Meeting assets for Training Sessions - Wednesday - 24 September 2025!
Meeting summary
Quick recap
The meeting focused on reviewing and discussing clinical guidelines policy, including the importance of communication and coordination among healthcare professionals. Participants explored various medical procedures and safety measures, such as inserting a nasogastric tube and administering Pharyngect medication during pregnancy. The session concluded with plans to conduct Part C after a break, emphasizing the need for understanding key terms and concepts to solve questions effectively.

Next steps

• All students: Review and understand the policy regarding registered nurses' responsibilities when patients are discharged.
• All students: Practice analyzing multiple-choice questions more carefully, especially when all options seem correct.
• All students: Practice identifying key words in questions to determine correct answers.
• Ruvani: Practice identifying key words in reading test questions to improve accuracy.
• Shishram: Continue attending the extra sessions for reading test practice.
• Nadika: Review the reading test strategies discussed in the session.
• Nadika: Continue participating in future sessions.
• Shishram: Continue participating in future sessions as a new batch student.
• Simon: Upload the meeting recording for special students only, not on YouTube.
• Nadika: Continue attending future sessions when Simon gives time.
• Shishram: Join additional sessions when available to learn more.

New Admissions
1. Shishram - Physiotherapist - Sikhar - Rajastan - India
2. Hadeeka - Nurse - United Kingdom - Srilanka
Admissions closed for September

Summary
Emergency Nurse Training Test Plan
Simon and Ruvani discussed the plan to conduct a full test covering reading parts A, B, and C, with a focus on part B first. Simon guided Ruvani through the process, encouraging her to think carefully about the answers. They explored the concept of maintaining services, with Ruvani suggesting that the service was available only to nurses. Simon explained that the course's aim was to prepare experienced registered nurses to work in emergencies.

Nursing Course Eligibility and Updates
Simon explained the eligibility criteria for a nursing course, emphasizing that it is only available to registered nurses who are already employed in a related field and are prepared to pay for the course themselves. He clarified the distinction between trainees and employees, stating that trainees are not yet employed. Simon also discussed a question about breast pumps, explaining that they should remain in the ward where they are allocated, except for cleaning purposes. He introduced new students, including Ruvani, Shishram Yadav, and Nadhika, and encouraged them to participate actively in future sessions.

Medical Terminology Language Comprehension
Simon explained three questions related to medical terminology and language comprehension, focusing on concepts like employment status, breast pump procedures, and instrument identification. He emphasized the importance of understanding each word's meaning and applying knowledge to answer questions correctly. After discussing the answers to the first two questions, Simon clarified that the correct answer for the third question was C, encouraging students to think carefully and not rush through the process.

Nursing Discharge Policy and Responsibilities
Simon discussed the discharge policy and the responsibilities of registered nurses. He explained that nurses must ensure clear aftercare instructions, liaise with other health professionals, and ensure easy accessibility of patient data. Simon also highlighted the importance of documenting all relevant data and ensuring effective handover of patient assessments and ongoing care needs, both verbally and in writing, with the support of a discharge coordinator.

Healthcare Communication and Coordination
Simon led a discussion on the importance of communication and coordination among healthcare professionals, emphasizing that instructions and data should be shared with other team members. He explained that while all answers were technically correct, the most comprehensive answer involved coordinating with other professionals to ensure effective communication and management of patient care. Simon encouraged careful attention to detail and highlighted the need for clear aftercare instructions and accessible patient data. Participants, including Jasdeep, Ruvani, and Nadhika, acknowledged the importance of these concepts and expressed understanding.

NGT Insertion Safety Guidelines
Simon discussed the importance of precautions and safety measures when inserting a nasogastric tube (NGT). He emphasized that gloves must be worn to prevent contact with the patient's blood or body fluids, and additional protective measures such as face masks, eye protection, and gowns should be considered if there is a high risk of vomiting. Simon also highlighted that inexperience of the operator increases the potential for complications, and proper training is essential to minimize risks.

Clinical Guidelines Policy Discussion
The meeting focused on reviewing and discussing clinical guidelines policy, where Simon led a group discussion about whether guideline approval was necessary. The group clarified that while guidelines are not mandatory and not a substitute for clinical judgment, they must be informed and agreed upon by key staff, and deviations should be documented and reported to guideline developers. Simon announced that additional time would be allocated for Part C of the discussion, offering up to 45 minutes per person when the group meets together rather than individually.

Healthcare Guidelines: Mandatory vs. Non-Mandatory
Simon explained the difference between mandatory and non-mandatory guidelines in healthcare. He clarified that while mandatory guidelines are rules that must be followed with potential disciplinary action for non-compliance, non-mandatory guidelines are recommendations that are not compulsory. Simon emphasized that clinicians should document their reasons for not following non-mandatory guidelines in patient records, but there will be no punishment for not following them. He used examples to illustrate the distinction between mandatory rules and non-mandatory recommendations, stressing that the key difference lies in the word "mandatory," which indicates whether something is a regulation or a suggestion.

Ferinject Protocol During Pregnancy
The meeting focused on discussing the protocol for using Ferinject during pregnancy, with Ruvani explaining the key points. She emphasized that iron tablets should be avoided for five days after administration, and breastfeeding women should not receive Ferinject as it could potentially harm the child. The discussion highlighted the importance of being cautious about negative reactions and complications that may arise from using Ferinject, particularly when combined with iron tablets or given to breastfeeding women.

Iron Therapy Administration Guidelines
The meeting focused on the administration and management of Pharyngect, a medication containing 50ml of elemental iron. It was emphasized that oral iron supplements should be avoided for 5 days post-administration to prevent a double dose, and a follow-up full blood count should be conducted 2-3 weeks later, with the GP notified of the treatment and decision on continuing iron therapy. Simon highlighted the importance of understanding key terms and concepts to solve questions effectively, and encouraged participants to register for future sessions. The session concluded with plans to conduct Part C after a 30-minute break.