Background This project evolved following a collaborative review of local clinical incidents involving syringe pumps and medication administration across the local community settings.

Factors identified which may have contributed, were lack of access to relevant training, an increase in newly qualified registered nurses joining internal and external community teams. No standardised competency document used across both areas and clinical practice varied. This highlighted the need for a joint approach for further education and training (Nursing & Midwifery Council. The Code for Nurses and Midwives. 2015).

Aims To reduce the number of clinical incidents involving syringe pumps and medication errors. Working collaboratively with our external partners to deliver training and all registered nurses to complete the competency document and workbook. The aim was to increase knowledge and skills around syringe pumps and palliative care to increase confidence and improve clinical practice.

Methods Jan. – Jul. 2021: We conducted staff interviews across community services establishing existing knowledge and researched current available training for nurses. Between January and July 2022, we developed a competency framework and syringe pump workbook. Jul. – Sept. 2022: Syringe pump training pilot was developed to commence October 2022. The pilot was over three months and consisted of two full training days and allowed six weeks to complete the workbook and competency document followed by half-day consolidation session involving RN from a mixed community background with four district nurse mentors supporting the pilot.

Results Fourteen RNs attended the pilot training sessions, twelve completed the training. Incidents with syringe pumps and medication errors have reduced. Feedback from participants confirmed that using a collaborative approach to training and competency framework increased their palliative care knowledge, clinical skills and confidence.

Conclusion We believe that the joint approach to training and having one competency framework and workbook has improved nurses’ knowledge and provided a consistent approach to patient care. Improved collaborative working with hospice community and partners. These training sessions have now become mandatory across our area.