P40 Effect of practical non-invasive ventilation training sessions on confidence and competence of clinicians

Introduction and objectives The NCEPOD (2017) report on Acute Non Invasive Ventilation (NIV) underlined the failings in the provision of appropriate care for acute NIV patients in UK.1 The report highlighted that 45% of hospitals had staff supervising patients on acute NIV without defined training competency. BTS (2018) produced a NIV quality standards detailing that staff prescribing, initiating or changing NIV settings should maintain ongoing competency through training.2 Hence, we developed a pilot NIV training program at our Trust and evaluated its impact by undertaking a follow up survey. Methods We developed a 3 hour NIV training program comprising of lecture and a hands-on session on a NIV machine and masks. This was followed up by a competency assessment session. Participants were enrolled from different backgrounds in three different session over a period of 12 months and impact evaluation was conducted by surveying participants after at least 3 months following their training. Results A total of 25 participants were enrolled, comprising mainly of Medical Registrars (76%). Other participants included Core Medical Trainees, Trust Grade Doctors, Medical Consultants and Advanced Nurse Practioners. Participants were from a range of specialities, including Respiratory, Endocrinology, Acute Medicine, Geriatric and Emergency medicine. 17 completed the follow up survey. Prior NIV training was mixed, with 5 participants having no prior NIV training, and a further 4 participants stating no training within the previous 12 months. Participants had managed a mean of 7 patients on acute NIV following completion of their training. Figure 1 demonstrates that overall, this training has significantly increased their confidence to initiate and mange patients on acute NIV, as well as increased awareness of the BTS blood gas result to mask time among attendees. Conclusions An effective pilot NIV training was provided to ensure staffs managing acute NIV patient are trained as per BTS NIV quality statement. We aim to roll out NIV training to all other appropriate staff across trust by incorporating it as part of trust induction and competency maintenance requirement. References NCEPOD ( 2017) Acute Non-Invasive Ventilation: Inspiring Change. BTS ( 2018) Quality Standards for Non-Invasive Ventilation in Adults.