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

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St.Vincent’s Healthcare Group T h e a t re Sterile Services Unit/ Central Sterile Supplies D e p a r t m e n t General Services Department Service Departments Service Departments Service Developments / Activities Staff Telephone Services Portering Services Department 200 Early in 2003,the remaining decontamination and sterilisation services provided to the wards and other departments in the hospital by Central Sterile Supplies Department (CSSD), were transferred to Theatre Sterile Services Unit (TSSU).The hospital laundry service in St.Anthony’s finally closed its doors following the retirement of Mr. Chris Mulhall who looked after this facility for so many years. We owe a great debt of thanks to the long serving members of staff in CSSD – Chrissie Salsi and Tina Songhurst who left this year, Susan Hearne who transferred as a Staff Nurse to Endoscopy,Terry Burke and Margaret Beyan who have joined the Household team.Martin Kinsella has joined the ranks of Ward Orderlies while John Byrne is now working as part of the Purchasing/Stores team.Gerry Ryan continues his stalwart duties for us here in TSSU. In July, the first module of a computerised instrument tracking system was installed in TSSU.This system has greatly improved our efficiency and we look forward to the installation of the remaining modules when we move to our new department in 2005. Ms.Ita Balfe was a member of the specialist group tasked to review practices relating to the Loaning and Borrowing of Surgical Instruments and invasive devices between the hospitals of the Dublin Risk Management Forum.Guidelines were developed and circulated,with the aim of standardising practice and assisting hospitals in minimising the risks associated with this practice. We welcome new members of staff who joined us this year, Angela McAuley, Jacqueline Donnery, Dermot O’Shaughnessy and Joey McGuinness. Congratulations to Aileen Byrne,TSSU Supervisor, who successfully completed the first year of a National Certificate in Science (Sterile Service Technology). Departmental Statistics All decontamination and sterilisation of reprocessable medical devices within the hospital is now carried out in TSSU. In 2003 approximately 57,000 instrument sets and supplementary items were processed in the department.Despite the limitations of our current working environment, a high quality service continues to be provided,due in no small way to the great effort and commitment of the TSSU team. The Telephone Services Department provides switchboard services to approximately 11,500 internal and external callers per week.The department also plays a key role in our fire and emergency response procedures.A team of twelve staff members provide a 24-hour service.The department is also responsible for maintaining internal directories for the telephony and paging systems. During 2003 the hospital continued to invest in the technology required to provide a reliable and efficient telephone service through the addition of a second main switch facility.This provides greater resilience and redundancy and creates the capacity to provide telephone services to the new areas within the hospital re-development programme. Security Department The Security Service plays a central role in the management and co-ordination of safety and security within the hospital, including particular focus on fire safety management. The hospital is committed to providing a safe and secure environment for patients,relatives and staff through a continually improving security service. During 2003 the service benefited from investment in new facilities and technology within the brief of our re-development programme. We were greatly saddened by the untimely death of Mr. Joe Flanagan,Security Manager, in July 2003. Mr. Flanagan joined the Hospital in April 1998 and executed this challenging role in a most professional and personable manner. May he rest in peace. The Portering Department supports the activities of a variety of hospital departments through the provision and supervision of Portering staff.The areas serviced include Theatres, Laboratories, Radiology and Patient Clinics.The current staff compliment is 60. In addition the department provides and co-ordinates wholehospital services such as waste management,post and patient transport. Cleaning, Hygiene & Household Services The hospital seeks to meet the highest standards of cleaning and hygiene in support of the care of patients.The specification and monitoring of cleaning activities is carried out in line with best infection control practices.We also aim to provide a comfortable and attractive environment for patients,staff and visitors. Cleaning activities are provided under a contracted service with approximately 70 cleaning operatives and supervisors working in close partnership with hospital departments. Our Household function co-ordinates rest, welfare and accommodation facilities for staff and patient relatives.It is also responsible for co-ordinating and monitoring the various service providers. 201
St.Vincent’s Healthcare Group Medical Records and Patient Services Personnel Department Service Departments Service Departments 202 Staffing During 2003,significant efforts were made in the recruitment area to fill numerous vacant Grade IV Officer positions across all areas.This resulted in the offering of 8 permanent contracts from a combination of internal promotions and external competition. In addition to the regularly scheduled Induction Programmes, staff participated in the following courses on offer: • Non Violent Crisis Intervention Training • Resuscitation Training • Information Programme for Non-Clinical Staff • Personal Development Planning • Diploma in First Line Management Elaina Hughes,Jenni Messitt,Frances Doyle, Cherryle Millo and Patricia Martinaz successfully completed the Medical Secretary diploma course designed by the Pitman Training Group, which we now offer in St.Vincent’s University Hospital. Eilish Morrissey successfully completed the AMSPAR Certificate in Medical Terminology. Service Developments/Activities • Recognising the importance of the Accreditation process, several members of our staff participated in the Quality Improvement Teams formed during the year.Team meetings and preparation for the survey scheduled for May 2004 was on going throughout the year. This gave all participants the opportunity to form closer working relationships with multidisciplinary colleagues from the hospitals of St.Vincent’s Healthcare Group Ltd.which was found to be a very positive aspect of the process. • In February 2003 an audit of patient records was carried out by Marsh Healthcare Services,Marsh Ireland Ltd. to evaluate current record keeping in order to promote an improvement in the quality of record keeping.Findings of the audit were made available in October 2003 that included recommendations regarding record management and documentation standards.Plans began for communicating the findings to all relevant staff with a focus on continuing this in the New Year. • A Medical Records Working Group was formed including representation from Admissions,Clinic Secretaries,Filing Room,Ward Secretaries and Patient Services to assist with plans being made for improving the format and filing order in the patient’s medical record.This wo rk progressed throughout the year liasing closely with Dr. Alan Watson representing the Medical Board. As part of government policy to curb growth of the numbers employed in the public sector the hospital was informed by the Eastern Regional Health Authority early in 2003 of a new employment ceiling which was116 whole time equivalent posts less than the number in post at the end of 2002.Stringent financial constraints were also introduced.These two factors dominated our functioning throughout 2003 where the task of maintaining existing levels of service especially for acute patients had to be achieved against a background of scarce financial resources and reduced staffing levels.By year end we had reduced our staff by 75 whole time equivalent.This reduction was achieved by postponement of appointments and by reduction in locum cover. Expenditure on recruitment advertising dropped to approximately €150,000 in 2003. On the Industrial Relations front while it was a busy year most problems were dealt with at a local level and we were able to report full compliance with the provisions of Sustaining Progress in relation to industrial peace. Our Partnership Committee which was formed in 2002 initiated a number of projects and among other things funded training in Joint Problem Solving which was delivered to 40 of our staff during the latter part of 2003.The Personnel Department also co-ordinated the first report to the Performance Verification Group which was required under the terms of Sustaining Progress.This first comprehensive report and also a site visit to St Vincent’s by members of the Performance Verification team took place in October 2003 and established to the satisfaction of the National Verification Group that the various payments under the Benchmarking review and the terms of Sustaining Progress were warranted. before the end of 2003 training organisations were selected to deliver the agreed modules.This project will continue into 2004. The decision to become involved in an accreditation process under the Irish Health Services Accreditation Board was taken by the Hospital in 2003 and one of the sets of standards under that scheme relates to Human Resources.In the latter part of the ye a r, a broad based Human Resources Quality Improve m e n t team was established to assess how we deal with Human Resource issues and rate our perfo rmance against intern a t i o n a l ly agreed standards.This process will continue into 2004 and hopefully will lead to useful quality improvement initiatives. The Pe rsonnel Department also participated in the Consultative Committee of the Office for Health Management (OHM) and brought to the attention of relevant staff the various activities organised and commissioned by the Office of Health Management in relation to staff training and development. We wish a happy retirement to the following staff who retired during 2003: Susan Kenny, CNM2 - Endoscopy Anne Greenan, Housekeeper Joan Miller, Clinical Specialist Radiographer Ursula Power, Grade IV Officer Occupational Health Department Mary Nicell, Nurse Tutor Aidan Moriarty, Administration Eilish Tennant, Staff Nurse 203 In 2003 the Eastern Regional Health Authority indicated that they had monies available to support the training objectives highlighted in the Action Plan for People Management.The Personnel Department at St Vincent’s University Hospital coordinated a joint approach to the ERHA by the Dublin Academic Teaching Hospitals for funds to source and deliver training modules on topics which were of common interest.This application was successful and
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