Training activity information
Details
Set up and assist ECCOR to include:
- Review of access options
- Assistance with set up
- Preparation
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
Considerations
- Equipment is fit for purpose
- Prescription for the intervention
- Infection control
- Contraindications
- Risk management
- Continuous monitoring
- Patient centred care and support
- Communication with patients, relatives and the clinical team
- Top up education for bedside healthcare professionals
- Safe storage of drugs
- First line maintenance
Reflective practice guidance
The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.
Before action
- Specifically, what are the intended outcomes regarding the review of access options, assistance with set up, and preparation for ECCOR?
- What is your understanding of the principles of ECCOR, its indications, contraindications, and the different vascular access options?
- Are you familiar with the components of the ECCOR system used in your clinical area and the steps involved in its set up and preparation?
- What is your role and the responsibilities of other team members during ECCOR set up and initiation?
- What aspects of ECCOR set up and preparation do you hope to understand better, such as the rationale behind different access choices or the sequence of connecting the circuit?
- How does ECCOR relate to conventional mechanical ventilation and other organ support therapies?
- Discuss this training activity with your training officer and any other relevant colleagues who have experience with ECCOR. Understand the specific case (if applicable) and your expected tasks.
- Consider potential challenges that might arise during the review of access options or the set up process, such as equipment availability or technical difficulties. How can you prepare for these?
- Review any available protocols, diagrams, or training materials related to ECCOR in your department.
In action
- What is your involvement in reviewing access options for ECCOR? What factors are being considered? What are the specific tasks you are performing while assisting with the setup and preparation of the ECCOR system. What is your understanding of the roles of other team members involved?
- Are there any complexities in the access options that are being discussed or encountered during setup? How are you ensuring all components of the ECCOR system are correctly assembled and prepared? What checks are being performed, and what is your role in this process?
- If there are challenges in securing access or with the equipment setup, what alternative approaches are being considered? How are you communicating and coordinating with the team to resolve any issues?
On action
- Describe the process of reviewing access options for ECCOR and the factors considered. What were your specific roles and responsibilities while assisting with the setup and preparation? What interactions and communication did you observe or participate in with other team members?
- What did you learn about the different access options for ECCOR and their implications? Did you gain a better understanding of the components and setup process of the ECCOR system? What did you learn about teamwork and communication in this complex procedure? How did your understanding of preparation steps for ECCOR develop?
- What aspects of access review or system setup would you like to learn more about? How will you improve your communication and teamwork skills in similar situations? What further training or involvement in ECCOR procedures would you seek?
Beyond action
- With increased exposure to critical care, do you now have a better understanding of the indications and complexities of ECCOR? Have you observed or participated in the full ECCOR procedure or the management of patients on ECCOR? How did your initial assistance relate to these later experiences? Reviewing your reflect-on-action notes, what aspects of access options or setup now seem more critical than you initially realised?
- Has this DTA enhanced your appreciation for the multidisciplinary teamwork required for complex interventions like ECCOR? Have you been able to apply your understanding of the principles of ECCOR in other areas of critical care support? How has this experience contributed to your ability to prepare for complex procedures and understand the importance of each step?
- What transferable skills (e.g., understanding complex physiological support systems, teamwork under pressure, preparation for high-acuity situations) were developed? What are your future learning goals regarding extra-corporeal therapies and their application?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 5 |
Outcome
Set up, apply and manage a range of adjunct ventilation therapies. |
| # 6 |
Outcome
Assess clinical and technical issues with ventilators and troubleshoot accurately. |