ADEPT

Advanced Emergency Performance Training
Advanced Emergency Performance Training (ADEPT) is a two-day course teaching non-technical skills to critical care doctors and nurses.

The ADEPT course is taught by three senior ex-military pilots, one of whom teaches non-technical skills to air crew at the Royal Australian Air Force, another being the Director of Non-Technical Skills at the Royal Perth Hospital, and the third a captain trainer with a major Australian airline. Also teaching are a senior emergency physician/medical educator, a rural generalist, and experienced Clinical Nurse Educators. The course is suitable for all doctors, nurses, and allied health professionals caring for patients with time-critical emergencies.

ADEPT features 13 contact hours (excluding registration and breaks) involving interactive presentations, workshops, small group activities, and use of the high- delity simulation laboratory at the University Centre for Rural Health in Lismore, NSW. The course is limited to 21 participants to facilitate realistic simulation sessions. ADEPT is accredited by the Australasian College of Emergency Medicine for 16 CPD hours, and by the Australian College of Rural and Remote Medicine for 13 Core CPD points.

ADEPT is an innovative course in non-technical skills helping doctors, nurses and allied health professionals manage complex emergencies, incorporating ground-breaking human factors teaching from expert aviators.

 

ADEPT Aims

Optimisation of the non-technical skills of the health professional, through:

  • interactive instruction, small-group tutorials and workshops, led by two senior aviation experts experienced in the translation of high-level non-technical skills to medical emergencies
  • development and discussion of advanced non-technical skills with aviation experts, emergency physicians, and medical and nursing colleagues
  • practice of non-technical skills in high-fidelity simulation laboratories with medical and nursing colleagues, overseen by two senior aviation experts, a senior FACEM, and senior nurses

 

ADEPT Programme

 

FIRST DAY (6.5 contact hours)

08:30 to 09:00    Registration

09:00 to 09:30    Introduction

09:30 to 10:00    Case Study

10:00 to 10:30    Case Study

10:30 to 11:00    Morning Tea

11:00 to 12:00    Teams, Leading, Following

12:00 to 12:30    Behaviour – The Individual

12:30 to 13:00    Lunch

13:00 to 13:30    Behaviour – Groups

13:30 to 14:30    Communication

14:30 to 15:00    Afternoon Tea

15:00 to 16:00    Limitations

16:00 to 17:00    Simulation 1

Social Function

 

SECOND DAY (6.5 contact hours)

09:00 to 09:15    Recap

09:15 to 09:45    Error

09:45 to 10:15    Risk

10:15 to 10:45    Planning, Briefing, Rehearsal, Doing & Debriefing

10:45 to 11:15    Morning Tea

11:15 to 11:45    Workload

11:45 to 12:15    Simulation 2

12:15 to 13:00    Lunch

13:00 to 13:30    Automating

13:30 to 14:00    Self-Awareness

14:00 to 14:30    Situational Awareness

14:30 to 15:00    Afternoon Tea

15:00 to 15:30    Decision Making

15:30 to 16:30    Simulation 3

16:30 to 17:00    Conclusion

 

ADEPT Faculty
  • Mick Aspinall (Senior Facilitator delivering Human Factors training to RAAF air crew, 747 pilot)
  • Tony Lock (Director of Non-Technical Skills at Royal Perth Hospital, 737 pilot)
  • Stuart James (Captain Trainer, 737 pilot)
  • Charlotte Hall (FACEM, Emergency Physician at Lismore Base Hospital and Medical Educator)
  • Dean Robertson (FACRRM, Rural Generalist at Maclean District Hospital)
  • Sharene Pascoe (CNC at Lismore Base Hospital and University Centre for Rural Health, Lismore)
  • Fiona MacCallum (CNE at Grafton Base Hospital)

 

 

 

ADEPT Learning Objectives

PEOPLE

Describe how people connect in a healthcare team:

  • Explain how attitudes, motivation and behaviours influence people
  • Describe the foundations of teamwork, leadership and followership
  • Explain the concepts of group decision making
  • Detail methods of minimising and managing conflict in a team
  • Outline situational leadership in a healthcare team (including rapidly assembled and unfamiliar teams)
  • Discuss followership in a healthcare team
  • Define culture and describe its influence on individuals and groups
  • Describe specific healthcare attitudes, motivations and behaviours
  • Describe how external teams have different perspectives and non-technical skills, and explain how to enhance interactions with external teams

COMMUNICATION

Outline the principles of communication in a healthcare team:

  • Explain how to communicate effectively in normal and abnormal situations, and specifically detail the principles of closed loop communication
  • Expertly describe ISBAR (Identification, Situation, Background, Assessment, Recommendation)
  • Detail problems in communication and how to surmount them
  • Discuss assertiveness and how to overcome barriers to assertiveness
  • Describe graded assertion and its formalised implementation (PACE, CUSS, and SAFER with a formalised assertion statement)
  • Describe effective conflict management

LIMITS

Explain how people process information and the limits of these processes:

  • Describe the human information processing system and human limitations
  • Explain perception and attention
  • Explain how human performance is limited by distraction, overload and underload
  • Describe how people acquire skills
  • Define human error, and methods for recognising and managing errors
  • Explain the consideration of risk when making decisions

CONDUCT

Describe the principles of effective conduct in critical care:

  • Outline planning, effective mental modelling and preparation/rehearsal techniques
  • Describe how low, medium and high workloads impact human performance
  • Identify the direct and indirect causes of high cognitive workload
  • Outline strategies to manage workload
  • Describe the features of an automated environment, and how to proficiently manage automated systems
  • Discuss the importance of briefing and debriefing as part of planning and managing patient care
  • Describe successful strategies for briefing and debriefing

AWARENESS

Detail the principles of self awareness and situational awareness:

  • Define the constructs of self awareness and situational awareness
  • Explain threats to self awareness and situational awareness
  • Describe methods for regaining self awareness and situational awareness

DECISIONS

Describe strategies to optimise decision-making in the healthcare environment:

  • Define classical (rational) decision-making
  • Explain faster decision-making processes and shortcuts
  • Define very fast (intuitive) decision-making
  • Describe errors in making decisions and strategies to overcome these errors
There will be two ADEPT weekends in the first half of 2019, at  the University Centre for Rural Health in Lismore (near Byron Bay NSW)

Registration fees for the two-day course are:

  • $1100 Doctors
  • $550 Nurses & Allied Health

Includes all workshops, simulations, catering and course materials. Please advise of any dietary needs.

The ADEPT wait-list is now open for 2019.
For registration or further information please e-mail:
info@emergencyprotocols.org.au