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Specialised IDEM training module for Emergency Care Clinicians

Aim

To extend and enhance the IDEM training for emergency care clinicians provided in the interdisciplinary foundation module by developing a specialist IDEM training module for emergency clinicians, covering syndromic presentation of infections, safe triage, basic epidemiology, initial and advanced case management, advanced incident management and response, psychological effects of traumatic events, alerting mechanisms and communications skills, for use in the onsite training course at INMI and wider dissemination via the ETIDE website events.

Specialised IDEM training module for Emergency Care Clinicians
Knowledge/Learning Objectives
Topic	The Trainees should be able to identify/explain/describe
Advanced Incident Management	Process of a qualitative risk assessment Principles of risk management The need for effective alerting mechanisms and chains of command Roles and responsibilities within an incident of both internal and external agencies Sources of local and national epidemiological data Principles of outbreak recognition including identification of unusual clustering Sources of advanced technical advice including national and international guidelines Effective management of surge capacity including capacity to cope with increased number of acute admissions and personnel Mass management of patients Recognition of false emergencies The importance of business continuity (maintenance of regular health care services)
Syndromic presentation, clinical management & differential diagnosis	Basic epidemiology of differing agents (Agents yet to be decided) Modes of transmission by agent Clinical presentation of different agents Principles of advanced investigation including differential diagnosis Clinical management options Identification of appropriate clinical specimens Effective pre and post prophylaxis New and evolving algorithms in the recognition and treatment of differing agents Appropriately handle human remains, addressing safety, psycho-social and forensic needs
Principles of infection control and transmission prevention	Fundamentals and rationale for isolation precautions in a hospital setting National and international guidelines for the selection and use of PPE Efficacy and selection of PPE in different environments and with different agents Standard precautions including Respiratory hygiene/cough etiquette in healthcare settings Empiric use of transmission based precautions: Airborne, Droplet, Contact Collective and individual measures for prevention of occupational infections Suitability and adaptation of existing space for airborne infections and respiratory isolation Update on design of isolation rooms: positive-pressure lobbies and low-velocity airflow Safe management of the site: infection control, people movement and clinical waste management Transport of victims as required, considering potential contamination risks Post-exposure protocols for healthcare workers
Safe sampling and handling techniques	Safe sampling techniques Safe packaging, labeling and transportation for category A infectious substances (European legislation) Best practices for correct documentation Decontamination techniques
Psychological effects	Psychological impact of a biological incident on victims and health care professionals Psychosocial stress responses to a critical event Impact of psychological and emotional factors on behaviour within specific groups e.g. children, the elderly, immigrants etc Appropriate interventions to prevent and mitigate negative psychosocial impact of a biological incident Awareness of the positive psychosocial impacts of a biological incident
Communication skills	Maintain and help facilitate effective, reliable and clear communication with staff, victims and the general public Interact with appropriate agencies and organizations involved in responding to an incident Importance of developing a ‘pre-event’ message content for a range of biological incidents and scenarios to reduce fear and avoid panic Use of clear messages and plain language when dealing with the public