Clinical

3.6 million and counting: Victoria’s Newborn bloodspot screening program – recent innovations and future directions

Victoria’s newborn bloodspot screening (NBS) program commenced in 1966 with screening for phenylketonuria, and from the early 1970’s close to 100% of newborns were being screened. Improvements in analytical and genetic testing technologies saw the successive introduction of screening for congenital hypothyroidism, cystic fibrosis and 22 metabolic conditions. Today, Victoria’s NBS program detects about 80 babies per year with these conditions, preventing life-long debilitating outcomes and even death.

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Utilising simulation to improve organisational safety and processes

Traditionally being considered a method for training healthcare professionals in basic and advanced life support, Simulation Based Education in healthcare has grown over the past 30 years and is now recognised to be effective in many other aspects of healthcare training. Focusing on enhancing patient safety, simulation initially concentrated on clinical procedural skills training and immersive deteriorating patient simulations, as well as simulations to enhance communication between staff and with patients and their families.

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Exploring the Role of the Nurse Ethicist

The Royal Children’s Hospital Children’s Bioethics Centre has recently appointed the first Bioethics Clinical Nurse Consultant, Dr Jenny O’Neill. In this Grand Round, we introduce Jenny, and explore the role of the nurse ethicist and the value they can bring to a healthcare service.  We will highlight the unique perspective that a nursing background brings to ethical deliberation and clinical ethics consultation.

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The RCH Advanced Heart Failure Programme: Heart transplantation and ventricular assist devices

Over recent years the number of children with advanced heart failure from cardiomyopathy and congenital heart disease receiving treatment has increased considerably. The Royal Children’s Hospital has been the nationally funded centre for heart transplantation in children for 30 years. The RCH heart failure program involves medical, surgical, nursing, allied health and biomedical technology. Successful management of severe heart disease in children requires a detailed understanding of the aetiology, likely disease trajectory and balancing an increasing number of treatment options.

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COVID-19: An Update: What have we learnt over the last 12 months?

Never in the field of health was so much learned by so many in so few months. This Grand Round will recap the lessons from last year, take stock of where we are in February 2022, describe the complex situation with vaccines, and look to what the year might hold for the pandemic and children in Australia and countries around the world. 

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Clinical Incident Investigations – Reporting, Investigating, and Improving

We come to work each day to do the very best for our patients, however in some instances, patients are harmed by the care that was intended to help them.  Such clinical incidents affect not only the patients and families, but also the well-intentioned staff.  Problems are confounded if information is not provided and there are gaps in learning and improvement. In the busy clinical environment, incidents may be discussed but not thoroughly investigated to understand what happened and why. 

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Double agents: adventures as a clinician and scientist

Through a significant contribution from the RCH Foundation, the Clinician Scientist Fellowship program supports doctors, nurses and allied health professionals to undertake research up to 2 days a week for up to 5 years. The Fellowship enables talented, clinically qualified professionals who have gained a higher research degree to pursue academic research alongside clinical practice.

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