Competence is defined as the result of knowledge and practice. And
in this field the simulated training is very important to achieve gold standard. A continuing and effective education of healthcare professionals is the key factor to improve outcomes of the critically ill patient. Portuguese legislation recommends that all doctors and nurses who work at Emergency Room (ER) should have certified at Advanced Life Support (ALS), and that half of them as Advanced Trauma Course (ATC), Ventilation, Hemodynamic, Critical Ill transport (CIT) and Communication and Conflict Management (CCM). Where there is peadiatric activity, doctors should have Peadiatric Advanced Life support (PALS) and nurses Peadiatric Immediate Life Support (PILS).
Our objective was to characterize the training state of healthcare professionals in Portugal in terms of critically ill patient and compare it with Portuguese legislation recommendations.
We conducted an online survey to doctors and nurses from all the
country, between January and April of 2019 trying to obtain data about their trainning for the last 5 years.
262 health care professionals (HCP) answered the survey, 40,1% were male,
and the median age was 34,4y old and 92,3% were nurses. Professional experience was 12.39y. Only 73.5% (197) were certified for the last 5y at ALS. Remaining recommended courses are under 50% of recommendation: ATC 28,7%, Ventilation 34,3%, Hemodynamic 14,2%, CIT 28,4%, CCM 22,8%. HCP working at pediatric ER only 14.5% has PALS.
The population of this survey is way under the real number that work in
Portuguese ER. Still we found that HCP at ER don’t met the level of training
recommended at Portuguese legislation. We recommend that all Portuguese hospital develop their own critical care training program with low-dose high-
frequency training and make it mandatory for all HCP at ER.