The Pulse September / October 2009 - NHS Lanarkshire

More documents

Recommendations

Info

thePulse 10 SPECIAL FEATURE SEPTEMBER/OCTOBER 2009 SPECIAL FEATURE thePulse 11 IMPROVING patient care is at the heart of everything we do across NHS Lanarkshire. There is a range of initiatives which are all designed to make sure we are providing the best possible service. The Lean programme, 18 Weeks and the Patient Safety Initiative are just three of the projects looking at how we deliver care. Our diagram on the right shows how they all share the aim of improving care and, over the next few editions, The Pulse will look at each project in turn and will highlight some of the work already undertaken. As you can see from the diagram, understanding how they all fit together is child’s play! This edition examines the role of Leading Better Care and explores some of the work that has been going on in wards in Lanarkshire... Taking the next steps LEADING Better Care and Releasing Time to Care are now rolling out in mental health and community care. Work began in Lockhart Hospital in May. Staff at Lockhart have already identified that they have similar process and environmental concerns as those of Hairmyres, and through the use of tools and modular process work, changes are already proving successful. Environmental changes have included improved shelving and cupboard de-cluttering. A great improvement has been the reorganisation of moving and handling equipment, allowing for an improved access and maintenance regime. The first process module of patient observations has now been completed, introducing a standard operating procedure that includes qualitative steps. Have your say... Staff are enjoying the experience and are excited to see their improving outcomes. Work is now also under way within mental health services. Following consultation with the Mental Health Collaborative and Mental Health Facilitators, Releasing Time to Care Mental Health has now begun within the three acute sites. This programme links very closely with other initiatives currently under way within mental health. Work is already under way with facilitators and senior charge nurses from the six wards attending a four-day modular training course which is being delivered over several months. The first three modules, Knowing How We Are Doing, Well Organised Ward and Patient Status at a Glance, have started. Elderly ward first to improve We asked the frontline staff on ward 15 at Hairmyres Hospital how they have found the Releasing Time to Care experience… Morale was lifted and you can now spend more time with the patients” Ellen McDonald, clinical support worker, ward 15, Hairmyres This has given my staff a chance to voice their concerns, raise any issues and actually see action being taken. Our pharmacist has said that our ward is now a pleasure to come into” Margaret Gibney, charge nurse, ward 15, Hairmyres HAIRMYRES Hospital began its implementation of Leading Better Care in December last year in ward 15. The first step for staff in the care of the elderly ward was to see photos and watch a video recording of their ward to look at how they worked. Karen Morrow, practice scholar, said: “The great thing about the initial part of the exercise is that while you are working, you don’t always see what is in front of you and even if you do, you may not have the time to do anything about it. “But even sitting down and having the opportunity to discuss how you work can identify small changes that can save a lot of time. “It is vital to ensure that every member of staff on the ward is able to have input into raising concerns and identifying solutions. “This means that by working as team, they can find the best solutions to problems.” One of the key elements of the programme was to make sure that all staff were aware of the changes and were told what was happening and when. Over a 12-week period, the group worked with many tools, such as route by walking about (RBWA), spaghetti diagrams, process and value stream mapping, 3Cs (concern, cause and counter measure) and 5S (sort, set, shine, standarise and sustain) to identify concerns and frustrations on the ward. Karen added: “Staff were then able to organise their own ward, providing them with an improved ‘fit for purpose’ area that not only reduced their amount of motion in any one procedure, but also enabled them to want to make decisions that affect their daily working routines.” One key improvement involved escorting patients to X-ray, which had been identified as a four-hour process. Not only did this affect the patient’s experience, but it meant that the ward was short of a member of staff throughout this process. By working together with portering and medical, ward and X-ray staff, this is now a streamlined 40-minute process. LEADING THE WAY: divisional nurse director Joan James (centre) visited staff at Hairmyres to see how they had implemented Leading Better Care It is vital to ensure every member of staff on the ward is able to have input into raising concerns and identifying solutions” We are working in a much more organised ward, which saves a lot of time” Kate Blake, staff nurse, ward 15, Hairmyres Real benefits for all LEADING Better Care is one of the initiatives NHS Lanarkshire is using to improve patient care. The project includes reviewing the role of the senior charge nurse and Releasing Time to Care. Work has been ongoing within different sites and results are already showing that staff and patients have seen real improvements in how care is delivered. Initial evaluation has also demonstrated that implementing Releasing Time to Care has improved staff morale. Releasing Time to Care is about making sure that patient care is: q safe q effective q patient-centred q timely q efficient q equitable. And it makes sure that senior charge nurses are “guardians of quality”. Using the productive ward programme it makes sure that the ward is organised to free up staff so they can spend as much time as possible with patients. Early indicators show that both staff and patients are seeing the benefits of the programme. Leading Better Care is being led by a steering group with four separate sub-groups delivering elements of the programme. The sub groups are education, data to improve quality, implementation and communication.
12 thePulse LOCAL/DISTRICT/PARTNERSHIP SEPTEMBER/OCTOBER 2009 EVEN MORE HELP FOR NEW MUMS Wishaw General’s breastfeeding support team is helping mothers give their babies the best start in life – and it doesn’t stop once they leave the hospital. Advice is just a phone call away, any time, day or night SUPPORT: Wishaw General Hospital’s breastfeeding support worker Margaret Thompson, with Mandy McIlvaney and her new born son Kaiden James McIlvaney NEW mums and visitors to Wishaw General Hospital who want to breastfeed can expect even more support. A new breastfeeding support team has been working in Wishaw’s maternity unit since March this year. The team aims to support anyone who wants to breastfeed through a number of measures, including making people aware of the breastfeeding rooms throughout the hospital, along with its established baby changing facilities. The facilities are available to anyone who wants a comfortable, quiet and private place to breastfeed or for a staff member who has returned to work and needs to express their breastmilk. Steps are being taken to give extra support to mums who wish to breastfeed and they auger well as the hospital works towards stage two of the UNICEF Baby Friendly Initiative Award. New breastfeeding support worker Margaret Thompson said: “I work under the supervision of midwives and support them to provide care for breastfeeding mothers. “This ensures that each woman who chooses to breastfeed has an individual plan of care and is given consistent advice and support. “This provides new mums and babies with some extra support and assistance while they are learning to breastfeed. “The breastfeeding support team also provides a 24/7 helpline that Make mothers feel welcome THERE are a number of baby changing and baby feeding facilities in NHS Lanarkshire’s three acute hospitals (see right). Should any member of the public ask a staff member the whereabouts of baby changing or breastfeeding rooms, they should be: q Made to feel welcome and told that they are welcome to breastfeed anywhere in the hospital q If they wish a private area, be directed to this area q Directed to any of the baby changing facilities listed on the right, if they request this. women can contact after they are transferred home.” New mum Mandy McIlvaney from Lanark welcomed the breastfeeding rooms and the new support worker position. She said: “I think breastfeeding rooms are a really good idea because some people do prefer some privacy when they’re breastfeeding and this gives them that option. “A support worker like Margaret is also very useful as she is able to give new mums such as myself good advice just at the time you need it.” Wendy Drysdale, infant feeding development midwife, said: “We welcome women to breastfeed their child, when required, at any of NHS Lanarkshire’s premises, but we recognise that some women in the early days when learning to breastfeed may require a more private place. “Any mother wishing to breastfeed her child in private should be directed to the designated private facility by a member of staff.” She added: “Like Wishaw, Hairmyres Hospital also provides the facility to breastfeed in private and Monklands is in the process of identifying an area. “These two sites also plan to alert patients and visitors to their availability.” The breastfeeding support team’s 24-hour helpline number is 01698 361100, or you can page 139. Baby rooms at acute hospitals MONKLANDS q Main Entrance Baby Changing – Female Disabled WC q Main Entrance Baby Changing – Male Disabled WC q Outpatients Baby Changing – Female WC q X-Ray Baby Changing – Unisex WC q A&E Baby Changing – Unisex WC q Ward 3 Baby Changing – Unisex WC WISHAW q Adjacent to main stairs, next to Spiritual Sanctuary Baby Changing Room Level 1 q Adjacent to A&E Reception Baby Changing Room Level 1 q Adjacent to Outpatient B waiting area Baby Changing and Feeding Room Level 1 q Maternity Scan Level 2 Baby Changing Room q Ward 23 Level 2 Baby Feeding Room – Staff, Patients, Public q Neonatal Unit Level 2 Baby Feeding Room – Mothers HAIRMYRES q Adjacent to A&E Reception Baby Changing/ Feeding Room q Adjacent to Radiology Reception Baby Changing Room at Atrium q Adjacent to Radiology Reception Baby Feeding Room at Atrium q Adjacent to Day Surgery Reception Baby Changing Room q Adjacent to Maternity Day Assessment Baby Changing Room
Page 1 and 2: NEWS FOR NHS LANARKSHIRE STAFF •
Page 3 and 4: thePulse SEPTEMBER/OCTOBER 2009 GEN
Page 9: thePulse SEPTEMBER/OCTOBER 2009 GEN
Page 13 and 14: 14 thePulse LOCAL/DISTRICT/PARTNERS
Page 15 and 16: 16 thePulse PEOPLE NEWS SEPTEMBER/O
Page 17 and 18: 18 thePulse GENERAL NEWS SEPTEMBER/
Page 19: 20 thePulse ACHIEVEMENTS SEPTEMBER/

The Pulse September / October 2009 - NHS Lanarkshire

Create successful ePaper yourself

Delete template?

Save as template?