Rapid sequence intubation: a survey of current practice in the South African pre-hospital setting
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Abstract Background Rapid sequence intubation (RSI) is an advanced airway skill commonly performed in the pre-hospital setting globally. In South Africa, pre-hospital RSI was first approved for non-physician providers by the Health Professions Council of South Africa in 2009 and introduced as part of the scope of practice of degree qualified Emergency Care Practitioners (ECPs) only. The research study aimed to investigate and describe, based on the components of the minimum standards of pre-hospital RSI in South Africa, specific areas of interest related to current pre-hospital RSI practice. Methods An online descriptive cross-sectional survey was conducted amongst operational ECPs in the pre-hospital setting of South Africa, using convenience and snowball sampling strategies. Results A total of 87 participants agreed to partake. Eleven (12.6%) incomplete survey responses were excluded while 76 (87.4%) were included in the data analysis. The survey response rate could not be calculated. Most participants were operational in Gauteng ( n = 27, 35.5%) and the Western Cape ( n = 25, 32.9%). Overall participants reported that their education and training were perceived as being of good quality. The majority of participants ( n = 69, 90.8%) did not participate in an internship programme before commencing duties as an independent practitioner. Most RSI and post-intubation equipment were reported to be available; however, our results found that introducer stylets and/or bougies and end-tidal carbon dioxide devices are not available to some participants. Only 50 (65.8%) participants reported the existence of a clinical governance system within their organisation. Furthermore, our results indicate a lack of clinical feedback, deficiency of an RSI database, infrequent clinical review meetings and a shortage of formal consultation frameworks. Conclusion The practice of safe and effective pre-hospital RSI, performed by non-physician providers or ECPs, relies on comprehensive implementation and adherence to all the components of the minimum standards. Although there is largely an apparent alignment with the minimum standards, recurrent revision of practice needs to occur to ensure alignment with recommendations. Additionally, some areas may benefit from further research to improve current practice.Keywords:
Snowball sampling
Scope of Practice
Clinical Governance
In the modern economic scenario all over the world – “Management” – as a stream of education has acquired new dimensions. Summer Internship, which is a supervised practical training undertaken by students is an integral part of management education (John E B and Hendrik H, 2006). Despite the increasing use of internship in B-Schools, there is a dearth of research into the impact of such internship on management students. The research paper aims to elicit the impact of summer internship on management students: what they learnt out of it in terms of acquiring career related skills and how the internship helped them to see a realistic picture of their future career expectations. A sample of 100 management students who have completed 6 weeks summer internship was taken from the city of Ahmedabad. The interns reported a number of significant learning outcomes of which the most significant were time management skills, ability to interact with different kinds of people followed by ability to work independently with greater sense of responsibility. The students believed that learning outcomes would support their future professional development and the internship had prepared them for their first job.
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Is an internship required for a successful career in human factors/ergonomics, or does it add little to your career potential? This question has long been a source for discussion among graduate students. The panel will address the value of internships, their advantages and disadvantages, along with ways to get the most out of an internship. Panelists were selected based on their experience as either internship sponsors (Andre, North) or interns (Wickham, Spain).
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This study examines 364 tertiary students’ internship learning effect and its influencing factors to serve as a school reference for the development of internship education measures. The results show that students’ internship self-efficacy (ISE) has a significant direct effect on ‘internship learning effect (ILE)’, and ‘internship awareness (IA) ‘has a significant effect on ‘internship learning effect’ through ‘internship self-efficacy’. The influence pattern and empirical data of ‘internship awareness ‘and ‘internship self-efficacy ’ on ‘internship learning effect’ has a good fit.
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Internship is of great importance for the education of college students, and most students hold the positive attitude towards internship.In the way of internship, diversified internship is more acceptable for students; from the perspective of internship time, students hope that the college takes the actual needs of different students into account with the combination of independent internship and unified arrangement of the college; As for content, students are more willing to accept the combined internship way of project, survey and post, which means that there is a diversified intention mode in the internship issue of college students.
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In-school internship of secretarial specialty is a positive and effective internship method.Based on the practice and problems in the internship,it is proposed that internship section be selected carefully,correct internship concept be set up by the students.Process management and evaluation can ensure the internship effect.
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Dinggang internship has the reality of its working post,the complexity of working environment,and the integration of working experience,so students of internship can get full exercise when they fulfill all responsibility for their post of internship,which plays an irreplaceable role in the process of talents' training.The exam evaluation is very important for students' Dinggang internship.Therefore,this paper makes reform on it.The practice proves that the new measure and mode is very effective to increase the quality of Dinggang internship.
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Internship has been applied widely for a lot of university, high school and so on. Recently, there are many kinds of internship, for example, term, place and job. Nihon university prepares internship as a technical lecture, and students meet the work on mechanical engineering in the company more than two weeks. In short, they work as well as employee, and experience practical internship. As a result of this internship, it could not reduce the number of students who worries about working. However this internship could notice their poorness even though they attend passively. Additionally it was revealed that students who experienced practical internship try to improve their ability before getting a job.
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Pelvic health and pelvic floor dysfunction have wide-reaching implications across a range of patient groups. Placing ultrasound imaging into the hands of assessing and treating clinicians (i.e. point of care ultrasound, PoCUS) can provide a step change in clinical effectiveness and efficiency. Pelvic floor dysfunction is managed by one or more members of a multi-disciplinary team that includes physiotherapists. Physiotherapists' involvement includes diagnosis, patient education, identifying shared treatment goals, using rehabilitative strategies and empowering patients through self-management. Drawing upon existing publications in this area and applying framework principles, the authors propose a clinical and sonographic scope of practice for physiotherapists as part of supporting the consolidation and expansion of pelvic health PoCUS. Education and governance considerations are detailed to ensure the robust and safe use of this modality. Alongside empowering the use of ultrasound imaging by clinicians such as physiotherapists in the UK and internationally, we provide clarity to other members of the care pathway and ultrasound imaging professionals.
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