Making Waves October 07 - James Paget University Hospitals

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Essence of Care Update Cherry Townsend, Clinical Educator for Essence of Care gives an update on how this important programme is progressing. The fundamental concept of Essence of Care (EOC) is that it hopefully improves the patient’s experience through their healthcare journey. As highlighted in the March edition of Making Waves, EOC benchmarking is an ongoing process of comparing, sharing and developing practice in order to achieve and sustain best practice. The framework consists of 10 benchmarks. EOC was launched here in March 2003 and since then we have undertaken three benchmarks: ✔ Food and Nutrition ✔ Privacy and Dignity ✔ Continence Care Achievements with these ongoing benchmarks were covered in the March edition, but we’ve made more progress since then, including: FOOD AND NUTRITION Protected Mealtimes: The concept of providing a calm atmosphere, with a focus on serving appetising meals and providing patients with uninterrupted times to eat and enjoy their food has always been our aim. As part of the nutrition benchmark for EOC, we should be attempting to provide an environment which is conducive to comfortable eating. The concept of Protected Mealtimes has been previously launched within the Trust, with staff successfully implementing the initiative in some areas very well. However, a recent nutrition observational audit showed non-urgent clinical activities continued to take place in some areas during the time allocated as a protected mealtime. So it’s proposed that we relaunch protected mealtimes again over the next few months, sharing the best practice achieved in some areas and promoting the benefits of the initiative throughout the Trust. I appreciate it’s very difficult to totally achieve this initiative in a busy acute hospital, so a project team will be developed representing all services involved. This will be widely advertised throughout the Trust with regular updates and feedback on progress. Presentations and training sessions are also planned to assist with the implementation process. Friends and relatives who visit patients to assist at mealtimes will of course continue to be encouraged to visit. Adapted Cutlery: We are reviewing purchasing more adapted cutlery and holding them in a central store in the kitchen for ward use. Standardising the use of the red trays: An updated nutrition pathway will be provided to each clinical area, describing options available to the nutritionally compromised patient, including the use of the red trays, screening and referrals. Nutrition Policy: Is being reviewed. Conversion to “Thick and Easy” thickener: Replacing Nutilis as a thickening agent. Speech and Language therapy are instigating the change. Training is taking place around the Trust provided by Fresenius reps. Mealtime support Volunteers: Nine volunteers have been trained to provide mealtime support; once all have completed assessments in practice, the service is likely to expand. CONTINENCE CARE We are negotiating with Coloplast to agree the content of a staff training programme for the remainder of 2007 and 2008, promoting continence. Free Distance Learning packages for continence care continue to be available from nurse education. NEW BENCHMARK The next EOC Benchmark will be Pressure Ulcers. The first project team met in August to discuss the content of the benchmark and the proposed format of the audit tool. The first audits will take place in November 2007. Essence of Care has been designed to provide a structured approach to developing best practice and assisting staff to achieve and sustain the fundamentals of nursing care and to focus once again on ‘getting the basics right.’ Once an Essence of Care culture has been established, sustaining momentum and maintaining interest in delivering the essence of care is crucial to its continued progress. ❝ I would like to thank all the staff who continue to be enthusiastic and motivated in achieving the goals set by the Essence of Care benchmarks. ❞ If you would like to be involved with any of the initiatives mentioned or need assistance with any stages of the Essence of Care process, please do not hesitate to contact Cherry Townsend on ext 3731. CELEBRATION DAY A day to celebrate Essence of Care achievements, incorporating the launch of the new pressure ulcers benchmark is planned for Tuesday 16th October in the Boardroom. This is open to all staff and will give you an opportunity to see what’s been achieved since we started our first benchmark four years ago and also ideas for how we move forward with the new benchmark. 10 October 2007 Making Waves www.jpaget.nhs.uk
Thank You! Another small sample of the many letters we receive from patients and their families after their treatment. EADU, Ward 5, Theatres, Hotel Services I was admitted to James Paget hospital on Wednesday afternoon with acute appendicitis. Having never attended hospital for an operation before, I was slightly apprehensive once the local GP informed me that I needed an urgent trip to the Paget. However, once I arrived and was found a bed on the EADU department I was soon made to feel relaxed and very welcome. I was later moved onto ward 5 after my operation on Thursday evening, where I stayed until my discharge on Saturday afternoon. There are so many staff on these departments that I would like thank for doing such a wonderful job and giving me first class care throughout my stay. The surgeons, doctors, nurses, assistants and cleaning staff all made me feel totally at ease with their friendly smiles and enthusiastic approach to the job they were doing. Ward 7, Physiotherapy I was booked in for a partial knee replacement. From the time I went onto Ward 7 until my discharge the day following my operation I was treated with courtesy and kindness by everyone I met. My treatment, both before and after the operation, was exemplary. The whole team on Ward 7 were friendly and very professional, despite being extremely busy. Their care and that of the Physiotherapy Department enabled me to return home just a day after the operation. I had expected to be in for several days, so was delighted to be discharged early and in such good shape! Outpatients I don’t normally bother with such things but I just had to write this letter. I had to attend the Eye Clinic – Mr Butler. Apart from the fact that I was dealt with so sensitively by everyone I came into contact with, I have to bring to your attention other matters. I had arrived early and so was able to watch the nursing and senior staff dealing with other patients. To say I was impressed would be an understatement. Elderly patients being treated as intelligent people and not looked down on. Everyone being treated with patience and kindness especially those slightly confused or infirm. And the star roles going to the two nurses dealing with the young man in a wheelchair who appeared both slightly physically and mentally challenged. They spoke to him, asked him the relevant questions directly instead of ignoring him and communicating with his carer. Ward 12 I was treated in ward 12 for six days at the beginning of October. May I take the opportunity to thank the staff for their excellent care, their colleagues for the cleanliness, which was beyond reproach and everyone who made my stay in Ward 12 comfortable and stress free. My anaesthetist explained his procedure with clarity. The whole team made the operation less daunting than I would have thought possible. A&E, Radiology, Fracture Clinic and EADU In August I fractured my left wrist and came to James Paget. I would like you to know and to pass best thanks to all the staff in A&E, X-Ray and Fracture Clinic who looked after me. It was also necessary for me to stay in EADU. I consider I received excellent treatment and support. Ward 15 I was an inpatient at the hospital following a stroke. I encountered nothing but kindness and expertise. Small things like having slipped bedclothes replaced in the middle of the night reflect the gentle concern and great good humour which was paramount, throughout my stay. Nobody wants to be in hospital, however, from experience I can reassure folk that they can at least go to James Paget with confidence. and finally, from one of our Non Execs... I have always been a very active person, but over the last year it has been very frustrating painful and a shock to find due to a hip problem I could no longer do the things I wanted to do. A walking stick was my best friend! Like many other patients I have had the privilege of having a hip replacement at JPUH. The result is amazing! no more pain and after six weeks I was able to say good bye to my best friend (the walking stick). My thanks to all who cared for me in a professional manner the light hearted humour made my stay and recovery a pleasant experience. Rita Carter Congratulations! On Saturday 5th May this year members of staff from the Nurse Education Team participated in the Race for Life Cancer Appeal at the Norfolk showground, collectively raising an amazing £923.50 for Cancer Research. We all had a great day and will hopefully be taking part again next year. Pictured left to right are: Belinda Leighton, Sharon Duneclift, Dawn and Daisy Taylor, Lisa Healy and Cherry Townsend. www.jpaget.nhs.uk October 2007 Making Waves 11
Page 1 and 2: October 2007 James Paget University
Page 3 and 4: Enhanced recovery after surgery (ER
Page 5 and 6: What about the Future? Developing t
Page 7 and 8: CSCA Bus Many staff will have met m
Page 9: O/A’s! The Outpatient Assistants
Page 13 and 14: Excellent Service Awards On 4th Jul
Page 15 and 16: James Paget Hospital A celebration

Making Waves October 07 - James Paget University Hospitals

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