Development of emergency medicine and critical care masters program for nurses at Addis Ababa University, School of Medicine.

BACKGROUND: In Ethiopia, though all health care facilities have rooms available for ill and injured patients, emergency care has always remained suboptimal. Poor organization, lack of properly trained staff and lack of timely identification of the critically sick are the reasons. The role of nurses in the emergency rooms is very vital to im- prove patient survival. To address this pressing health care need and improve the emergency rooms (ER) nursing care, Addis Ababa University School of Medicine (AAU-SM) prioritized Emergency Medicine and Critical Care Nursing Training Program. The initial training began in September 2010 with a class of 20 students. Of these, 18 nurses successfully completed the Emergency Medicine and Critical Care Masters of Nursing program and graduated in 2012. OBJECTIVES: To review the Emergency medicine and Critical Care Masters training program for nurses developed and implemented at AAU-SM in partnership with the University of Wisconsin (UW) and the University of Toronto (UT) and to evaluate the progress and challenges to date. METHODS: An Emergency Medicine Task Force (EMTF) organized at AAU-SM developed a two years modular type of EM and Critical Care masters program curriculum for nurses that is co-implemented by faculty teachers from AAU-SM, UT and UW. In this article both the curriculum and other relevant materials are used as a resource. RESULTS: Thirty eight nurses have already graduated with Masters in Emergency Medicine and Critical Care. Equal number of trainees are currently in full-time training. Their skill and competency log book is going according to the curriculum expectation. CONCLUSION: This EM and Critical Care masters training program for nurses is successfully implemented. This program has also shown that the number and qualification of trained personnel capacity in low resource setting health care system can be effectively improved by partnership with developed training institutions.

Office preparedness for pediatric emergencies: baseline preparedness and the impact of guideline distribution.

OBJECTIVE: To determine the baseline level of preparedness of Wisconsin primary care physician offices for pediatric emergencies and to assess the impact of mail distribution of guidelines on this level of preparedness. METHOD: Preintervention surveys were mailed to all Wisconsin physicians requesting information about pediatric equipment, medications, training, and policies. Guidelines were distributed by mail to all physicians who returned completed surveys. An identical postintervention survey was mailed to these physicians, and an analysis of the paired surveys for each respondent was performed. RESULTS: Baseline preparedness of 1051 Wisconsin physician offices ranged from 37% with intraosseous needles to 96% with albuterol solution for inhalation. Physician certification in pediatric advanced life support was required in 26% of offices. A total of 568 paired preintervention and postintervention surveys were analyzed. Improvements were identified for the availability of equipment and medications, transport policies, and reference guides. CONCLUSIONS: Mail distribution of guidelines was minimally effective in improving the preparedness of Wisconsin offices for pediatric emergencies.