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Getting Infection Right First Time Reusable Learning Object

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Getting Infection Right First Time Reusable Learning Object (RLO)

In a collaboration between the Nottingham University Hospitals Trust Antimicrobial Stewardship Team and the Health E-Learning and Media (HELM) Team, Aaron has developed an e-learning resource designed to “help support health-care workers, and demonstrate that everyone has a key part to play in getting infection, diagnosis and management right for our patients”.

The storyboarding workshop took place in the University of Nottingham?s Teaching and Learning Building in early May 2019 and was attended by a large group of healthcare professionals from the Nottingham University Hospitals Trust. The workshop resulted in the creation of several storyboards which the authors used to inform their creation of their RLO specification.

RLO storyboarding workshop participants in discussion

RLO storyboarding workshop participants discussing storyboard ideas

RLO storyboarding workshop participants laughing whilst working on storyboard

The resource authors combined these workshop storyboards and developed the resource specification using the RLO Specification System. The process of combining several storyboards into a single resource specification can be challenging for authors but Aaron felt they produced an excellent specification which aided the development of the resource.

Patient Journey

Central to the resource was a video scenario which followed a patient?s journey from admission to hospital and subsequent treatment through to discharge. The authors had developed the full script for the video scenario and had enlisted colleagues to act. Aaron along with his HELM team colleague, Lydia Jones, were responsible for video, audio and lighting and also took on direction duties for the shoot. The shoot ran very smoothly, everyone involved were terrific and there was a relaxed but focused atmosphere throughout the shoot (along with a few laughs and lots of smiles).

A new procedure utilised for this project was a review of the raw captured video. This gave the team the opportunity to review the material, ensuring all were happy with the material and if not offer the potential to capture additional material. This certainly inspired confidence in the captured material which we could then proceed with editing but importantly gave the project team a preview of the material and hopefully left them feeling very positive about the resource development.

RLO image hotspot activity

RLO prescription activity

RLO summary section

Responding to Regulation Changes

In response to Privacy and Electronic Communications Regulations (PECR) and General Data Protection Regulations (GDPR) Aaron redeveloped the RLO template for this resource.

Prior RLOs had made use of cookies and local storage techniques to enhance their functionality and to improve the experience of the learners. Changes to the regulations has meant that RLOs can no longer assume consent to the use of these technologies has been given. Instead RLOs have to start from a position of not making use of these technologies until such time that the learner has chosen to allow them.

Additionally, RLOs had traditionally, and by default, included tracking code (Google Analytics) which would generate information regarding the use of and conditions of the use of RLOs. This has been a useful resource for the HELM team and allowed the exploration of the use of an RLO and to ask questions regarding popularity of resources, time spent on resources and information about devices used to access resources and their location. With the changes to the regulations Aaron has modified this approach to prevent the use of the web tracking feature until such time that the learner allows this to take place. Aaron feels that this respects the spirit of the regulations and places the choice firmly in the hands of the learners using the resources in a very clear and transparent way.

RLO privacy options

Response to these changes within the resource feedback has been minimal, which Aaron is taking as a positive sign. However, as with any RLO development, nothing is finalised, and this will be the starting point for future developments which will draw upon this feedback and user experiences to create even better solutions.

Aaron is really pleased with how this project ran, the team wanted to launch the RLO to coincide with the World Health Organization Antibiotic Resistance Awareness Week (18th -24th November 2019) and Aaron successfully met this deadline and the resource was made available on the HELM Open Platform on the 18th November 2019.


  • HTML5
  • CSS3
  • JavaScript
  • jQuery
  • SVGs
  • Video Capture and Post-production
  • Audio Capture and Post-production

The article was viewable from Friday, 14th February 2020.

Author: Aaron Fecowycz