• introduction to CHAPS
• identifying your learning styles
• reflective learning
• basic infection control procedures
• using your senses
• communication and dignity

• Clinical Observations and National Early Warning Score (NEWS)

Clinical observation

• vital signs - pulse, blood pressure (manual and with a machine), respiration rate, oxygen saturation NEWS scores
• vital sign - language associated with
• neurological observations
• aseptic technique
• hand washing technique
• urinalysis and how to obtain samples - catheter, continent and incontinent person
• axillary, oral, tympanic temperature
• blood sugar monitoring
• infection control, record keeping, consent and confidentiality will also be discussed

• Medication Administration and Management

Medication 

• module one - Policies. Legislation. Care Quality Commission (CQC)
• module two - Medication. Routes. Formulation. Types. Absorption.
• module three - Multi-Disciplinary Teams (MDT). Roles and responsibilities. Levels of support. Boundaries and agreed ways of working.
• module four - Order. Receive. Store. Record. Transfer. Dispose.
• module five - 7 rights" of medication administration: right patient, right drug, right dose, right time, right route, right reason and right documentation. Group work. Sources of info. Practical session including Medicines Administration Record (MAR) charts.
• module six - Risk assessments. Person centred care. Review. Covert. Consent. Refuse.
• module seven - Errors and action.
• module eight - Infection control and technique.

• T34 syringe driver
• oral suctioning

Syringe driver

• discuss past and present attitudes/experience around palliative care including holistic palliative care
• discuss considerations and difficult conversations
• accountability
• advantages and disadvantages of using syringe driver
• documentation and labelling syringes
• monitoring patient checks
• commonly used drugs, use of drugs beyond licence and syringes
• sites to use and avoid troubleshooting
• oral suctioning

Suction training

• who might require suction
• why suction
• possible risks of suctioning
• when to suction - noticing changes in residents
• where to suction - sites and equipment
• procedure - plus brief infection control talk
• anatomy and physiology
• practical session
   

• tissue viability, dressings, wounds and pressure relief

Tissue viability 

• understand the three stages of wound healing 
• identify the different cells involved in the stages of wound healing 
• categories of wound healing 
• principles of wound healing 
• types of wound - chronic / acute 
• four principles of wound management - TIME concept (Tissue, Infection, Moisture, Edge)
• selecting the appropriate dressing types

• dysphagia
• enteral administration

Dysphagia 

• causes of dysphagia and common swallowing problems
• the anatomy of swallowing
• how to recognise when someone is having difficulty swallowing
• reducing risk of choking
• International Dysphagia Diet Standardisation Initiative (IDDSI)
• knowing when to escalate and refer to a specialist
• privacy, dignity and respect
• alternatives to oral feeding

Enteral Tube Feeding 

• the purpose of enteral tube feeding
• conditions which may require enteral tube feeding
• indications and contra indications of enteral tube feeding
• the procedures for feeding and administering medications via enteral tube feeding
• recognising, dealing with and reporting complications
• the care and maintenance of enteral feeding tubes
• procedures for effective mouth care
• documentation and record keeping
• practical session
• competency framework & training record sign off

• record keeping and communication
• stoma care
• catheter care 

Effective record keeping

• why do we record information
• what information are you required to record
• data protection and how it affects you
• accurate recording of information
• using appropriate language
• different types of record keeping
• Specific, Measurable, Attainable, Realistic, and Timely (S.M.A.R.T)

Stoma care

• applied anatomy and physiology
• infection control and prevention
• indications for a stoma
• complications of a stoma
• fitting, emptying and removing
• privacy, dignity & respect
• practical session
• keeping accurate records
• learning outcomes
• on completion delegates will be able to demonstrate much improved awareness of stoma, the causes, needs and requirements
• we will ensure delegates understand the importance of maintaining infection control standards throughout their tasks and the privacy, dignity and respect for the service user is kept throughout  

Catheter training

• what is a urinary catheter
• advantages/disadvantages of urinary catheters
• reasons for catheterisation
• importance of effective infection control
• how to handle, empty and change catheter bag
• troubleshooting common issues
• awareness of fluid balance
• effective record keeping
• privacy, dignity and respect
   

• blood sugar monitoring
• insulin administration
• basic life support 

Diabetes practical skills

• discuss past and present attitudes/experience around palliative care including holistic palliative care
• discuss considerations and difficult conversations
• accountability
• advantages and disadvantages of using syringe driver
• documentation and labelling syringes
• monitoring patient checks
• commonly used drugs, use of drugs beyond licence and syringes
• sites to use and avoid
• insulin administration
• troubleshooting

Basic life support

• recovery position
• shock
• cardiopulmonary resuscitation (CPR) demonstration and practice danger, response, airway, breathing and circulation (D.R.S.A.B.C)
• unconsciousness/head injuries
• choking - responding effectively and practical demonstration

• venepuncture and cannulation

Venepuncture 

• define venepuncture
• identify roles and responsibilities, relevant to the area of work and venepuncture
• discuss accountability and consent
• label anatomy of vein assess and select suitable sites for venepuncture and sites to be avoided
• describe scenarios when not to take blood
• discuss and practise skills such as timing, using less dominant hand, tourniquet usage and also angles of needle
• list equipment required for venepuncture
• explain order of draw and its importance
• discuss and list labelling a sample accurately
• identify relevant policies and procedures to area of work
• breakdown the potential complications associated with venepuncture and discuss appropriate actions to prevent and/or treat common errors, complications and problems you may encounter
• review the full procedure
• practice by using a simulation arm
• reflective piece based on venepuncture experience - seeing it from patients' point of view

Cannulation training:

• what is a vein and their structure
• identify the veins associated with cannulation
• characteristics of a good and bad vein
• patient status that may affect undertaking the procedure
• adverse reactions to the procedure
• understand of how to deal with sharps injuries
• correct technique for hand hygiene
• principles of aseptic non-touch techniques
• understanding of universal precautions associated with cannulisation
• professional accountability and implications to practice

• portfolio submission
• final exam
• opportunity to re-sit failed examination