We have detected you are using Internet Explorer. To provide the best and most secure experience, please use a modern browser as we do not support Internet Explorer.

A problem solving approach to the assessment and management of a wide variety of patient conditions to improve patient safety and outcomes. Includes pre-recorded and live webinars.

Signup image for course

This innovative course has been designed to assist clinicians achieve the new ACSQHC 2nd edition NSQHS Standard 8 - Recognising and Responding to Acute Deterioration. This course will emphasise not just the observation of the patient but also the interpretation of those observations & strategies for communicating an increased response to further prevent or reverse the clinical deterioration of the patient with the aim to improve patient safety & outcomes. This can mean the difference between life and death.

As the emphasis in this two day course is on the physiological deterioration, the course is applicable to all patients in acute care situations and to all acute healthcare facilities and clinical practice.

The author of this course, Ken Hambrecht, is so well respected in the field that he has been invited to write a book chapter entitled “Recognising and responding to the deteriorating patient” for an international Elsevier textbook published 2019. If you want to learn from the person who literally wrote the book on the topic then this course is for you.

During the program participants will be provided with essential skills relating to the assessment and management of patients who are experiencing clinical deterioration or have the potential to do so. For each area of clinical deterioration, the session will commence with a review of the essential physiology and then relate that to the pathophysiological changes which lead to the development of altered signs & symptoms.

Following this review, specific clinical management strategies based on a problem solving case history approach will be developed with the aim of stabilising the patient and preventing or reversing their clinical deterioration.

Live sessions will be held 9.30am -1.00pm on 29th & 30th July using the Zoom webinar platform. Prior to the course, you will receive reminder emails and the link to join.  These live sessions will be recorded and made available on-demand should you be unable to attend these times, or want to review the sessions at any stage.  The live sessions will be split into smaller recordings to make it easier for you to watch any session you missed.

Pre-recorded sessions will be made available for you to access prior to the live sessions.  This will allow more time for interaction and Q&A during the live sessions.  You'll receive instructions on how to access this material once you have registered and prior to the live sessions.

We are as committed as ever to bringing you the highest quality education and this format makes the course more flexible, allowing you to learn at your own pace.


All nursing staff working in acute care areas, particularly those who wish to expand their clinical judgement of the deteriorating patient. This course builds and expands upon foundational deteriorating patient programs, such as DETECT in NSW (or other track and trigger programs across Australia).

It is also suited to medical and nursing staff who want to refresh their clinical assessment and management skills, especially if they have been working in acute areas recently.


  • Essential Respiratory Physiology: O2 delivery & metabolism, physiology of O2 saturation. CO2 production & elimination. Regulation of Respiration.
  • The Patient with Respiratory Problems. The Breathless Patient: Assessment of Respiration – The Forgotten Vital Sign – rate, depth & work of breathing. The Use & Abuse of a Pulse Oximeter. Dyspnoea, Hypoxaemia & Hypercarbia
  • Cardiovascular Assessment: Determinants of BP; Regulation of Cardiac Output & BP; Manual & Automated Non-invasive Blood Pressure Measurement.
  • Assessment & Management of the Patient with Cardiovascular Problems: hypotension, arrhythmias, shock states.
  • The Patient with Neurological Alteration: Fits, Faints & Funny Turns. Syncope. Confusion, Delirium. Neurological Assessment – Getting it Right.
  • The Patient with an Infective or Inflammatory process. Signs of sepsis. Allergic reactions.
  • The Patient with Alterations in Fluid, Electrolyte or Glucose levels – Hypoglycaemia. Causes of renal insufficiency/failure.
  • Pain Assessment.
  • Communication & Documentation: Skills & strategies to enhance communication within the team, provide a structured handover, & escalate response to clinical deterioration. Observation Charts & Early warning systems
  • Scenarios – putting it all together: Case Studies & Problem Solving Exercises.