Day 24: 27 February 2013
This week has given me the chance to see two very different stages
of the RAMPPS project...This week has given me the chance to see
two very different stages of the RAMPPS project...
On Tuesday, I spent the day at Harrison House, an inpatient unit
operated by the NAViGO social enterprise.
They had arranged for facilitators from the
Montagu Clinical Simulation Centre at Mexborough to come over and
provide a RAMPPS course on their own Enhanced Care ward, for
Nursing, Healthcare Assistant and Medical staff. I was told on a
number of occasions that “we do things differently in Grimsby”.
This was quite elegantly illustrated just before the course
started, when a number of participants were temporarily distracted
by a wild horse that had entered the hospital grounds.
Impressively, they were able to quickly de-escalate the situation,
and bring the horse under control (I’m sure there’s a cheap punch
line here about the lunch that was provided, but I think I’m above
that. Of course, there will always be naysayers).
"My idea of being an impartial observer was somewhat shattered
early on, as the medical staff were unavailable until the
afternoon. As such, I was cast in the role of “on-call
The course itself was very well run; small multidisciplinary
groups took part in four simulated scenarios over the course of the
day, whilst those not directly participating watched a live video
stream of the events. My idea of being an impartial observer was
somewhat shattered early on, as the medical staff were unavailable
until the afternoon. As such, I was cast in the role of “on-call
Doctor” for the first two scenarios. (In case you’re wondering, I
did OK. I probably should have done a little better, given that I
have read and helped to develop the scenario handbook).
Afterwards, things were brought back to a
shared debrief session, where everyone could provide feedback about
how things went. Participants initially found the artificial nature
of the SimMan a little difficult to manage, but there was the
opportunity to explore these issues amongst many others. I look
forward to seeing the feedback that the participants provided.
By contrast, today provided the opportunity to
take the RAMPPS to a location where the idea is still in its
infancy. Gary Jordan and I spoke to the East Riding Training
Scheme’s educational meeting about the background to the RAMPPS
project. We were very grateful to Dr. Paul Rowlands for warming up
the crowd before we started, and we were able to have a good
interactive discussion about the project so far, and ways that it
could be taken forward in the future, in the immediate locality and
across the Deanery as a whole. There was always going to be an
element of ‘sales pitch’ to our talk, and we were able to recruit
some senior Consultants to the ever-growing RAMPPS faculty. This
will be crucial in rolling out delivery of the course in Hull.
We finished the morning with a tour of the
very impressive Clinical Skills Centre at Hull, and we were able to
put the wheels in motion for arranging a RAMPPS Development Day for