Auburn Anaesthetic Meeting 28 January 2021 Tanya Manolios amp Kenneth Cheung Background COVID19 first wave in Australia MarchApril 2020 Background Prevention of disease transmission Disease management ID: 1036125
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1. Got it COVeredAuburn Hospital Operating Theatres COVID-19 Preparedness AuditAuburn Anaesthetic Meeting – 28 January 2021Tanya Manolios & Kenneth Cheung
2. BackgroundCOVID-19 first wave in Australia March-April 2020
3. BackgroundPrevention of disease transmission Disease managementRapid change in hospital protocols Auburn hospital education and training:Weekly emails and updates on latest COVID-19 updatesCOVID-19 intubation drillPersonal Protective Equipment (PPE) + new equipmentProtocol for COVID-19 patient undergoing surgery
4. Aims, Objectives, StandardsAims: To assess the efficacy of COVID-19 training for operating theatre (OT) staffTo ascertain gaps in knowledgeTo identify differences in knowledge between subspecialtiesObjectives:Conduct department-wide MCQ test targeting all OT staff after education and training programs
5. MethodologyA prospective audit assessing all* OT staff (MOs from anaesthesia, surgery, O&G, RNs, OAs) within a two week period (28/04/2020 – 12/05/2020)Assessment via 16 question MCQ paper covering 3 domains:COVID-19 general knowledgePPEWorkflow changesMCQ papers distributed and collected by two anaesthetic registrars
6. MethodologyTests were voluntary, completed in own time, suggested closed book and encouraged to be done independentlyMarked according to agreed answers as per anaesthetic HoD, OT NUM, current* WSLHD guidelinesData was input into and analysed using Microsoft ExcelResults were analysed using SPSS Statistics
7. Results62 participants (total potential ~120)18 - Anaesthetic and/or Recovery nurses16 - Surgical nurses18 - Anaesthetic doctors (consultants and registrars)10 - Surgical and O&G doctors (consultants and registrars)Overall score = 66%Anaesthetic/Recovery nurses - 64%Scrub nurses - 62%Anaesthetic doctors - 75%Surgical doctors - 59%
8. ResultsGeneral knowledge was highest scoringSurgical doctors scored lowest in this domainIncluded COVID-19 screening questions In general, changes to workflow scored the lowest amongst all subspecialtiesIn these domains, there were no statistically significant differences between groups
9. ResultsPPE knowledgeAnaesthetic doctors performed better (score 82%) in this area than:Anaesthetic/Recovery nurses (score 65%, p = 0.017, MD 0.18, CI 0.02-0.33)Surgical nurses (score 59%, p = 0.001, MD 0.25, CI 0.09-0.4)Questions regarding N95/P2 masks were often answered poorly across all subspecialties
10. LimitationsAccess to all staffStandardised testingMCQ writingStandardised guidelines/information, evolving nature of pandemicTime
11. Conclusions & RecommendationsPPE simulations are effective; distributed information and practice can improve trainingThe number of simulations conducted for workflow changes are insufficient for knowledge retention and more would be required for more rigorous trainingInconsistencies within and between hospitals remain a barrier to effective practice
12. Acknowledgements Many thanks to:Alpha TungEveryone at Auburn – thank you!
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