Anaesthesia, Intensive Care and Pain Medicine - St Vincent's ...

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St.Vincent’s Healthcare Group Occupational Health D e p a r t m e n t Allied Health Professional and Support Services Education The department contributed to many other educational programmes including: •Health and Safety Week activities. •The Department of Preventive Medicine and Health Promotion Smoking Cessation programme for staff. •The SVUH adult education programme. •All hospital induction programmes. Audit Ocupational Injuries 2003 2002 2001 Sharps/Inoculations 83 104 106 Blood splashes 18 24 9 Other injuries 189 252 235 OHD attendance for certain occupational infections SRSV 98 182 - Staff Members of the Occupational Health Department during 2003 were: Occupational Physician Dr. Paul Guéret Dr. Jacinta More-O’Ferrall Dr. Dave Madden Occupational Psychologist Nuala Gannon A needlestick injury prevention information stand was displayed regularly in different locations in the hospital. ‘Working Backs’ programme for staff Following an audit of time lost from work due to back problems in 2003 an access and referral system for all hospital employees was developed later in the year. Proposals for information sessions, firstly for line managers,and then for all staff were agreed and planned for implementation during 2004. In 2003 audits were carried out by the Department into: a) The effectiveness of the needlestick injury management pack. b) Needlestick injury rates. c) The effectiveness of needlestick equipment in use. d) Time lost from work due to back pain. e) Work absence in specific locations. f) Evaluation of the usefulness of health promotion posters. These audits proved useful in informing the work of the department. Visits to the OHD for non-vaccine consultations Seen by Occupational Nursing Team 1247 993 617 Seen by Occupational Medical Team 463 782 920 Seen by Occupational Psychologist 144 55 5 180 Clinical Nurse Specialist (CNS) Siobhan Bulfin Emma O’Brien CNS (to March 2003) Ann O’Reilly CNS (from March 2003) Lorraine Diaz CNS (to Sept.ember 2003) Eilish Mulligan CNS (to November 2003) Administrative support Ursula Power (to June 2003) Áine Yap (from September 2003) Susan Collum Other hospital staff who contributed to the department include Theresa Flynn and Catherine To o l e ;the health & safety coordinator, infection control and health promotion department personnel. In June 2003 Ursula Power retired from the position of administrative support; Áine Yap is a new and welcome replacement. Stress management activities In 2003 the first of the ‘Managing work-related stress’ seminars was undertaken. 302 staff members from all areas of the hospital attended these sessions. Other seminars provided during the year included: • Approaches to dealing with conflict. • Well-being at work. • Facilitating behavioural change. • Understanding loss and bereavement. • Dealing with violence and aggression at work. Workshops dealing with specific issues were provided to 5 departments. 3 departments established Stress Management Committees with assistance.There were 144 attendances at the confidential staff support service. Influenza vaccination programme Department Statistics The numbers attending the department continue to rise.There were a total of 3018 attendances at the department compared to 2377 in 2002. Reasons for attendance at the Occupational Health Department There were 144 attendances at the Occupational Psychologist this year, a 41% increase from last year. Attendance at Occupational Psychologist 2001-2003 181 Significant achievements Needlestick injury prevention activities Medical and psychological assistance was provided for the 83 staff members who received needlestick injuries in 2003. Needlestick injury prevention workshops commenced in March and proved successful in reducing the incidence of needlestick injuries by 25% in the first 6 months.281 (14.5%) staff members attended these workshops. Seminars were provided on ‘Management of Blood Borne Viruses’and ‘Management of needlestick injuries’ The department encouraged all hospital staff to avail of influenza vaccination to prevent transmission to the public and to preve n t staff sickness. D u ring the year out-of-hours clinics were prov i d e d and the Department of Health and Children ran a well-received publicity campaign;this resulted in some 702 employees receiving the vaccine this year compared to 420 in 2002. Skin care information sessions The following information sessions were provided this year: •‘The right glove for the right job’ - a skin care information session. • ‘Latex in Healthcare’- a latex information programme. The department also produced an information leaflet.
Occupational Health Department Occupational Therapy D e p a r t m e n t Allied Health Professional and Support Services 182 General classification of reasons for attendance at Occupational Psychologist Future Plans The Department will continue to develop the services it provides to the staff of the hospital.It is hoped that next year will see further development of the service. Priorities for 2004 are •The extension of the service to St.Vincent’s Private Hospital and development of closer links with the St. Michael’s Hospital Occupational Health Department. •The full implementation and evaluation of the ‘Working Backs’programme for all staff. •Continued focus on stress management activities. •Contribution to the implementation of the HSEA ‘Dignity at work’policy to be published in January 2004.To this end, Nuala Gannon successfully completed the first year of a Diploma in Mediation studies in UCD. •An evaluation of the Occupational Health Department services by examining,in particular: •The impact of ‘Be Sharp, Be Safe’ workshops on needlestick injury rates. •The effectiveness of ‘Managing work-related stress’ seminars. •The effectiveness of the staff support service. •Varicella immune status of staff in high-risk areas. •The extent of latex glove use in the catering and cleaning departments of the hospital. •The numbers of non-standard pre-employment medicals performed. •The Hepatitis B status of those carrying out exposure prone procedures in the hospital. Staff During the year, new staff members continued their development within St.Vincent’s University Hospital. We were very glad to welcome back Gerri Geoghegan,Art Therapist following her career break. We welcomed Karen Clifford as Senior Occupational Therapist (O.T) in pain management and adult psychiatr y, Sandra Byrne, Basic grade O.T and Elizabeth Hughes, O.T Assistant. Unfortunately, when vacancies arose later in the year, staffing shortages ensued. This had a negative impact on the numbers of patients seen by the department in some clinical areas. We look forward to welcoming new staff members in 2004 as we wo rk together to continue to provide professional Occupational T h e ra py services with a focus on quality improve m e n t . Service Developments/Activities The department completed a revision of Occupational Therapy policies,procedures and guidelines. Hands and Plastics •Hand Therapy protocols were completed,in collaboration with Physiotherapy and consultants. •A basic grade rotation was offered together with the Rheumatology service. Medicine for the Elderly •O.T links with the T.I.A clinic established. •Carmel Collins,Senior O.T joined the Driving Special Interest Group for O.Ts. The group are devising a driving assessment screen for use by Occupational Therapists. Pain Management •Work continued on the Occupational Therapy portion of the multidisciplinary pain management programme manual. Assessment tools for the O.T programme were revised also. Adult Psychiatry •Odhrán Allen,Senior O.T commenced part-time hours and Karen Clifford,Senior O.T joined the service. Old Age Psychiatry •The multidisciplinary Nursing Home Education Programme was developed. •There was a significant increase in activity in this service area. See departmental Statistics. Significant Achievements Documentation Audit The audit took place in July 2003 and allowed us to review our compliance with documentation standards within our department. The compliance levels had improved and will be monitored in line with best-practice risk management principles. 183 Rheumatology •The multidisciplinary Joint Protection Education group for patients with a new diagnosis of inflammatory arthritis commenced. •Splinting protocols were developed by O.T, Physiotherapy and Nursing. Accreditation Both Carol O’Donnell and Valerie Kelley were directly involved with care service teams for the hospital accreditation programme. Carol O’Donnell is co-chair of the Bone and Joint, Rehabilitation and Pain Management team. Stroke & Neurology •This service moved to temporary accommodation during the year.We look forward to moving to a more long-term location as soon as possible. •There was a significant increase in activity in this service area. See departmental Statistics. The teams journey began in earnest with all staff members kept up to date as the programme progressed. Continuing Professional Development Group (C.P.D). The work of the C.P.D group continued with the development of a CPD resource file and individual CPD portfolios for all staff.The group planned a poster presentation for the 2004
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