International nurses day 2015 posters

58% terminally ill patients die in an acute Hospital.

Many people’s preferred place of death is their own home, a Nursing home or Hospice.

Discharge Barriers      

Time Co-ordinating discharge Applying for funding Packages of care Nursing home availability Equipment

Marie Curie and SASH joint project.

Two year pilot –  1.6 WTE Discharge Liaison 9:00-5:00 7 days a week  1 WTE Project Co-ordinator 9:00-5:00 Monday to Friday  8 WTE Healthcare Assistants 8:00-22:00 7 days a week Available to bridge gaps of care support All of these will actively work together to reduce the amount of bed days within an acute Hospital and enable people to get to their preferred place of care in an organised and timely manner.

Marie Curie & SASH Hospital Palliative Care Team

Capel Ward • Results discussed with the team at meetings and feedback via staff newsletters

Informing the public who's who

Communication • Friends and family feedback has increased from 10% (May 14) to 55% (April 15)

Meeting trust targets and informing the public

Capel Ward Communicating with Multi disciplinary team

• • •

With our improved communication we have found our complaints have reduced.

Dec 13 – April 14 – 3 complaints Dec 14 – April 15 – 1 complaint

A quiet place to talk to relatives

• Feedback from relatives and patients is that they like the appointment system and that it ensures them some 1:1 time with the medical team

HOLMWOOD WARD & CCU Promoting Excellence Through Staff Development.

About the Department Holmwood Ward and the Coronary Care Unit (CCU), provides acute medical care to those patients suffering from a range of acute and chronic cardiac conditions.

Our nursing team is committed to providing patient centered evidence based care, combining care and compassion with clinical expertise to ensure that patients receive a first class service and a positive in patient experience at East Surrey Hospital.

Staff Development

Advanced Skills

New Staff Induction All new nursing staff, regardless of grade, receive a structured induction period where the focus is on becoming familiar with the units ethos of care.

This time is utilised to ensure that a strong base of core nursing skills are established under the supervision of an mentor. An induction booklet has been developed so that each new member of staff has a clear guide of the skills they are to acquire and the competencies to be achieved which are signed off once established.

Mandatory training will be attended during this time. This period of supervised practice also allows any specific learning needs to be identified and addressed with individual action plans put into place, if required, to support the new staff member to achieve the units required standards of care. During this period staff new to their role will be enrolled on the Trust programmes for Staff Nurse or Health Care Assistant development to further support their learning.

Induction

Extended Skills

Advanced Skills

Expertise

Structured introduction to the department, establishing strong foundation nursing skills.

Development of extended skills promoting high quality care with technical skills enhancing continuity of care.

Development of specialist advanced skills under supervision and with full support of senior nursing staff.

Practice of advanced and specialist nursing skills in cardiology.

Fundamental to achieving this goal is supporting a nursing team who understand the importance of best practice in the provision of holistic care.

A journey begins when joining our department where basic and fundamental nursing skills are developed under supervision to build a sound foundation for future development.

VStandards of practice are monitored, clinical strengths are homed in upon to drive up our clinical standards and where high standards are anot achieved a positive learning process is implemented to address and overcome weaknesses identified either on a departmental or rindividual basis. i Once fundamental nursing skills are attained and maintained we promote the development of our staff to extend their skills. We astrongly believe that continuity in care is essential to patient experience and that for our nursing team to be able to deliver care befficiently whilst having the expertise so that patients have confidence l and feel safe under our care. e s Positive patient experience, continuity in care. Patients feel safe and trust in the nursing staff.

/ R e s e a

Confident and competent staff providing evidence based patient centred care Supprting nurses through structured induction, formal learning and clinical supervision

Extended Skills Once all core skills and competencies have been achieved the nursing staff are given opportunity to develop skills further. The timescale for this will vary for each staff member but usually happens from 6mths to a year in post.

For registered nurses and healthcare assistants there is opportunity to develop skills in phlebotomy and cannulation. For registered nurses Intermediate Life Support and Intravenous Additives certification also enhance their practice as well as supporting a safe and efficient caring environment where patients are familiar and confident in the professionals around them.

In addition to practical skills it is now that the nurses begin to build knowledge of cardiac conditions and start to enrich patient care and experience by sharing knowledge, improving patients understanding of their condition and helping patients to be empowered in their care planning. In support of this opportunity is given to undertake beginners courses specifically focused to cardiology.

As our nurses become more specialised we further support continuing education and professional development. They now will undertake the Resuscitation Council's Advanced Life Support training course attaining a qualification which is utilised across the Trust in providing advanced resuscitation skills.

Registered nurses have the opportunity to undertake a Cardiology Acute Clinical Pathway at degree level facilitating their journey to nursing expertise in cardiology. Mentorship qualification is actively encouraged to support the promotion of an effective learning environment and allowing their increasing knowledge to positively influence the department.

In terms of practical support we are providing on going supervisory support by senior nurses to those who are gaining advanced skills in leading the nursing team in a critical care environment. They are able to gain confidence in their advance practice whilst knowing they always have senior support or advice available if required. In addition to this we are now introducing a practice development nurse role within the department to provide educational and practical support across the nursing team.

By the nursing staff being fully supported patient safety is fully maintained whilst confidence in independent practice is achieved.

Expertise Expertise is achieved through time, through experiences and a strong theoretical knowledge.

It is more than academic qualification. It is acquiring a true understanding of a condition, the risks, the treatment and most importantly what it means to the individual patients that we nurse.

Expertise is demonstrated when our nurses understand truly the impact of being in hospital, the risks patients are exposed to, the difficulties that can be encountered, the fear and the vulnerability that is experienced and can provide care that addresses all these issues in the planning and provision of care along side specialist cardiac nursing skills.

To help develop such a deeper understanding of patient care our senior nurses are involved in investigating complaints and clinical incidents. In performing personal development reviews for junior staff and participating in on the ongoing education of colleagues in the workplace.

Commendations and positive feedback is also relayed to the nursing team again enhancing understanding of what really matters to our patients when in hospital and what they expect from us.

Moving Forward Holmwood Ward and CCU will continue to develop the training and support it gives to its nurses in response to the evolving needs of the patients that we care for, listening closely to patient experience and continually reviewing our achievement against quality standards.

We will continue to work at maintaining a professional and friendly environment where patients are safe and compassionately cared for whilst benefiting from nursing expertise specific to their needs.

Are you the senSASHion we’ve been waiting for?

Why Us

Our specialities include: Respiratory Maternity Cardiology Theatres Radiology Recovery Acute Medical Unit Endocrinology Emergency Care General Medicine Stroke Elderly Care Haematology Critical Care

Compassion

Dignity and Respect We value each person as an individual and will challenge disrespectful and inappropriate behaviour.

Paediatrics Orthopaedics Intensive Care Outpatients Women’s Health Education Day Surgery

We respond with humanity and kindness and search for things we can do, however small; we don’t wait to be asked because we care.

Our Values One Team

Safety and Quality

We work together and have a ‘can do’ approach to all that we do recognising that we all add value with equal worth.

We take responsibility for our actions, decisions and behaviours in delivering safe, high quality care.

Based at East Surrey Hospital (Redhill) and Crawley Hospital, Surrey and Sussex Healthcare NHS Trust is one of the top performing trusts in the country We are one of the safest hospitals in the country We have the best ‘Friends and Family’ score in the region We achieved 100% for cleanliness in a recent inspection Our staff are among the most motivated in the country and are proud to recommend our Trust as a place to work and be treated according to the latest staff survey We achieved a ‘good’ rating from the Care Quality Commission in our 2014 inspection We are one of the top 100 NHS employers according to the Health Service Journal

What you can expect • • • • • • • • •

Come and join one of the top performing trusts in England

Comprehensive induction to the ward Ward based teaching and mentoring Preceptorship programme and support Catalogue of training courses – both internal and external Annual achievement review OSCE support (if applicable) Library membership NHS Discounts Pension

For more information visit us at: www.surreyandsussex.nhs.uk

The

DAILY SASH Thursday 7th May 2015

Bucking the Trend: SASH Nursing Numbers to RISE! Coming soon to a department near you:

Following a very successful recruitment campaign in the Philippines, 158 nurses have been selected to join SASH over the summer months.

Seven members of staff from SASH conducted over 200 interviews in one week to select the right candidates to help us care for our patients more effectively.

These nurses will work across the Trust, and following a period of education and assessment, will achieve their recognised UK registration with the Nursing and Midwifery Council (NMC).

In addition to the 18 Continental Travel Nurses currently undergoing

their Overseas Nurses Programme at the Trust, we can be assured that qualified nursing numbers are on the increase.

The Trust is counting on you to welcome the new recruits and make them feel part of the team.

Any questions or comment should be directed to Sue Carr (Matron for Workforce) by email or phone (x2098).

Are you in your Preceptorship year?

Have you recently completed your Preceptorship?

We need your feedback!!!

We are in the process of revising the Preceptorship Programme; we will use agreed standards (HENCEL, 2014) to identify areas which could be improved and ensure we support the newly qualified nurses in their first year after university and onwards into their career.

Are you a Nursing Assistant?

Are you new to care?

Have you worked at SASH for a while?

INTRODUCING THE

ARE CERTIFICATE The Standards: 1.

Your Role

2.

Personal Development

3.

Duty of Care

4.

Equality and Diversity

5.

Person Centred

6.

Communication

7.

Privacy and Dignity

8.

Fluids and Nutrition

9.

Mental health

10. Safeguarding Adults 11. Safeguarding Children 12. Basic Life Support 13. Health and Safety

The Care Certificate can help Nursing Assistants at the start of their career, or those who have worked in care roles for a while.

It is a set of national standards; it helps assure Trusts that their Nursing Assistants deliver quality and individualised patient centred care.

It offers the Nursing Assistant a structured approach to their induction. It complements the specific induction requirements for individual departments.

Completion takes place within the department, and is supported by a mentor. It takes about 12 weeks and is rewarded with a certificate.

Resources will be provided to all wards and departments to support learning and assessment.

14. Handling Information 15. Infection Control

For any questions, contact Rebecca Maslin (Matron for Practice Development) on ext. 2678 or by email.

Electronic Prescriptions and Medicines Administrations (EPMA)is the utilisation of electronic systems to facilitate and enhance communication on prescribing and administration of medicines. It provides a robust audit trail for the entire medicine use process.

Welcome to Capel Annexe

BACKGROUND: BACKGROUND: In December 2014, EPMA was piloted for 10 In December 2014, EPMA was piloted for 10 weeks on the Ward with the main aim of weeks on the Ward with the main aim of improving patient safety through reduction of improving patient safety through reduction of prescribing and administration errors that of prescribing prescribing andand administration administration errors errors that that could result to medication errors and adverse could result to medication errors and adverse drug events. It was funded by the National drug events. It was funded by the National Programme for IT. Programme for IT. CLINICAL BENEFITS: • Reduction in medication errors.

• More drugs are given on time.

• Safety alerts noted when drugs need reviewing or wrong doses/ timing • Fully legible prescriptions • Alerts duplications or drug-drug interactions.

• Alerts for overdose warnings, allergy and contraindications • Clarity when a drug is changed.

• Documentation is more robust.

• Guides inexperienced prescribers.

ORGANISATIONAL BENEFITS: • Wider improvements in Clinical Practice.

• Robust audit trail for the entire medicine process.

• Reduction in paper-based process problems.

The overall result was overwhelming. The biggest benefits are less medication errors and NO hunting for drug charts which means a more productive time with patients however; there are some generic limitations to EPMA e.g. hardware, networks, training and support issues and errors still occur. EPMA can be more appreciated if it can be rolled out Trust wide.

RESULT: The pilot study done on Capel Annexe was a huge success. The used of the EPMA was proven to be safe and had reduced the medication errors. Nurses have shown more accountability and transparency of care to patients.

Overseas Nurses Programme Care Certificate Clinical Skills Training Preceptorship Role Development

Lynn Sanders Clinical Informatics Workforce Development

Ward Accreditation

Career Progression

Ward Dashboard

IELTS / ESL

Nursing Projects e-Prescribing

Recruitment

Beccy Maslin

Bank / Agency Advisor

Practice Development

International recruitment Safer Staffing eRostering Workforce Planning

Sue Carr Workforce

Clinical hardware Electronic documentation Vital signs Acuity Study

Whiteboards 15 Steps PREVENT

The Role of the Corporate Matrons

Setting up a New Service: The Genetic Diabetes Nurse Led Clinic I am taking a key role in a Health Education England / Scottish Executive funded project to look at the integration of molecular genetic testing into diabetes care. There have been considerable scientific advances in the study of the molecular genetics of monogenic diabetes, particularly the sub-group Maturity Onset Diabetes of the Young (MODY).

However, it is uncertain the best way for this information to be disseminated and, where appropriate, integrated into clinical practice. Discussing genetic testing with patients involves numerous novel skills and it is our belief that it is best to teach diabetes professionals about the small number of patients where genetic testing is important, rather than referring large numbers to Clinical Geneticists, especially as the main issues for patients often relate to their diabetes.

MODY is a rare form of diabetes which is different from both Type 1 & Type 2 diabetes, and runs strongly in families. MODY is caused by a mutation in a single gene. If a parent has this gene mutation, any child they have, has a 50% chance of inheriting it from them.

Aims & Objectives: • To provide a new service for patients which will allow them to be seen closer to home, in their own community • To increase knowledge about the genetic types of MODY and testing for these patients so that only appropriate patients are referred for genetic testing.

It’s important to know if you’ve got MODY, for the following reasons: • To make sure you get the right treatment and advice for your type of diabetes (e.g. stopping insulin).

• As there is a 50% chance of a parent passing on MODY to their child, you can consider and discuss the risk to any children you have/plan to have.

• Genetic testing can be offered to other family members.

Results: • I have received specific training about genetic testing in diabetes from Exeter University; this will be ongoing three times per year.

• The Genetic Diabetes clinic is now set up and running monthly.

• I am already investigating 3 family’s genetics and have adapted their medications accordingly.

• All aspects of this new initiative are being evaluated not only locally but by Exeter University and Health Education England / Scottish Executive.

This has been a great opportunity to extend my knowledge and provide a completely new service for my patients & Trust.

I would like to take the opportunity to thank my manager in supporting me in this project.

Susan Stockley Lead Diabetes Specialist Nurse

IBD SERVICE SURREY & SUSSEX GP

Consultant

Dietician

Pathologist

IBD SERVICE IT Support

Psychologist

PATIENT

Radiologist

Stoma Nurse

IBD Nurse

Surgeon

DON'T DELAY THINK DISCHARGE EVERYDAY READY

• Discuss patients expected date of discharge and medically fit for discharge date everyday at bed board • Liaise with OT/ Physio/SALT for any assessments required for safe discharge • Ensure all relevant referrals and documents are complete once EDD agreed • Request residential home assessments when MFFD without delay • Complete checklist if required without delay

STEADY • Ensure Electronic Discharge Summary is completed • Ask pharmacy to screen TTOs • Discuss with relatives if they are able to collect • Book transport if required • Check patient has key/key safe number • Complete District nurse • referral if required • Complete nurse transfer letter if required • Ensure patient has food/heating at home • Liaise with care agency, safe timing of discharge • If required prepare supply of wound care dressing • Remove cannula

GO • Discuss planned discharge with site manager daily • Appropriately assessed patients to be sent to discharge lounge overnight • Complete patient property • Check TTOs • Print out EDS/MAR chart • Ask patient/ friends/ family to complete friends family test • Upon discharge update bed board • Document in Bed Returns

Lisa Hollis Junior Sister Bletchingly Ward

Mouth Care Matters is an HEKSS funded initiative to improve mouth care for hospitalised patients. It has been developed at East Surrey Hospital and aims to empower hospital staff with the knowledge and tools to improve mouth care on the wards.

Why do we need Mouth Care Matters?

Oral health and our aging population • Our population is getting older, over 20% of the UK population will be older than 65 in 2020 • We keep our teeth for longer 1968 = 37% 2008 = 6%

No teeth No teeth

• Older patients have more complex dental treatment which requires more care • Older patients have more medical conditions that affect their ability to look after their mouths

East Surrey CQC Report 2014 ‘We saw that some patients on wards appeared to have dry mouths. There was no record of mouth care being given. There was no consensus on the medical wards of how and where episodes of mouth care should be recorded, and it was rare to find it had been.’

• •

Impact of hospitalisation on oral health • Increase in hospital acquired infections • Poor nutritional intake • Longer hospital stays • Increased care costs Terezakis et al, 2011

Evidence shows a link between oral health and: • Hospital acquired pneumonia • Ventilator assisted pneumonia • Heart disease • Stroke • Diabetes • And more…

• • • •

Findings at East Surrey Hospital 2015 An audit found in seven medical wards there were oral health assessments, in 0% of notes A survey found less than 50% of nursing staff have had any training in mouth care More than 90% of nursing staff would like mouth care training 100% of the nurses who attended a mouth care matters pilot session said this training should be mandatory Current mouth care practice is not up-to-date and wards do not have the equipment to provide good mouth care There were 11 dentures reported as lost at East Surrey Hospital

Mouth Care Matters – A New Model of Care Doctors

• •

Training Interactive teaching sessions on mouth care for nursing staff and other health care professionals involved in mouth care Ward based training and support by the mouth care team

Mouth Care team

Nurses

Inpatient Care

We will provide you with the skills to deal with these mouth conditions that develop in inpatients at East Surrey Hospital

Pharmacy

SALT team

Occupational therapists

Dieticians

We are introducing: • Mouth Care bundles • An alternative to foam swabs which have been shown to be unsafe & not effective • Dry mouth care • Toothbrushes and toothpastes more suitable for hospitalised patients

Electrocardiograph-based PICC tip verification system Intravenous Nurse Specialist – Jill Clarke When the nurse led Peripherally Inserted Central Catheter (PICC) service introduced an upper arm, ultrasound guided insertion technique the success rate increased to 99% and the service expanded to include parenteral nutrition, haematology/oncology and difficult to cannulate patients.

This change resulted in a very significant increase in the demand for PICC’s, saving valuable anaesthetic and theatre time.

400

In 2014 the Intravenous Nurse Specialist (INS) changed to an electrocardiograph (ECG) PICC tip verification system.

The correct positioning of the PICC tip at the cava-atrial junction is essential to avoid serious complications.

374 331

350 300 250 255

200

226

150 100

119

50 0

6

48

2007

2008

69 2009

2010

2011

2012

2013

2014

The INS inserts PICCs at the bedside as a single-handed procedure.

Historically, a chest x-ray was ordered post PICC insertion to check for satisfactory PICC tip position adding time, cost, radiation exposure and treatment delay. Malposition could require postprocedural adjustment or even reinsertion.

The ECG system gives real-time, accurate confirmation that the PICC tip is in the correct position allowing immediate commencement of intravenous therapy and improved patient care and confidence with the procedure.

The change to ECG tip verification • • • • • • •

Allows the INS to work more efficiently Reduces the number of CXR’s ordered Reduces patient exposure to ionizing radiation Reduces delays in PICC use Reduces line complications associated with malpositioned PICC’s Reduces manipulations of dressing to re-position PICC Significant cost savings.

The change to a Power PICC and an ECG tip verification system provides safer patient care, improves the patient experience and is a cost saving of at least £40,000 per year.

Practice Development needs YOU! • Do you like teaching?

• Are you interested in clinical education?

Hello, my name is Beccy Maslin. I am the Matron for Practice Development. I’m new to SASH and want to get to know you. I probably need to tell you a bit about me: I started my career in health at Worthing Hospital as a Nursing Assistant. After completing my nurse training in Cambridge I have worked in a few different roles including Cardiothoracic intensive Care, Cardiothoracic surgery (ward), Clinical Education and service transformation.

With me in the new Practice Development Team are Sue Pirie (Lead Nurse for Practice Development) and Luisa Espiritu (Clinical Skills Trainer). We work closely with the wards and departments as well as with Education and Training, the PGEC and nursing leads.

I am really excited to join you at SASH, and hope we can continue to improve on what is already a fantastic level of quality patient care.

• Are you already in a Practice Development or Clinical Educator role?

Could you spare an hour a month?

I want to set up a network of like minded people to help support each other, share ideas and ultimately improve the quality of care we deliver at SASH.

Register your interest: Rebecca.maslin@sash.nhs.uk or phone x2678

Perceptions of the Critical Care Outreach service: a staff survey Critical Care Outreach Team. May 2015 Surrey And Sussex Healthcare NHS Trust Introduction:

Satisfaction with CCO Service

Methods:

Evaluations of Rapid Response Systems (RRSs) have tended to base their effectiveness on physiological outcomes such as the rate of cardiac arrests, the number of unexpected admissions to intensive care and patient mortality1; there has been less interest in other benefits such as staff support and education2 3. A survey was conducted to identify how clinical staff perceived and utilised the CCO service in the East Surrey Hospital.

A convenience sample of 200 doctors and nurses in 10 clinical areas were asked to complete a simple questionnaire.

Good 14%

Information about the survey was provided, participation was voluntary and anonymity assured.

Clinical areas : • Medicine -

AMU, Charlwood, Tilgate, Tilgate Annex.

• Surgery -

Buckland, Copthorne, SAU, Woodland.

• Orthopaedics -

Leigh.

Excellent 86%

• Emergency Dept.

Main themes derived from data:

Results:

Reason for referral to CCO

• Eighty three questionnaires were returned (41.5%).

1. Patient safety •

CCO related improved patient care & outcomes.

• All respondents had used the CCO service.

•

Providing support & advice.

• Sixty nurses and twenty three doctors responded.

2. Team attributes •

Always accessible.

•

Reassurance for ward staff.

•

Teamwork with peers & colleagues.

•

Augmenting doctors care.

31%

24%

24%

• Overwhelmingly there was a perception that CCO involvement had assisted in managing their patient.

20% 1%

Clinical Concern

EWS Trigger

NIV

Assistance With Patient

Other

• There was significant support for the CCO service and four main themes were derived from the qualitative data.

3. Team skills • •

Expertise.

Knowledge & skill.

4. Accessibility •

Prompt response.

•

24 hour service & access to ICU.

Discussion: The Critical Care Outreach service makes a significant contribution to the detection, prevention & management of patient deterioration. It provides invaluable support, skill & expertise to the hospitals' clinical teams. The survey indicates the additional benefits that CCO teams can bring to the clinical teams, organisational processes & the patients’ experience. The survey suggests the value of the CCO service, a platform from which we can develop & shape team attributes & skills to meet future service needs, such as developing the new respiratory ward & the move towards Foundation Trust status.

References 1. McGaughey et al (2007) Outreach and EWS for the prevention of intensive care admission and death of critically ill adult patients on general hospital wards.

Cochrane Systematic Review.18:CD00552.

2. Richardson et al (2004) Ward nurses’ evaluation of critical care outreach. Nursing in Critical Care:9(1);28-33 3. Salamonson et al (2006) Voices from the floor: Nurses’ perceptions of the medical emergency team. Intensive and Critical Care Nursing.22:138-143

++++++++++

How can we improve the support for families and friends of people with a diagnosis of cancer?

Macmillan Cancer Support

Across the UK, over one million people look after someone with cancer, yet half of them don’t receive any support. Many people who look after someone with cancer don’t see themselves as a carer, so don’t know that there is help available.

Yet caring for someone with cancer can affect people’s own health, mental wellbeing, working life and relationships. Lack of support to carers can lead to an increased need for health and social care services, for the carer and the person they’re caring for. (Macmillan 2015)

Clinical Nurse Specialist (CNS) A key role of a CNS is to provide support and information both verbal and written to people and their families who have been diagnosed with breast cancer. Traditionally, the information supporting the person with a diagnosis of cancer carers is aimed at the person’s partner.

Teamwork

Carer’s Event

Reflection

As a team we regularly review and reflect on the information given both verbal and written.

In June 2014 we held our first Carers Event held in the Atrium in the PGEC.

Many people we see in clinic are supported by various people including family members, friends and work colleagues.

The feedback form both the organisations who took part and the people attending was that many people who have someone close to them effected by cancer do not see themselves as carers and are not aware that there is support in many forms from many sources from practical to emotional support.

Reflecting on the event the CNS team considered ways as to how we could increase the awareness of the partners, friends or relatives of the support that is available for them both locally and nationally.

In this situation we felt that the information on support did not take into account that not everyone has a partner.

Feedback

Action We have installed three Macmillan information racks in the outpatient’s department ensuring that there is a supply of appropriate publications.

We know that the publications are being taken as we have to regularly restock We also wanted a more targeted approach to providing this important information as highlighted by Macmillan and our own personal experience is that the people that the publications are aimed at may not see themselves as a carer and therefore do not take them.

After reviewing a number of publications the CNS team decided that a selection of three key publications along with a letter from the CNS explaining the aim of the ‘partners and friend pack’ would be put together and placed in a bag to create a ’pack’ The ‘packs’ are now available for the CNS to give out when and where they feel it is most appropriate.

We have been using the ‘packs’ for the past few months and have received positive verbal feedback.

We have shared the concept of the ‘pack’ with other CNS’s within the Trust, at a regional breast CNS meeting and at a national meeting to which a positive interest in the packs was shown.

We plan to do an audit to find out if people have found the packs useful and what other information people would like included.

We will be holding our second carer’s event on Tuesday 16th June 2015 from 10.30-2.30 in the atrium of the PGMC.

Macmillan Clinical Nurse Specialists (breast) Liz Darragh, Jan Horner, Sue Gattinesi & Chris Turner

There are approximately 1200-1300 adult deaths in East Surrey hospital annually

Families are given an ‘invite’ when they come to collect the death certificate………

National Institute of Clinical Excellence recommendation in the Supportive and Palliative Care Guidance (NICE 2004) that individuals should be offered bereavement support as part of good practice

It has long been felt there is a need to offer a remembrance service for all the families of patients who die at East Surrey Hospital and not just those known to the palliative care team. Over the last year there has been a working group looking into this involving members of the Chaplaincy The first service of remembrance, ‘A Time to department, Palliative Care Team and the bereavement office.

Remember’, will be held at SASH on May 9th at 11.30am.

This is planned to be a twice yearly event and will consist of a short non-denominational service with readings and music followed by refreshments and the opportunity to talk with various team members. We are delighted that the Brigitte Trust will be able to support the service by providing representatives.

We will audit the service in preparation for the next service which will be held on 21st November 2015 tg ©

What Does AMU Nursing Mean to Our Patients?

What Does AMU Nursing Mean to Our Team?

OBSERVATION CHARTS - EWS RESPIRATORY FAILURE

DISCHARGE PLANNING

Team building

Interactive quiz

Multi-disciplinary teaching from the medical team Feel valued Improve care Informative

Gain knowledge

Specialised respiratory nurses Ward based nurses

Empowered Practical session

Discharge liaison nurses, matrons and pharmaceutical reps Specific to your role CHEST DRAINS MANAGEMENT

TRACHEA MANAGEMENT

Investing in you CHRONIC LUNG DISEASE