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Paediatric Critical Care - Our Work

TV&W PCC ODN - Paediatric Critical Care Minimum Data Set (PCCMDS)

The PCCMDS is a mandated, national dataset which captures Level 1, 2 and 3 patient activity using the national XB01Z-XB09Z HRGs.

The ODN has asked all Trusts in the region to collect this data on an ongoing basis for inpatients to inform and support our work with the national review for Paediatric Critical Care and Paediatric Surgery.

Frequently Asked Questions:

Q1: Which codes should we include in our reporting?

A1: Please include any XB HRG codes which come out of the grouper. NB. XB08Z relates to retrieval transport and should not appear in DGH data.

Q2: Should we only collect data on patients in recognised high care bed spaces?

A2: No, we want data to represent the true level of PCC activity in our region so data should be collected on any admitted patient irrespective of the level of bed they are in.

Q3: Should we include 30-60 minute drug therapies such as phenytoin or phenabarbatone as continuous infusions?

A3: No, a continuous infusion means non-stop and needs to be given for more than 4 hours to meet PCCMDS criteria.  Intermittent infusions such as phenytoin will not trigger PCCMDS criteria unless the patient also has a reduced level of consciousness (GCS).

Paediatric Critical Care - Our Work

Education & Training

The Paediatric Critical Care network prides itself on maintaining a focus on training and education for all staff in the network to support paediatric critical care work in our Trusts.  Where possible education will be free to attend.

All current courses available for paediatrics can be viewed on the Wessex PIER website.

In addition, keep your eyes peeled for specific ODN offerings such as the annual education day (May), and annual M&M (September).

If there is something you would like us to be focusing on, please get in touch and let us know.

Paediatric Critical Care - Our Work

TV&W PCC ODN Quality Dashboard

The idea behind the dashboard was to develop a simple set of metrics which could demonstrate outcomes of our services, and more importantly could be used to monitor trends in performance so Trusts can explore and understand variation in performance.

The metrics focus on quality data measures such as;

  • Unplanned PICU admissions,
  • Medication Errors reaching the patient,
  • Deaths,
  • Sepsis performance and,
  • Time Critical Transfers.

The dashboard was started in early 2017 and some of our Trusts have done great work in using it to raise the profile of paediatric services within their Trusts.

Paediatric Critical Care - Our Work

Paediatric Nursing Competencies - Level 1

The Nursing Competencies programme has been designed from the national Time to Move On document (RCPCH 2014) and offers a short course (2 days) for nurses wanting to refresh or develop their Level 1 Critical Care skills.  Funding by Health Education England, the course is free to attend and is available six times a year across Thames Valley & Wessex locations.

Alongside the study days, a competency document must be completed back at your place of work. For more information and to book your place visit PIER website.

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