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Title:

GOOD MEWS, BAD MEWS

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Title: The presentation template Author: School of Healthcare Last modified by: School of Healthcare Created Date: 5/22/2007 12:00:22 PM Document presentation format – PowerPoint PPT presentation

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Title: GOOD MEWS, BAD MEWS


1
GOOD MEWS,BAD MEWS
Learning Teaching Conference 8 2011 parallel
session 24
Paul Marshall Kevin Stevenson School of
Healthcare
  • Using simulated learning to increase confidence
    and decision making skills when managing medical
    emergencies third year nursing students

2
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWS
  • Session outcomes
  • Briefly discuss simulation as a way to enhance
    decision
  • making
  • Discussion of three simulated case scenarios
    and
  • organisation of session (Managing Medical
    Emergencies)
  • Consider the use of the ABCDE approach as a
    clinical
  • assessment method and the use of MEWS scoring
  • Delegates complete MEWS scoring based on a case
    example
  • Summary of student evaluations of the Managing
    Medical
  • Emergencies simulation sessions

3
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWSSimulation as a learning approach
4
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWS
MEWS scoring tool
Airway Breathing Circulation Disability Exposure
5
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWS
Three scenarios Managing Medical Emergencies
Acute respiratory difficulty
Acute chest pain (acute coronary syndrome)
Cardiac arrest http//lutube.leeds.ac.uk/hcspm/vid
eos/4222
ABCDE LUTube - University of Leeds
Acute post-operative complication - bleeding
6
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWS
  • Scenario example
  • Post-operative patient following abdominal
    surgery
  • (see hand out)

In groups of two or three read the patient
scenario and using the Modified Early Warning
Scoring System (MEWS) decide on the score you
would give
1
On warding -
Following deterioration -
14
7
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWS
MEWS scoring - following deterioration
8
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWS
Student evaluations (pre-session n 68)
P lt 0.001
P lt 0.001
9
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWS
Student evaluation (cont)
Responses 3-5 indicate students perceived the
session increased their skills highly
10
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWS
Qualitative statements
Enhanced my knowledge skills
I feel more confident to spot problems before
they occur
I do feel more confident and find simulation is
a positive way to learn and develop skills
I feel more confident to handle emergency
situations
Made me realise that I do know a lot more than I
thought
11
Learning Teaching Conference 2011GOOD MEWS,
BAD MEWS
Thank you for listening participating
Any questions
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