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FREAC-­‐Out Founda&on year Recommended Experience And Competencies with OUTreach Dr Douglas Crocke., Dr Amanda Mohabir FRCA, Dr Kathleen Swalwell Dr Helen Gilfillan FRCA, Dr Marc Davison FRCA
1Anaesthe&cs Department, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust Introduc)on Founda&on year Recommended Experience And Competencies with Outreach (FREAC-­‐Out) is a novel pilot programme devised and sustained by the Anaesthe&c department at Buckinghamshire Healthcare NHS Trust. It aims to inves&gate whether placing founda&on year one (FY1) doctors in a cri&cal care outreach team (CCOT) increases their familiarity with and ability to manage the acutely unwell pa&ent. Methods Results • 
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7 x FY1 doctors One week placement with the CCOT Supervised by senior outreach nurse Support from consultant anaesthe&st • 
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Provision of handbook FY1 curriculum mapped objec&ves • 
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Pre-­‐ & Post-­‐ interven&on ques&onnaires Self-­‐appraisal of specific domains to assess confidence in recogni&on & management of the acutely unwell pa&ent • 
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Posi&ve feedback from all stakeholders FY1’s – beneficial experience worth recommenda&on to colleagues CCOT – FY1’s add value to the team CCOT placement now part of all FY1 rota&ons within the trust. Extension of project to include: •  use of the Na&onal Early Warning Score (NEWS)2, •  sampling from central venous catheters, •  prepara&on and administra&on of intravenous an&bio&cs in line with the sepsis care bundle3. Integra&on of FY1’s into the CCOT is novel. It is hoped that it will be adopted by other service providers and lead to improved pa&ent safety on the wards. References 1. 
The Founda&on Programme. (2014, August). Founda'on Programme Acknowledgements • 
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. Discussion Results Figure 1: Graph of pre & post placement mean responses with standard errors
SR Julia Phillips The CCOT at Stoke Mandeville Hospital Mr Geraint Jones (CCOT Physiotherapist)
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Curriculum 2012. Royal College of Physicians. (2012). Na'onal Early Warning Score (NEWS) Standardising the assessment of acute-­‐illness severity in the NHS. Royal College of Physicians. Dellinger RP, L. M. (2013). Surviving Sepsis Campaign: Interna&onal guidelines for management of severe sepsis and sep&c shock: 2012. Crit Care Med(41), 580-­‐637.