ECMO Team host interesting day for referring hospitals
March 08, 2017
Hospital to Home

On the 26th January 2017, the Extracorporeal Membrane Oxygenation (ECMO) team from Royal Brompton Hospital Adult Intensive Care Unit (AICU) held an event at the Majeski Stadium in Reading. The event hosted over 60 multidisciplinary attendees, from across South West England and Wales that refer patients to Royal Brompton with severe respiratory failure for ECMO.

The aim of the day was to provide all teams involved in caring for patients with Severe Acute Respiratory Failure with an in depth guide into the journey that a patient who is referred and accepted for ECMO experiences. The day started with how to identify patients with worsening respiratory failure who may be suitable candidates for ECMO and the processes involved in retrieving and caring for a patient on ECMO from an inter-professional perspective.

Following on from this, Royal Brompton Specialist Physiotherapists, Trudi Scott and Jo Arnold, discussed what is involved in the mobilisation of ECMO patients whilst they are on ECMO but also the ongoing problems that patients face after receiving ECMO with their recommendations for rehabilitation. Dr Amy Chan-Dominy, AICU Consultant and Francia Rabanillo, AICU and Follow up Lead Nurse, finished the day by discussing the issues experienced by patients after discharge and the role of the Follow up Clinic run by the AICU. The day ended with an emotional talk from an ECMO survivor about his personal journey and experiences, which was the highlight of the day for all those attending.

Becky Langley, Pathway Implementation Lead, and Jo Keating, Education Lead and Project Manager, from the Hospital to Home Engagement and Implementation Team attended the day. Becky presented and introduced the ECMO patient journey and described how the web-based pathway improves the communication between referring hospitals and the ECMO centre facilitating more robust and rigorous handovers throughout the patient journey. This was an excellent forum to engage with those that refer patients to Royal Brompton Hospital to show them the benefits of the pathway not only at the point of referral but throughout the whole journey.

Becky and Jo were also available throughout the day to answer any questions. They exhibited the pathway with the use of tablet computers which allowed attendees to practice accessing and using the pathway. The questions and feedback from referrers were interesting, positive with a number of them having used the pathway recently.

Becky will be submitting an abstract to the British Association of Critical Care Nurses conference that will be held in September 2017 to share the implementation of the web-based pathway into practice over the past year.