Bangkok PPLS-TTT 2019 report (August 19th – 20th, 2019)
This event composed of 3 courses; 1) ASPA Perioperative Life Support (PPLS) workshop on August 19th, 2019 2) PPLS train-the -trainer (TTT) workshop on August 20th, 2019 and 3) Nursing perioperative life support course on August 20th, 2019.
This PPLS-TTT was organized by the Royal College of Anesthesiologist of Thailand and Department of anesthesiology, Faculty of Medicine, Siriraj hospital at Siriraj Medical Simulation of Education and Training (SiMSET) and Siriraj Training and Education Center for Clinical Skills (SiTEC) in Bangkok.
After a successful Bangkok PPLS workshop in 2018 in collaboration with the 18th ASPA meeting, the Royal College of Anesthesiologist of Thailand pursued their wish to improve quality of care and safety in pediatric anesthesia in Thailand by holding this workshop event in 2019. All participants in this PPLS-TTT workshop were representatives of almost all of medical school faculties all over Thailand where anesthesiology residency trainings take place. And they would subsequently organize PPLS workshop for their anesthesia resident under supervision of the Royal College of Anesthesiologist of Thailand in near future.
Beside the PPLS-TTT workshop, Professor Agnes Ng also set up the Nursing perioperative life support course as a half day program on August 20th, 2019. The purposes of this nurses workshop were 1) to increase boundary of training into other medical professionals as perioperative nurses and 2) to provide opportunity for TTT students for their teaching practice under direct observation by the ASPA’s PPLS facilitators.
The results and feedbacks of each workshops were reported as below.
The ASPA PPLS workshop
There were total of 34 participants (32 anesthesiologists and 2 nurse anesthetists) in this workshop. There were 32 feedbacks retrieved from the participants.
There were total of 34 participants (32 anesthesiologists and 2 nurse anesthetists) in both workshops. There were 32 feedbacks retrieved from the participants. All of them either agree or strongly agree that workshop content was comprehensive, and every talk and skill stations were relevant to their work. They also PPLS is useful for clinical work and would recommend this workshop for medical and nursing staff involved in perioperative care of children. They all agreed and strongly agreed that the speaker communicated effectively. However, there was one comment on video clip that had “a lot of noises’ which made the conversation difficult to follow. Six participants commented as this one-day workshop program was too long and they’d rather have a two-day program instead.
The TTT workshop
Participants were the same group as the PPLS workshop’s. Twenty three of 34 feedbacks stated that they strongly agreed and agreed that all topics in this workshop would enable them to instruct in PPLS workshop. They liked the interactive format in a small group practice. However, there were some area of improvement as they would like to have a formal schedule in advance in order to prepare their assigned teaching topics, and they wished to have more time for this course as well. Moreover, there was some language barrier between Thai students and English-speaking instructors. Although Thai students can understand English very well, but using English for communication is still a problem in some students. Therefore, some students could not reach the most of their potentials due to this limitation.
Since this group of student had no advance notice that ASPA membership was mandatory for being a PPLS instructor, some of them who were not pediatric anesthesiologists did not apply for ASPA membership. Therefore, they cannot receive TTT certificate according to this rule. However, there were 19 ASPA applicants from this workshop.
The Nursing Perioperative Life Support Workshop
Fourteen Fifteen nurses (109 nurse anesthetists, 3 operating room nurses, 21 PACU nurse) participated in this half-day workshop. Most of them agreed or strongly agreed on the workshop content, talks, and skill stations. All of them agreed or strongly agreed that the workshop was useful for their clinical practice and would recommend this workshop for medical and nursing staff involved in perioperative care of children. One participant commented that they prefered using Thai language and another participant would like to have extended program.
We initiated this nursing workshop only about 2 weeks ahead of actual date. Thirteen Eleven of 1415 participants were local nurses from Siriraj hosptial. The instructors in this workshop were 10 TTT students who volunteered to teach. Six of 10 Thai instructors agreed or strongly agreed that this teaching experience provided benefit for them. Seven of 10 Thai instructors stated that their overall satisfaction were at high level, the rest gave neutral level. They also commented that they wished to have a nursing course schedule in advance so that they can make better preparation. They also wished to practice teaching in various stations, prefer teaching in Thai language, and would like to have feedback from the ASPA instructor on all of their teaching sessions.
All participants joined these workshops with no registration fee. Almost entire expense covered by Baxter Heathcare Thailand. We supported accomodation, travelling between hotel and workshop venues, and airport transfer for ASPA’s PPLS instructors.
Our future plan for pediatric perioperative life support training in Thailand is to extend this course into anesthesia society in Thailand by 1) introduce PPLS course into level of anesthesia residents and subsequently replace PALS training or make PPLS as mandatory for Thai board of Anesthesia 2) introduce PPLS course in annual meeting of the Royal College of Anesthesiologist of Thailand for continuing education among general anesthesiologists and nurse anesthetists.
We would like to thank Professor Agnes Ng and all ASPA’s PPLS instructors for making invaluable contribution of this PPLS-TTT course in Thailand. We will follow ASPA’s mission as to provide safety in pediatric anesthesia in Thailand and our region.