❓ Question regarding the implementation and training for the Paediatric Acute Recognition and Response Observation Tool (PARROT) in WA hospitals, particularly Perth Children's Hospital, and the government's response detailing implementation, training methods, and staff support.
AnsweredQoN 2Legislative Assembly
QuestionView source ↗
I refer to the recently implemented Paediatric Acute Recognition and Response Observation Tool (PARROT), and I ask: (a) When was the PARROT officially implemented in Western Australian hospitals, specifically Perth Children's Hospital; (b) What training was provided to staff in using this tool prior to its implementation and how was the training delivered; (c) What percentage of health care workers across the state received the appropriate training before it was implemented; (d) What percentage of those staff that received training were: (i) Full-time or part-time; and (ii) Casual; (e) Is it a requirement that casual staff must have received training on how to use the PARROT prior to any shift in any emergency department; and (f) Is there a dedicated specialist responsible for supervising the effective use of this tool and undertaking any ongoing training with employees: (i) If not, why not and how do staff access training?
AnswerView source ↗
Answered
3 August 2021
Responded by
Minister for Health
Response time
6 days
WA Health advises:
(a) The ESCALATION project, incorporating implementation of the PARROT early warning tool, commenced at WA hospitals in 2019. Perth Children’s Hospital (PCH) participated in all phases of the project, with official implementation occurring at PCH on 28 April 2021.
(b) Education and training for staff and site support were delivered using multiple strategies including; site champions’ workshop, website resources, onsite and telehealth education and support, site specific information packages providing guidance and tools for implementation and data collection. The workshops included sessions on practice theory instruction, demonstration, videos, scenarios and simulated practice sessions. The train the trainer format was used to prepare site champions to deliver staff training at their own sites. 14 super users plus project support staff were involved in site wide implementation at PCH.
(c) For all trials and implementation, a target of 80 percent of staff were to have face to face training before the roll out. This was achieved for each phase. As part of official implementation, an electronic learning package has been developed and is included as a core component of PCH staff training.
(d) Compliance can be monitored, however the learning management system (iLearn) does not provide details on employment status of staff (i.e. part-time/full time/casual).
(e) It is an expectation that staff have received training and are familiar with the escalation system. Casual staff work across all areas of the hospital and are required to complete relevant core training. Staff Development Nurses and CNSs are available to support staff in ED.
(f) Yes. A clinical nurse consultant has been identified to provide leadership of recognising and responding to deterioration.
Use of the ESCALATION system is incorporated into education and training programs offered on induction, local area orientation and ongoing continuing education programs.
(a) The ESCALATION project, incorporating implementation of the PARROT early warning tool, commenced at WA hospitals in 2019. Perth Children’s Hospital (PCH) participated in all phases of the project, with official implementation occurring at PCH on 28 April 2021.
(b) Education and training for staff and site support were delivered using multiple strategies including; site champions’ workshop, website resources, onsite and telehealth education and support, site specific information packages providing guidance and tools for implementation and data collection. The workshops included sessions on practice theory instruction, demonstration, videos, scenarios and simulated practice sessions. The train the trainer format was used to prepare site champions to deliver staff training at their own sites. 14 super users plus project support staff were involved in site wide implementation at PCH.
(c) For all trials and implementation, a target of 80 percent of staff were to have face to face training before the roll out. This was achieved for each phase. As part of official implementation, an electronic learning package has been developed and is included as a core component of PCH staff training.
(d) Compliance can be monitored, however the learning management system (iLearn) does not provide details on employment status of staff (i.e. part-time/full time/casual).
(e) It is an expectation that staff have received training and are familiar with the escalation system. Casual staff work across all areas of the hospital and are required to complete relevant core training. Staff Development Nurses and CNSs are available to support staff in ED.
(f) Yes. A clinical nurse consultant has been identified to provide leadership of recognising and responding to deterioration.
Use of the ESCALATION system is incorporated into education and training programs offered on induction, local area orientation and ongoing continuing education programs.
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