21
NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
BHBN Radio schedule Monday 12noon-1pm The Light Lunch 3pm-4pm 6pm-7pm 7pm-8pm 8pm-10pm
Elevator Zone – Bubba the Loungehound The Tea Time Show – David Moore Hospital Requests – Claudia Wilde The Evening Show – Dale Hobson
Tuesday 12noon-1pm The Light Lunch 3pm-4pm 6pm-7pm
Elevator Zone – Bubba the Loungehound Hospital Requests – Ciaran Fitzpatrick
7pm-8pm
Easy Listening – Kelly Howell
8pm-10pm
The Evening Show – Paul Millington
Wednesday 12noon-1pm The Light Lunch Elevator Zone 3pm-4pm – Bubba the Loungehound Words and Music 6pm-7pm – Brian Henderson Hospital Requests 7pm-8pm – Donna Joseph The Evening Show 8pm-10pm – David Elliott
Thursday 12noon-1pm The Light Lunch Elevator Zone 3pm-4pm – Bubba the Loungehound The Tea Time Show 5pm-7pm – Ben Selvan Hospital Requests 7pm-8pm The Evening Show 8pm-10pm – Chris Friday
Friday 12noon-1pm The Light Lunch Elevator Zone 3pm-4pm – Bubba the Loungehound Pick and Mix 6pm-8pm – Brendan Delaney The Evening Show 8pm-10pm – Bill Waldron 10pmThe Rock Show midnight – Brian Swann *CBSO Concerts when broadcast are on Friday at 7:30pm*
Saturday 7am-9am 9am-11am 11am-1pm 1pm-2pm
2pm-6pm
Weekend Breakfast – Dave Horton/Olly Brown (Alternate Weeks) BHBN Gold – Colin Monnaf The Frock Show – Sarah Morris Queen Elizabeth Hospital Military Ward Requests – Michelle Woodhouse BHBN Birmingham Sport – Live kick by kick commentaries of the local teams Sponsored By
Chiltern Railway Mainline
6pm-8pm
Saturday Disco – Marky B
8pm-9pm
Saturday Alternative – Olya Jeneson
9pm-10pm
BHBN Reggae Selection
Sunday 9am-11am 11am-1pm
Laid Back Sunday – Bill Waldron Kitch & Kool – Brendan Delaney
1pm-3pm
Martyn Williams
3pm-5pm
Hospital Requests
5pm-8pm
Olly Brown’s Sunday Get Together
8pm-9pm
BHBN County Show
9pm-10pm
Music From Stage & Screen
10pm
Classical Collection
Practice development: Working together to improve patient care New procedures to help ease patient’s condition Yvette Perston is a Clinical Nurse Specialist in the Trust’s Functional Bowel Service. As part of this role Yvette supports patients with faecal incontinence. Faecal incontinence, when a person loses the ability to control their bowel movements is a common problem caused by a number of reasons. It is thought that at least 1 in 50 of the population over the age of 40 years has some leakage at least weekly. It can be very distressing for the person and can have a huge impact on their everyday life. Many feel too embarrassed or ashamed to admit the problem to healthcare professionals, or even to their family and friends. The first step in treatment for faecal incontinence is usually a combination of management of diet and taking medication. Training to help strengthen the pelvic floor muscle and anal sphincter may also help and if these treatments do not work, an operation might be considered. However, a more recent treatment for faecal incontinence is a procedure called ‘percutaneous tibial nerve stimulation’ (PTNS). The procedure involves having a fine needle inserted near the tibial nerve which is just above the ankle and an electrode placed on the foot. A mild electric current is then passed through the needle to stimulate the tibial nerve. The patient will usually feel a tingling sensation in the ankle, foot or toes. The patient may experience some side effects of PTNS, including discomfort at or redness around the needle site, numbness of the toes or an aching calf muscle but these symptoms pass quickly after treatment. Yvette has been providing the PTNS treatment in a nurse led clinic for the last 18 months. Patients attend the hospital as an outpatient and have 12 sessions, each 30 minutes long, once or twice per week. In total, Yvette has supported 48 patients through the full course of PTNS treatment. Yvette reports that 6 out of 10 who have completed their course have had an improvement in their symptoms. One of her patients has been able to join a rambling club and now regularly goes on 3-4 hour walks, something she would never have been able to do before the treatment. Another patient, who experienced bowel and bladder problems, used to get up 3 or 4 times a night to go to the toilet; they are now able to sleep through the night. Even if PTNS is not successful, it does not make the faecal incontinence any worse and can be repeated if needed. It is now also being used to effectively treat patients with an overactive bladder and clinical teams are considering whether PTNS might also be helpful in the management of other bowel problems, such as constipation, or in the care of patients with neurological conditions.
The team are always keen to discuss ideas and work with different teams. Call the team to discuss on 0121 371 4703 or internal: 14703 or email: PracticeDevelopmentTeam@uhb.nhs. uk If you would like any further information about PTNS, contact Yvette on 0121 371 4980.
Patients feel benefit from work of nursing team
Left to Right (back row): Michael Rhodes, Donna Nijjar and Bryony Randall Left to Right (front row): Marion Santos, Debby Edwards and Peter Taylor
Many patients, while they are in hospital, need medication to be given into their vein as part of their treatment. When medication is given this way it is called intravenous (IV) medication and for this to happen the patient needs to have a tube or line inserted into a vein. There are different types of tubes and lines available, referred to collectively as vascular access devices. The choice of which one to use depends on the patient’s needs. Peter Taylor and Donna Nijjar, two members of the Trust’s Vascular Access Team talk about the services the team provides and the introduction of a nurse led service for patients who may need a line inserted for IV treatment. Who is the Vascular Access Team and what services do you provide? We are a team of five specialist nurses working across the Trust providing a wide range of clinical support to all staff and patients. We provide specialist advice, care and knowledge to staff and patients on the insertion, management and ongoing care and removal of vascular access devices. What is the nurse led line insertion service? Approximately 75% of all patients at the Trust need a tube or line inserted in order to receive IV treatment. For many this will be a peripheral cannula (a small tube inserted into the arm or hand). However for some patients this may not be the best option. This may be because they need long term IV medication, such as antibiotics or chemotherapy, or because it is difficult to insert a peripheral cannula due to the condition of the patient’s veins. When this happens a larger line for longer term use needs to be considered. One such line is called a Peripherally Inserted Central Catheter (PICC). This is inserted into a large vein in the upper arm using an ultrasound machine as a guide. The line is inserted along the vein until the tip of the line is positioned just outside the right side of the heart. Due to the complexities of our patient groups the number of patients requiring the insertion of a PICC has
increased. With this increasing demand it was identified that the service needed to expand to avoid unnecessary waiting times that may have led to delays in patient treatments. Historically the patient would have had to be taken to Imaging Department Theatre to have their PICC inserted. However due to the increasing demand, under the guidance of Debby Edwards the Vascular Access Team was tasked to establish a nurse led line insertion service which would help to meet patient care needs. What training have you had to do to? Each member of the team is given advanced training in how to place a PICC using a machine called the Sherlock 3CG TCS. This equipment allows tracking of the PICC tip during insertion and the PICC tip position confirmation with ECG. After the training, the nurse has to complete supervised practice and a set of detailed competencies in accordance with an approved Trust expanded practice protocol. What are the benefits to the patient of the service? 98% of PICCs are now placed by the nurse led line insertion service. Patients are getting their line placed quicker and delays in receiving therapy have been reduced. Ultimately this has improved the patient experience as lines can be placed at the bedside and in the majority of cases the PICC tip position confirmed at the same time. Other benefits for patients is early discharge in to the “QEHB recovery @ home” whereby, if deemed appropriate, long term IV therapy can received at home under the supervision of the recovery at home team. The team’s aim is to provide excellence in patient care by providing an effective, responsive, safe and caring service which is driven by evidence based practice.
For further information contact the Vascular Access Team on extension: 14952
Did you know? The Trust offers ‘comfort care packs’ for patients nearing the end of their life, and their families. The contents of the pack are aimed at helping to provide comfort, relief and support to both the patient and their family. The pack contains toiletries, drinks and snacks, a car park pass and the leaflet, ‘Information for you when your loved one is dying’. During normal working hours the packs can be collected by staff from Bereavement Care. For out of hours contact the Site Manager. For any queries contact Bereavement Care on extension: 12450 or 12452