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 2013Managing aggressive, demented and confused patients can be verydifficultSlow chain of response for sick patients – medicallyGetting hold of equipment can be hard – role of portersWhat are the aspects of night working you find most beneficial orpositive?Being in charge, taking more responsibility, using initiativeMore time to talk to patients, read notes, paperwork and admin, canoffer more care and be compassionateMore time for social careHome life suits night workingBetter team working – like a family7.3.6 What are the food options available at night?Lack of food and meals at night is a universal and strongly held complaint.Nearly all the staff said the current situation is very poor and the two thatdid not answer “no” did so as they usually brought in their own food andaccepted this as the status quo.There is no hot food available as the canteen is closed. Vending machinesare found only outside the restaurant and are generally stocked with junkfood. Sandwiches are said to be stale.The vending machines are also too far away from staff in the oppositewing. When they are very busy they do not have time to walk there andback. Staff can heat food in microwaves on the ward if they bring their ownfood but sometimes these don’t work. Being able to buy plated food fromthe canteen before it closes in order to reheat it later would be an option.Vending machines with good food are needed in both hospital wings.There are also complaints that there is not always a place to take a break.Not all wards have a quiet space nearby to relax in and there are notenough breaks within the long, twelve-hour shifts (currently just one onehourbreak).7.3.7 Name three things that would improve night working on thiswardThere were lots of suggestions, many of which re-iterated some of thecomments above. Below is a short list of common of requests in noparticular order.More staff - HCAs mostly but trained nurses on AMU and perhapsthe CSTQuicker and easier access to doctors13The Hospital at NightQuality/Performance
Board of Directors Part 114 June 2013Time for breaks, good food and drink for the breaks andsomewhere away from the ward to take the breaksBetter access to equipment and drugs for emergency use. Morethoughtful planning by staff during the day to ensure night staffhave them readily availableImproved and more rapid porteringMedical outliers on wards increase pressure on staff – please keepthem to a minimumBetter portering and security for confused patientsNot using agency staff wherever possibleMinimising patient and staff transfers during the nightLess noise from staff, phones and lower lights7.3.8Interview with members of the Clinical Site TeamMost of the issues raised by the nursing staff were reaffirmed by thethree members of the CST that we spoke to. Their main pointswere:More doctors are needed – either a medical registrar or SeniorHouse OfficerAnother porter would be extremely helpful. The IT system forsummoning a porter is slow, cumbersome and repetitive andneeds urgently to be modified.More nursing/medical jobs can be done in the day – equipmenttracking, drug charts written up in a more anticipatory fashione.g. night sedation and analgesia, having supplies of emergencytherapy such as antibiotics available on the ward as it can bedifficult to obtain these at night when the pharmacist is only oncall.iPADs for the Clinical Site Team would allow more informationto be given to the team when they are walking the hospital,resulting in more swift and appropriate action.The surgical F1 covering the surgical wards feels isolated. Theirregistrar is in bed on site but seemingly does not like beingdisturbed.14The Hospital at NightQuality/Performance
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- Page 82 and 83: EnforcementGuidance28 March 2013Mon
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Board of Directors Part 114 June 2013Managing aggressive, demented and confused patients can be verydifficultSlow chain of response for sick patients – medicallyGetting hold of equipment can be hard – role of portersWhat are the aspects of night working you find most beneficial orpositive?Being in charge, taking more responsibility, using initiativeMore time to talk to patients, read notes, paperwork and admin, canoffer more care and be compassionateMore time for social careHome life suits night workingBetter team working – like a family7.3.6 What are the food options available at night?Lack of food and meals at night is a universal and strongly held complaint.Nearly all the staff said the current situation is very poor and the two thatdid not answer “no” did so as they usually brought in their own food andaccepted this as the status quo.There is no hot food available as the canteen is closed. Vending machinesare found only outside the restaurant and are generally stocked with junkfood. Sandwiches are said to be stale.The vending machines are also too far away from staff in the oppositewing. When they are very busy they do not have time to walk there andback. Staff can heat food in microwaves on the ward if they bring their ownfood but sometimes these don’t work. Being able to buy plated food fromthe canteen before it closes in order to reheat it later would be an option.Vending machines with good food are needed in both hospital wings.There are also complaints that there is not always a place to take a break.Not all wards have a quiet space nearby to relax in and there are notenough breaks within the long, twelve-hour shifts (currently just one onehourbreak).7.3.7 Name three things that would improve night working on thiswardThere were lots of suggestions, many of which re-iterated some of thecomments above. Below is a short list of common of requests in noparticular order.More staff - HCAs mostly but trained nurses on AMU and perhapsthe CSTQuicker and easier access to doctors13The Hospital at NightQuality/Performance
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