Clinical Observations and Recognizing a Deteriorating Patient  CPD

Course Information

Start DateStart TimeDurationCostCourse CodeApply
12 June 2018 09:30 Half day £90 CS6014 Apply Now

Course Content

This half-day course is intended to be an introduction or an update for staff working as Health Care Support Workers (HCSW's) in a care setting. It has been developed in response to reports which suggest that although HCSW's spend more time at the bedside than registered nurses, they receive significantly less training, education and supervision.

The study session will ensure that you have an understanding of the importance and implications of clinical observations, when they are abnormal and how to respond appropriately.

It will enhance the care you are able to deliver by ensuring your skills and knowledge is maintained, developed and up to date. You will receive a certificate of attendance from City, University of London.

Tutor Info

Tanya Middlehurst has had a long and varied career in A&E, predominantly at Homerton Hospital in East London. While an A&E sister she developed an interest in the management of minor injuries and illness and a significant period of time working as an Emergency Nurse Practitioner followed.

She then became a Lecturer Practitioner in A&E, a post jointly shared between Homerton Hospital and City, University of London. During this time she was the module leader for the post-registration A&E and trauma modules. Following this Tanya became a Nurse Consultant in A&E at Homerton, while continuing to teach at City. During her A&E career she has been an Advanced Life Support (ALS), Paediatric Advanced Life Support (PALS) and Advanced Trauma Care Course (ATCC) instructor.

Her most recent post was as Head of Practice Development at Homerton and is currently a Consultant at City, University of London.

She holds an MSc in Nursing (Advanced Practitioner Pathway) and has published work in relation to trauma and minor injuries and ailments.


Staff working as Health Care Support Workers (HCSW's).

English Requirements

Applicants must be proficient in spoken and written English.

What will I learn?

  • An overview of healthcare provision in hospitals and the current situation around HCSW-administered care
  • An introduction to the National Early Warning System (NEWS) and how it is used to enhance patient care
  • The importance of clinical observations, and of doing them in a timely and appropriate manner
  • Using the "Why, When, How, What, Where" approach (based on the RCN's First Steps programme) the following clinical observations will be discussed:
    • Respiratory rate
    • Heart rate
    • Blood pressure
    • Oxygen saturation
    • Temperature
    • Level of consciousness (including GCS and AVPU)
    • Capillary refill
    • Oxygen therapy
    • Peak flow
    • Urinalysis
    • Fluid balance
    • Body Mass Index
  • The implications of abnormal observations, which may indicate a deteriorating patient, and the appropriate course of action
  • An overview of common conditions (COPD, asthma and diabetes) and how they affect a patient's state of health
  • An brief discussion about shock (hypovolaemic and anaphylactic), its causes, presentation and treatment
  • The implications of how certain drugs can affect clinical observations
  • Accountability, responsibility, documentation and the HCSW Code of Conduct
  • Implications for the future, including the Francis Report and the Cavendish Review.

Teaching and Assessment

There is no formal assessment for the delegates on this day but the day will be evaluated and your comments will be received with thanks.

Application Deadline: