{"id":869,"date":"2025-03-27T10:41:37","date_gmt":"2025-03-27T10:41:37","guid":{"rendered":"https:\/\/staff.nhslothian.scot\/cet\/?page_id=869"},"modified":"2025-09-05T09:55:57","modified_gmt":"2025-09-05T08:55:57","slug":"deteriorating-adult-patient","status":"publish","type":"page","link":"https:\/\/staff.nhslothian.scot\/cet\/deteriorating-patient\/deteriorating-adult-patient\/","title":{"rendered":"2-day Deteriorating Adult Patient Course"},"content":{"rendered":"\n<p>The interactive&nbsp;<strong>Deteriorating Adult Patient Course for Registered Nurses<\/strong>&nbsp;is delivered face-to-face over&nbsp;<strong>two days<\/strong>&nbsp;usually in the Comely Bank Centre (CBC, adjacent to the Western General Hospital) or in the PGEC in the Royal Infirmary (RIE).<\/p>\n\n\n\n<p>This course aims to provide and enhance participants\u2019 skills, knowledge and understanding to effectively identify, assess and manage a deteriorating patient in primary and secondary care settings. Due to the variety of clinical settings, this course focuses on introducing a baseline of key issues and application of the A-E approach with timely escalation.<\/p>\n\n\n\n<p>Course content includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u2018Soft signs\u2019 of deterioration<\/li>\n\n\n\n<li>Structured A-E assessment \/ management<\/li>\n\n\n\n<li>NEWS2 \u2013 scoring, triggers, escalation \u2013 clinical judgment<\/li>\n\n\n\n<li>SBAR-D \u2013 Effective Clinical Handover, Communication<\/li>\n\n\n\n<li>Neurological assessment (including GCS \/ 4AT \/ Delirium)<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Human Factors, effective teamwork<\/li>\n\n\n\n<li>Frailty &amp; Treatment Escalation Plan (TEP)<\/li>\n\n\n\n<li>Homoeostasis \/ Fluid Balance<\/li>\n<\/ul>\n\n\n\n<p>and covers common causes of deterioration, e.g.:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Airway- and Breathing-related deterioration<\/li>\n\n\n\n<li>Acute Kidney Injury (AKI)<\/li>\n\n\n\n<li>Shock, Sepsis, Major Haemorrhage<\/li>\n\n\n\n<li>Deterioration of the Diabetic Patient, Stroke, and other neurological \/ related aspects<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Learning modes<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Interactive presentations<\/li>\n\n\n\n<li>Group discussions<\/li>\n\n\n\n<li>Scenarios to practice the A-E approach in a safe and supportive learning environment<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Intended Audience<\/h3>\n\n\n\n<p>We welcome all Registered Nurses caring for adult patients in both primary care and secondary care settings.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Pathways<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>RNs practising in&nbsp;Care Levels 1, 2, or 3 acute settings&nbsp;(e.g., MAU, SAU, A &amp; E, Operating Theatres, PACU (Recovery), CCU, HDU, ITU) should attend this course&nbsp;<strong>within&nbsp;six months<\/strong>&nbsp;of starting in their clinical area&nbsp;and, once eligible, attend the specialist course relevant for their clinical area&nbsp;(e.g.,&nbsp;Critical Care Nursing Level 1, 2 or 3, Cardiology Nursing, DCN\/Neurosciences Nursing, Orthopaedic Adult Care-Trauma and Elective)<\/li>\n\n\n\n<li>For all other RNs in Adult Health, Mental Health and Learning&nbsp;Disability&nbsp;settings, we recommend attending&nbsp;<strong>within the first two years<\/strong>&nbsp;(and anytime for a \u2018refresher\u2019)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Learning Outcomes<\/h3>\n\n\n\n<p>Ability to\u2026<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Identify common causes and risk factors for deterioration<\/li>\n\n\n\n<li>Apply assessment techniques and tools for the management of the deteriorating patient in the clinical context<\/li>\n\n\n\n<li>Conduct correct NEWS2 scoring and understand triggered escalation pathways<\/li>\n\n\n\n<li>Apply the principles of A-E assessment and management<\/li>\n\n\n\n<li>Recognise how and when to escalate care of the deteriorating patient<\/li>\n\n\n\n<li>Demonstrate self-awareness of individual learning needs to support safe delivery of care for the deteriorating patient<\/li>\n\n\n\n<li>Demonstrate an understanding of the management of a deteriorating patient within the participant\u2019s primary or secondary care setting<\/li>\n<\/ul>\n\n\n\n<p>For more information please contact&nbsp;<a href=\"mailto:loth.clinicalskillstraining@nhslothian.scot.nhs.uk\">loth.clinicalskillstraining@nhslothian.scot.nhs.uk<\/a>.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The interactive&nbsp;Deteriorating Adult Patient Course for Registered Nurses&nbsp;is delivered face-to-face over&nbsp;two days&nbsp;usually in the Comely Bank Centre (CBC, adjacent to the Western General Hospital) or in the PGEC in the<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":411,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/widewidth.php","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[],"class_list":["post-869","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"davidmcbain","author_link":"https:\/\/staff.nhslothian.scot\/cet\/author\/davidmcbain\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"The interactive&nbsp;Deteriorating Adult Patient Course for Registered Nurses&nbsp;is delivered face-to-face over&nbsp;two days&nbsp;usually in the Comely Bank Centre (CBC, adjacent to the Western General Hospital) or in the PGEC in the","_links":{"self":[{"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/pages\/869","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/comments?post=869"}],"version-history":[{"count":6,"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/pages\/869\/revisions"}],"predecessor-version":[{"id":1011,"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/pages\/869\/revisions\/1011"}],"up":[{"embeddable":true,"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/pages\/411"}],"wp:attachment":[{"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/media?parent=869"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/staff.nhslothian.scot\/cet\/wp-json\/wp\/v2\/categories?post=869"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}