Saturday, 11 November 2017

Paediatric Inter-Hospital Retrieval!

I've been racking my brain for a few weeks now as to what I should do my dissertation topic on. I don't want to get too excited in case I can't find enough literature out there to make it work, but I think I've chosen on a subject area! I'm interested in doing my dissertation on parental experiences of their child being retrieved from a hospital to a paediatric tertiary centre.

I'm interested in emergency situations and critical care, and there are a few times I've seen transfers that have seemed like a complicated, scary otherworld, but also really interesting. I remember my first ever placement in first year on the ward, and there was a young child who was very unwell and was being intubated and stabilised prior to retrieval, and the parents were sat there watching (and obviously very anxious). I was there to help the nurse I was with doing regular obs while she administered all the medications and fluids the child required, but I was very conscious of the fact the parents were watching and not really knowing what was going on. This was really obvious to me in regards to the fact I didn't know what was going on. If the situation happened to me now I know enough that I'd be able to talk through some of the things that are happening, but back then I was only just getting to grips with observations - and intubation, catheters, all the medications, the way a hospital works etc. were very foreign to me! That lack of knowledge annoyed me as that's why I didn't go over and explain what was happening (and there were members of staff that periodically updated them, but it would have been great to have someone sit with them during the process), and the basis of why I'm interested in this experience.

Since then I've seen only a couple of other retrievals, both very different as one was on the ward and another was a neonatal transfer. The inter-hospital environment seems like a very unique one, and not one I'd really put much thought into before mind-mapping all the different things that interested me for my dissertation.

So - more literature searching needs to be done, alongside planning for my mock next week, the other essay I need to start and a simulated scenario the week after next!

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