A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...
A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ... A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...
Board of Directors Part 114 June 20135. PATIENT REPORT5.1 Introduction91 patients were interviewed across all 9 wards. Typically 10 patients wereinterviewed from each ward, with the exception of Ward 1, where 11 wereinterviewed. The full, tabulated results for all wards can be found at AppendixA. A ward-by-ward breakdown can be found at Appendix C.5.2 Results and responses5.2.1 Do you think there are enough nursing staff on this ward at night?56% of patients felt there were enough nursing staff on their ward at night.Many of the comments received were very positive about the quality of thenursing at night, although many did also mention they felt the staff wereworking very hard. Ward 9 is typical in this respect with six patients remarkingthat the staff were extremely busy and not always able to attend to those inpain. However, they also felt the staff were professional and caring.Several patients from different wards felt that staffing levels were adequate onquiet nights but very poorly or difficult patients stretched staff. Of the twopatients on the Acute Medical Unit (AMU) who felt there were not enoughstaff, neither felt their personal care had been affected by this, something thatwas echoed across many wards.However, the reasons given by patients on the Stroke Unit for feeling there arenot enough staff at night raise specific concerns around not answering callbells and medication being given late. A patient on this ward also told us thathe had had to wait until day staff came on for something to be done for him aspart of his ongoing care, leaving him in pain during the night.5.2.2 Have you experienced any difference between care during the dayand night?The majority of patients (79%) stated that they had not noticed any differencein care between day and night. The reasons the nineteen patients who saidthey had noticed a difference mirror answers to the previous question. Delaysin giving medication at night meant that patients had to wait to settle down tosleep and with fewer staff on the wards, confused patients and those withdementia were far more disruptive to their fellow patients, with some shoutingand banging tables.Patients on two wards noted difficulties in getting a doctor at night as thereason for finding care different between day and night. There was concernfrom patients on other wards at staff’s ability to cope with emergencies giventheir reduced numbers.However, one patient on AMU felt this ward was more ‘demure’ at night and aclear majority of patients felt the standard of nursing care was very high.3The Hospital at NightQuality/Performance
Board of Directors Part 114 June 20135.2.3 Do you get your night-time medication on time and if you requireany pain medication during the night/early morning, is this givenpromptly?90% (82 people) said they did get their night-time medication in good time,though some qualified this when thinking about whether pain relief at othertimes in the night was as promptly given or easy to access. A couple ofpatients in different wards noted that timed medication was not always givenon time resulting in discomfort.Patients who did require pain medication at night were mostly happy it wasgiven on time and thought that any delays were down to the staff being verybusy. One patient in AMU said it could be worse getting pain medicationduring the day.A general observation around prescribing was accessibility to doctors to dothis. One patient, who thought they might like a sleeping tablet later, asked inpassing about this and was told ‘it was a doctor thing’ and was given theimpression it was not easy to do so she did not ask for it in the end. Staff alsomentioned having to wait for doctors to prescribe and there not being anypharmacy open at night.5.2.4 Do you feel safe in the hospital at night?Only one patient out of 91 reported not feeling safe in the hospital at nightbecause he had vomited one night and it had not been cleaned up promptly.Otherwise, patients universally felt very safe.5.2.5 How long does it take for a call bell to be answered at night?Patients answered this question in various ways and it was also difficult forpatients to always judge accurately the amount of time involved. In reviewingthe answers, the committee felt the following categories were a fair reflectionof what patients had told us:Immediately(up to 1-2minutes)Quickly(2-5minutes)Acceptably(5-10minutes)Unacceptably Had not used(
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Board of Directors Part 114 June 20135.2.3 Do you get your night-time medication on time and if you requireany pain medication during the night/early morning, is this givenpromptly?90% (82 people) said they did get their night-time medication in good time,though some qualified this when thinking about whether pain relief at othertimes in the night was as promptly given or easy to access. A couple ofpatients in different wards noted that timed medication was not always givenon time resulting in discomfort.Patients who did require pain medication at night were mostly happy it wasgiven on time and thought that any delays were down to the staff being verybusy. One patient in AMU said it could be worse getting pain medicationduring the day.A general observation around prescribing was accessibility to doctors to dothis. One patient, who thought they might like a sleeping tablet later, asked inpassing about this and was told ‘it was a doctor thing’ and was given theimpression it was not easy to do so she did not ask for it in the end. Staff alsomentioned having to wait for doctors to prescribe and there not being anypharmacy open at night.5.2.4 Do you feel safe in the hospital at night?Only one patient out of 91 reported not feeling safe in the hospital at nightbecause he had vomited one night and it had not been cleaned up promptly.Otherwise, patients universally felt very safe.5.2.5 How long does it take for a call bell to be answered at night?Patients answered this question in various ways and it was also difficult forpatients to always judge accurately the amount of time involved. In reviewingthe answers, the committee felt the following categories were a fair reflectionof what patients had told us:Immediately(up to 1-2minutes)Quickly(2-5minutes)Acceptably(5-10minutes)Unacceptably Had not used(
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