
- How can we successfully influence executives focused on adult medicine and surgery to support our efforts to provide quality, safe care to children and their families - Preggie Nair
- What opportunities to enhance performance does CHA benchmarking reveal? - Barb Vernon
- Opportunities to enhance care for children with bonchiolitis - Dave Tickell
- Caring of critically unwell children outside the Children's Hospitals - John Waugh
- Improving access to care for children with developmental delay - Wendy Thiele
- Improving outpatient service for children with asthma at Finders - Liberty Gallus
- Hospital in the home: a worthy investment to enhance patient care? Or a folly in a world of funding uncertainty? - Susie Piper