Transforming Care
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Transcript of Transforming Care
![Page 1: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/1.jpg)
Insert name of presentation on Master Slide
Transforming CareTwo pilot wards are West 3 and West 5. Both are 29 bedded elective orthopaedic wards.
![Page 2: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/2.jpg)
Well Organised ward (WOW)
• West 3 ward– Dynamap stations
– Store rooms x 2
– Hoist Station
– Drug cupboards
– Sluice
![Page 3: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/3.jpg)
Dynamaps before:
Not all in one place
Untidy
Batteries flat as not plugged in
Sats probe often broken because left on floor
Time taken to find dynamap, stock up and plug in when at the patient’s bed = 6 minutes 41 seconds
![Page 4: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/4.jpg)
Dynamap station, After:
Dynamaps located in two defined areas on the ward
Left tidy
Plugged in
Stocked with appropriate paperwork and equipmentTime taken to collect dynamap from station and take to patient = 1 minute 41 seconds
That’s a saving of 5 minutes
![Page 5: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/5.jpg)
The impact:• If as an average observations are required
every 4 hours and there are 6 dynamaps available, 6x6 =36 times per day
• Saved 5 minutes each use
• =3 hours a day
• =21 hours a week and 45 days over a year!
Also saved steps, 617 steps before, 107 steps after.Over a week saves 10.7 miles, 43 times around the
Millennium Stadium
![Page 6: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/6.jpg)
Store rooms Before: After:
![Page 7: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/7.jpg)
Store RoomsBefore: After:
![Page 8: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/8.jpg)
Hoist Station
• Hoist station now in place, no longer kept in patients bathroom
• Slings for hoist kept in same room not on high shelf in Linen room
• Steps saved =51 steps saved per trip.– Over one year = over 1 mile saved
» One trip per week
![Page 9: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/9.jpg)
West 3 before: West 3 after:
![Page 10: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/10.jpg)
Drug Cupboards Before: After:
![Page 11: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/11.jpg)
Drug Cupboards:
• Before:
• Doors were old and tatty
• Old posters and information on outside
• Inside not clearly labelled
![Page 12: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/12.jpg)
WOW• West 5
– Dynamap station
– Sluice
– Linen Room
– Store room aka ‘the shed’
![Page 13: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/13.jpg)
The Sluice, before:
![Page 14: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/14.jpg)
The Sluice after:• Stock levels
clearly marked
• Spaces clearly marked and labelled
• Bowls moved to lower shelf
![Page 15: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/15.jpg)
Spaghetti DiagramWest 5 sluice room before West 5 sluice room after
![Page 16: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/16.jpg)
Moving Bowls
• Saved 10 steps per trip – Over one year saved one mile
Saved 15 seconds per trip
(six trips per day, 90 seconds saved)
10.5 minutes a week, 546 minutes per year,
9 hours per year saved
![Page 17: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/17.jpg)
‘The Shed’
![Page 18: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/18.jpg)
![Page 19: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/19.jpg)
A Place for everything and everything in it’s place!
![Page 20: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/20.jpg)
Sort!
The 60 minute makeover approach!
![Page 21: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/21.jpg)
Shine!
![Page 22: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/22.jpg)
Set• Shelves all clearly marked and
labelled• Pictures on cupboard doors• Pictures in spaces on shelves
and on floor• Dynamap stations clearly
marked
![Page 23: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/23.jpg)
Standardise• Anti-embolic stockings moved from the
‘shed’ to the linen room. (Nearer the patients).
• This simple move saved 2 minutes 30 seconds per trip
• Over a year saving: almost 2 days!– And 87500 steps a year! That’s 44 miles!!!!
![Page 24: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/24.jpg)
Before: After:
![Page 25: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/25.jpg)
Sustain• Audits in place• Each area has named person
responsible for auditing weekly• Stock levels displayed
![Page 26: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/26.jpg)
Measures BoardAction Planning• Monthly meetings around board as data
collected monthly
![Page 27: Transforming Care](https://reader036.fdocuments.in/reader036/viewer/2022062422/568135a6550346895d9d17b3/html5/thumbnails/27.jpg)
Next Steps:
• PSAG boards ordered and delivered
• Location decided
• Symbols agreed
• Team engaged
• Thin tape??????