Recognising and responding to clinical deterioration

Train senior staff to use early warning score (EWS)
Complete the four physiological readings (systolic blood pressure, heart rate, respiratory rate, body temperature) and one observation (level of consciousness, AVPU)
Use of observation charts in a clinical or residential setting. Included is MEWS, MUST and Waterlow


Train staff in house to dip, record and report
Urinalysis Using Test Strips
Collecting Sample from your patient – Mid Stream Urine
Urine Collection from the Catheter Bag
No touch technique During Urinalysis
How to Perform Urinalysis Test
Urinalysis Data Collection


Define Dysphagia
Understanding the complications of Dysphagia
Identify potential causes
Identify treatments
Management and monitoring


What is anaphylaxis?
Patients demographic anaphylaxis?
Known causes of anaphylaxis?
Recognition and management of anaphylaxis
Adrenalin and common delivery systems

Catheterisation. Male, Female and suprapubic

Define catheterisation
Indications for urinary catheters
Reasons for catheterisation
Male/female anatomy and physiology
Male catheterisation procedure
Female catheterisation procedure
Trouble shooting
Record keeping


What is diabetes?
Diabetic medication
Foot care
Identify types of diabetes
Management of diabetes
Tissue viability
Outcome based care

End of life

Legislation & agreed ways of working
Communication skills
Advance decisions
Skin care
Oral care
Pain management
What is a good death
Epilepsy management and medication
Epilepsy and its known causes
Identify the different types of epilepsy
Protocol of recording and monitoring seizures.
The treatment of epilepsy, including Anti-epileptic drugs.
Seizure management
Health and safety for staff and patient
Practical session on administration of Buccal Midazolam


Anatomy and physiology
Indications for Mitrofanoff
Site care
Insertion and disposal


Indications for PEG
Types of PEG
Anatomy and physiology of the digestive system
Demonstration of administration of feeds and flushes safely
Trouble shooting complications
Practical Assessments

Buccal midazolam

The Administration of Rectal Diazepam
Diazepam and its uses, storage, disposal
Indications for use in epilepsy
Possible difficulties in administration
Side Effects and action in case of overdose
Midazolam and its uses, Storage and disposal
Indications for use in epilepsy
Side effects, consequences of overdose
Ineffective administration
Health and Safety
Risk Assessment

Mechanical Ventilation

Indications for mechanical ventilation
Trouble shooting
Simulated practical assessment

McKinley T34 Syringe driver

Understand roles and responsibilities regarding local policy for medical device management
Understand infusion device, and any associated disposables and accessories
Demonstrate setting up, managing and troubleshooting the pump
Understand rationale for site selection for subcutaneous infusion
Tissue Viability and site management
Drug calculations, diluents and infusion rates

Medication and medication management

Introduction to medication
Storage and dispensing of controlled drugs
Documentation, data protection and record keeping
Administration of medication MAR chart management
Reducing medication errors
Accountability and responsibility
Incident forms

Observations for Support staff

Gain awareness of the national approach and MEWS
Discuss observations in detail and physiological relevance
Consider appropriate escalation response to deterioration and barriers to this
Examine useful communication tools
Consider additional elements relevant to patient care when considering deterioration
Carry out a practical assessment of taking observations and management of case studies

Suction and nebuliser

Identify and demonstrate different types of equipment
Rate and flow
Oral suction with catheter
Yankauer suctioning
Nasal suctioning
Tracheostomy suctioning
Plug removal
Safe practice and rationale


Legal and Professional Consideration
Professional Code of Conduct
Principles of Nursing
The Importance of Interpersonal Skills
Professional Accountabilities
Indications for Tracheostomy
Contraindications for Tracheostomy
Types of Tracheostomy Procedures
Review of Anatomy and Physiology
Anatomical Position of Cuff Tracheostomy
Advantages and Disadvantages of Tracheostomy
Post-Operative Management
Immediate Complications
Early and Late Complications
Different Type of Tracheostomy
Types of Tube
Types of Tracheostomy
Inner Cannula
Fenestrated Tubes
Day to Day Tracheostomy Management
Patient Assessment
Appropriate Equipment
Infection Prevention and Control
Hand Hygiene

Wound care management

Composition of the skin and its functions
Wounds Assessments
Stages of ulcers
Treatment of wounds
Introduction to wound assessment
Grading errors
Wound Management
Composition of the skin and its functions
Wounds Assessments
Stages of ulcers
Treatment of wounds
Deep tissue injuries
Risk factors
Document and record keeping

Venepuncture (Download eBook)

Gain an understanding of the process of venepuncture
Practice safe technique when taking blood
Environment and Best practice, and NSI
Physiology, anatomy
Anatomical site, Veins, arteries, hands and arms
Infection prevention and control
Site assessment and cleansing
Patient safety
Consent, History
Site selection
Selecting appropriate sites with regard to access, practice using different types of tourniquets, using no look feel technique
Practice using anatomical arm, palpitation, tourniquet positioning, quick release
Order of draw.
Which order of draw and reasons for particular assays
Scope and range of practice within a clinical setting. What can I do, when, and how often?
Trouble shooting and managing complications.
Fainting, phlebitis, infections, embolisms, trauma and arterial haemorrhage
Managing a broad range of patients
Introduction to various blood collection systems
Competencies explained
How live competencies are attained in a workplace setting
Become familiar branded selection of tools, enabling you to enter the healthcare sector with confidence
First aid for the phlebotomist
Risk Management – Venepuncture
Pre-Procedural considerations
Safety of the practitioner

Verification of death for nurses

Introduction to verification of death
Key definitions of the verification of death
Professional and legal considerations
Local policies and procedures
Verification of expected death
Verification of unexpected death
Conditions unequivocally associated with death
Procedure for verifying a death
Clinical examination
Care after death
Documentation and record keeping
Role of the coroner and procurator fiscal
Reporting to the health and safety executive
Bereavement support and advice


Please see Stations below to view our courses for competency sign off events.


Identification of parts, assembly and use, fascia board,

alarms, trouble shooting, NIV, IPC, emergency procedure

CPAP, BI PAP, PEEP. AMBU bag, out and about.


Identify tubes, types and sizes, assembly on anatomical model, emergency trachy box, IPC indications, complications, stoma care, tissue viability, rationale.


Identify and demonstrate different types of equipment, IPC, complications, tubing, risk and rationale.


Identify and demonstrate different types of equipment, IPC, complications, tubing, rate and flow, oral suction with catheter, yankauer suctioning, nasal suctioning, tracheostomy suctioning, plug removal, safe practice and rationale.


Identify and demonstrate types of peg, flushing, site complications, malnutrition, medication, anatomy and physiology, assemble PEG, and rationale.


Assembly and demonstration of equipment, medication, cleaning, trouble shooting, tissue viability, risk assessment.


Temperature, respiratory rate, pulse, blood pressure (digital and manual), track and trigger, MEWS, SBAR, diabetes blood test.

Catheterisation. Male, female and suprapubic

Identify all anatomical parts, contraindications, emergency change, flushing, balloon inflation, demonstrate correct procedure for male and female insertion and positioning , bypass , dignity, PSA, autonomic dysreflexia, first aid , rationale.

Bowel management including stoma

Define bowel management and offer rationale, dignity and IPC, contraindications, ME, stoma management, site care. Demonstrate cleaning and application bag to open site, comorbidities and communication.

Cough assist

Full demonstration of equipment and rationale, set machine and position patient, fill in appropriate paperwork, personal space, communication and consent.

Complex Care Training for Care Homes

Complex Care Training for Care Homes

For providers who want admit high value complex needs service users

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