The Education Hub - Conversation with the experts

CWTE: Weaning feeding tubes

Rachael Martin is a Dietitian and Sarah James is a Speech Pathologist who work at the Royal Children’s Hospital. They have both worked in the area of paediatric feeding for over 18 years. Rachael and Sarah share with us their experience with supporting children and their parents to wean their tube feeds and their thoughts on the best approach.

CWTE: Managing Burns in the Early Stages

Kathy Bicknell is a burns clinical nurse consultant working at The Royal Childrens Hospital in Melbourne. Today we will be discussing the key considerations regarding burns in paediatrics. Kathy highlights the main points when managing burns in the early stages to ensure optimal outcomes for those who are injured.

CWTE: Nursing Evidence Influencing Quality of Care

In today’s podcast we’re fortunate to chat once again with Professor Fiona Newall on how nursing research and evidence can improve the quality of care we deliver to our patients. In our previous episode we talked about using the evidence in our practice so today, we further explore HOW this evidence changes the nursing care that we deliver to patients and their families.

CWTE: Nursing Evidence in Practice

Using evidence in nursing practice is not a new concept. However, the practicality of embedding new evidence into practice is sometimes easier said than done. Today for our 2nd podcast with Professor Fiona Newall, we explore the challenges of recognising ‘good’ evidence for nurses, whether Google is a good idea and what not to do.

CWTE: Building a Culture of Enquiry

How do you create a culture of enquiry within your workplace? In today’s episode Professor Fiona Newall, Director of Nursing Education and Research at the Royal Children’s Hospital chats with us about developing the enquiring nurse’s mind and “Tested or Tradition.” What is “Tested or Tradition”, you say? Have a listen to find out more.

CWTE: Post Traumatic Amnesia

Jill Fitzgerald is an Occupation Therapist at the Royal Children’s Hospital with an interest in Post Traumatic Amnesia (PTA). Jill shares with us her knowledge of PTA and why health professionals should be aware of when a child is in PTA.

CWTE: Managing seizures in the emergency setting

Dr Nadine Sharples is a Paediatric Emergency Physician & General Paediatrician at The Royal Children’s Hospital here in Melbourne.In addition to working as an ED consultant, Nadine is a director of emergency training, and is actively involved in teaching our new doctors.Today, we will be gaining Nadine’s insight discussing the key priorities to managing seizures in the paediactric emergency setting.Referenceshttps://www.rch.org.au/clinicalguide/guideline_index/Febrile_seizure/ https://www.rch.org.au/clinicalguide/guideline_index/Afebrile_Seizures/ https://dontforgetthebubbles.com/first-afebrile-seizure/ https://dontforgetthebubbles.com/seizures-module/

CWTE: Triaging Children

Kim Price and Tyler Hyndman are Clinical Nurse Educators in the Emergency Department at the Royal Children’s Hospital. When it comes to the art of triaging children, they are no strangers to the challenge. In this episode we draw on Kim and Tyler’s expertise on how to identify a sick child, resources they recommend and communicating with parents and guardians.Resources:Emergency Triage Education Kit - Chapter 8: Paediatric Triage (starts on page 75 of the PDF)https://www1.health.gov.au/internet/main/publishing.nsf/Content/387970CE723E2BD8CA257BF0001DC49F/$File/Triage%20Workbook.pdfEmergency Triage Education Kit Quick Reference Guidehttps://www1.health.gov.au/internet/main/publishing.nsf/Content/387970CE723E2BD8CA257BF0001DC49F/$File/Triage%20Quick%20Reference%20Guide.pdf RCH Allied Health and Nursing Education Outreach Program webinars https://learn.rch.org.au/course/view.php?id=9Don't Forget the Bubbleshttps://dontforgetthebubbles.com/

CWTE: Chronic Pain

Blaise Doran is a physiotherapist who has been working for the Royal Children’s Hospital Children Pain Management Service for over 8 years. In this episode we will be exploring Blaise’s thoughts around the assessment and treatment of chronic pain (or as you will hear Blaise talk of it - persisting pain) in children and adolescents.

CWTE: Paediatric sepsis

Dr Elliot Long is a paediatric emergency physician at the Royal Children’s Hospital and has recently completed his PHD on the topic of fluid resuscitation in sepsis. In this episode we will be exploring Elliot’s insights to navigating the tricky world of recognising and managing sepsis while working in a busy emergency department.Resources:Sepsis flowchartSepsis CPG RCH:https://www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/Unwell neonate: https://www.rch.org.au/clinicalguide/guideline_index/Recognition_of_the_seriously_unwell_neonate_and_young_infant/Fever and suspected or confirmed neutropenia: https://www.rch.org.au/clinicalguide/guideline_index/Fever_and_suspected_or_confirmed_neutropenia/

CWTE: STIC, a framework for teaching when time is limited

This episode we will be discussing STIC, a framework for teaching when time is limited. Dr Amy Gray, a consultant paediatrician in the department of general medicine at The Royal Children’s Hospital with a focus on medical education and global health joins us to explain the framework.Resources:Medical education: STIC frameworkhttps://www.rch.org.au/meded/projects/sticaframeworkforteachingwhentimeislimited/ STIC Training for doctorshttps://www.rch.org.au/uploadedFiles/Main/Content/medicaleducation/STIC%20for%20training%20doctors.pdf One minute preceptorhttp://enhancingmeded.com/primed/#modal-text-02-a Active observationhttp://enhancingmeded.com/primed/#modal-text-02-b Teaching to different levels of learnershttp://enhancingmeded.com/primed/#modal-text-02

PP: Pneumonia - when to check inflammatory markers?

Long gone are the days when CRP and procalcitonin levels were ordered on most patients. But when might they still be good to order? Today's article could be used when discussing improper ordering with your team or referring colleagues. It may also help families understand why choose not to test a child's inflammatory markers when the diagnosis is certain.For the written summary of this paper and link to the original paper, please visit the Paediatric Papers websitePODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

PP: Reflux - PPIs, antibiotics & allergies

A retrospective study has found that prescribing infants either acid-suppressant medicines or (even short courses of) antibiotics, may significantly increase their risk of developing allergic diseases. It provides us with some food for thought when prescribing these medicines and is a useful article to share with families when explaining your prescribing rationale.For the written summary of this paper and link to the original paper, please visit the Paediatric Papers websitePODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

PP: Bronchiolitis - when to use high-flow?

This episode examines how a systematic review of the new research around bronchiolitis and the use of high-flow therapy has shaped what we do on the wards. When do we use it? How long is a 'trial of low flow' therapy? Why don't we use high-flow therapy straight away when a child with mild or moderate bronchiolitis presents to the Emergency Department?For the written summary of this paper and link to the original paper, please visit the Paediatric Papers websitePODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

PP: UTIs - when to do a lumbar puncture?

This week we examine a large retrospective study from the US that looked at how often (or infrequently) well-looking febrile infants are found to have UTIs and meningitis. This article has helped mould our rubric for investigating infants with PUO (fever of unknown origin).For the written summary of this paper and link to the original paper, please visit the Paediatric Papers websitePODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

PP: COVID-19 - don’t miss the associated inflammatory syndrome

Welcome to the first episode of the Paediatric Papers segment of our podcast! This week we delve into a case series of children with COVID-19 who developed the Paediatric Inflammatory Multisystem Syndrome - Temporally associated with SARS-Cov-2 (PIMS-TS). The article arms us with information on how to not-miss the syndrome and ways to distinguish it from other, very similar, conditions.For the written summary of this paper and link to the original paper, please visit the Paediatric Papers websitePODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: How to communicate with pre-schoolers

Honesty is the key to communicating with toddlers and children. This episode covers useful strategies for talking to toddlers truthfully about their illness, asking and answering questions, acknowledging their feelings and listening.Associate Professor Brigid Jordan is a social worker and infant mental health clinician, educator and researcher. Her research focus is the impact of early life stress on the health and mental health of infants. She has had a key role in developing the clinical field of infant mental health in Australia, and has served on the Board of Directors and Executive Committee of the World Association for Infant Mental Health.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Normal infant crying, sleeping and feeding behaviours

Crying, sleeping and feeding are normal infant behaviours, so what are the signs that there might be a problem? Associate Professor Brigid Jordan and Dr Emily Littlejohn discuss this question and more about abnormal behaviour, the impacts on babies and their parents, and how healthcare workers can help.Brigid is a social worker and infant mental health clinician, educator and researcher. Her research focus is the impact of early life stress on the health and mental health of infants. She has had a key role in developing the clinical field of infant mental health in Australia, and has served on the Board of Directors and Executive Committee of the World Association for Infant Mental Health.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Hospitalisation from a toddler’s point of view

The emotional development of our youngest patients can be disrupted by hospitalisation. In this episode, A/Prof Brigid Jordan provides us with a framework for understanding how toddlers react to illness, and explores the difference between tolerable stress and trauma.Brigid is a social worker and infant mental health clinician, educator and researcher. Her research focus is the impact of early life stress on the health and mental health of infants. She has had a key role in developing the clinical field of infant mental health in Australia, and has served on the Board of Directors and Executive Committee of the World Association for Infant Mental Health.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Infant emotion and behaviour dysregulation

This is the first episode of a four part series on infant mental health, with expert guest Associate Professor Brigid Jordan AM interviewed by Dr Emily Littlejohn. The series covers the principles of emotional development of patients in the 0-5 age group, how this can be disrupted by hospitalisation and how we can support the mental health of our patients and families. Brigid is a social worker and infant mental health clinician, educator and researcher. Her research focus is the impact of early life stress on the health and mental health of infants. She has had a key role in developing the clinical field of infant mental health in Australia, and has served on the Board of Directors and Executive Committee of the World Association for Infant Mental Health.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).