1. Administration of Rectal Valium Training Day Initial Evaluation 2003 David O’Brien Wrexham & Flintshire Learning Disability Health Team

2. Background n The course is delivered by two RNLD. n Use the local school of nursing n design by negotiation with local social services n Considered good practice by local LD service and Epilepsy interest groups

3. Aim of the Day n To assess carers competence to administer Rectal Valium Safely n Emphasis of training on using the JEC protocol

4. Rectal Valium Training n Have to attend epilepsy awareness first n Small groups initially n Need: – Prosthetic Bum – Full size 1st aid mannequin – TV & Video

5. Plan of Day n Morning – Written assessment 1 – What is rectal Valium – Why we use it – Practical demonstration – First Aid n Afternoon – Written assessment 2 – break – individually enter a room for practical assessment – Change scenario

6. Written Assessment Scores candidate SCORESCORE

7. Written Assessment n Clear improvements in knowledge n Can conclude that Information has been retained n All achieve acceptable standard – All score over 50% – No serious errors

8. Practical Checklist Scores

9. Practical Assessment n Acknowledge artificial nature of assessment n Students demonstrated good practical knowledge – 1st aid – administration of Rectal Valium

10. Student Feedback n Students enjoyed the format n Appreciate the assessment n Length of time was adequate n Well organised n Trouble with parking n Poor food

11. Conclusion n The course can be delivered n Competence is assessable n The course meets carers and employers needs n Refresher course needs to be shorter and annually

12. Recommendations Ü Everything will be on CD rom Ü Can be used with any discipline of carer Ü Need to include the administration of Buccal Midazolam

13. Thank you