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JUNE 2017 | University Hospitals Birmingham NHS Foundation Trust
Success of team’s innovative strategy Innovative ways to prevent pressure ulcers have resulted in the nurse-led Tissue Viability Team (TVT) seeing an encouraging drop in reported cases. Prevention remains a high priority in patient care for the service that provides clinical advice and support to staff on patients with a wide variety of tissue integrity problems. These include pressure ulcers (PU), leg ulceration, surgical wounds, fungating wounds, moisture lesions and excoriation as well as specialist treatments such as larvae therapy, negative pressure wound therapy, compression bandaging and conservative sharp debridement. PU are internationally recognised as avoidable harm that can cause pain, suffering and, in severe cases, can lead to death. The total cost in the UK is estimated to be £1.4 to £2.1 billion annually equating to four per cent of NHS expenditure. Reducing the amount of hospital acquired PU has remained one of the key priorities for the Trust over recent years. PU are classified using a 1-4 grading scale (grade 1 being the least severe and grade 4 the most). Nicky Griffiths, who leads the team, said: “The focus on a wide range of strategies has had a significant reduction in the amount of hospital acquired grade 2 PU. The plan for 2017/18 is to continue to develop innovative strategies to engage with both patients and staff in the prevention of PU. “There has been a lot of support from staff across the Trust who have taken the strategies on board and we appreciate their efforts which mean real improvements in the care of patients.” The TVT have employed a variety of innovative strategies to engage staff and ensure pressure ulcer prevention remains a high priority in patient care. These have included the ■ Think Skin logo which is on all tissue viability related documentation (see attached slides ■ React to RED campaign which is a magnetic disc placed above the patient’s bed to raise
Celebrate 5000 Liver Transplants and 30 years of liver research at the International Liver Symposium. To mark the milestone and celebrate the clinical and academic achievements of the Liver Units in Birmingham, a scientific conference is to be held in the University of Birmingham Medical School on September 5 and 6. The event will also mark 30 years since the Centre for Liver Research was established at the University of Birmingham. Keynote speakers will include internationally renowned pioneers of liver transplantation and experts in liver disease. There will also be focused specialist sessions for scientists, nursing staff and allied health professionals. All trainees, international fellows, researchers and all other colleagues who have contributed to this success are welcome to attend the event which aims to encourage professionals to share their experiences and promote discussion about the future of liver transplantation and liver research. For registration and enquiries go to: ƀ contact@5000livers.org 0121 414 8606/8608
Promoting the message: Nicky Griffiths, Alison Aldridge, Claire Freeman and Cheki Pearce
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awareness of patients at risk of pressure ulcer development Respect and Keep Moving roadshows which have provided close working with therapists/ AHPs Revamped educational programmes including face-to-face and on-line training on PU grading and pressure relieving equipment. Introduction of PU competencies for registered and non-registered nursing staff Establishment of a Preventing Harms Group with key members from clinical Divisions. Improved awareness and culture changes around PU reporting, prevention and management. Involvement of Tissue Viability Link Nurses in each clinical area. Monthly Tissue Viability Quality Audits
New system for shifts SMART will no longer be used to book additional QEHB+ bank shifts in any department from Monday 26 June onward. Booking onto shifts from this date will be done via Allocate – Employee Online for all QEHB+ workers in any department in the Trust. What are the benefits of Allocate Employee Online? Employee Online allows you to: ■ View your roster in various ways (i.e. across a week/month/6 week roster period) ■ Make annual leave and study leave requests easily in a few simple clicks ■ Self-book onto bank shifts or register your availability for additional shifts ■ Access Employee Online from home, work or on the go - from your smart phone, tablet, laptop or any Trust PC PRIME Time As part of the introduction of Employee Online, a new ‘virtual’ hand reader will be introduced called PRIME time that all QEHB+ staff and inpatient nursing staff (including CDU, Critical Care and ED) must register for. Created by the Trust, PRIME Time will allow you to click in and out via any Trust-based computer.
International Liver Symposium invitation
You will continue to be able to clock in and out using a hand reader. However, to ensure a smooth roll out, all affected staff must still register in advance for PRIME Time. If you are a QEHB+ worker you must use PRIME Time or a hand reader to clock in and out, or you will not be paid for your shift. Employee Online will replace the use of paper timesheets. If you have a bank post and an inpatient nursing staff post, you are required to register on PRIME Time for both of these roles separately. Managers They way managers book additional workers through QEHB+ (Locate) will also change. All managers/team leaders that book bank and agency workers though QEHB+ (in ANY department) will need to do so using a new system called Allocate – Health Roster for shifts from Monday 26 June onwards SMART and Finance Tools will no longer be used to book bank and agency workers with QEHB+ for any shift in any department from Monday 26 June. All affected groups can find out more, here: uhbhome/allocate-system/allocate-launch or by clicking on the Allocate desktop icon.
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to provide assurance that pressure ulcer prevention care is in place Close working with the Risk and Compliance Department regarding Root Cause Analysis (RCA) and/or Serious Incident reporting and investigating. Device related PU task and finish groups resulting in innovative strategies Introduction of electronic records around repositioning Skin Champions study day for HCAs Networking with Shelford and regional TVNs Seating campaign in response to audit results and purchase of new equipment Divisional alignment to address key issues and support back to the floor audits and provide specific education
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Best in Care Awards 2017 The Best in Care Awards are back and sparklier than ever with new categories for 2017. This year sees the introduction of the Training, Education and Wellbeing Award, to highlight the importance training and education plays in delivering the best in care. The Patricia Taylor Colleague of the Year Award will represent a personal ‘thank you’ from those who feel they have a truly amazing colleague. Firm favourites are still running, including Best in Clinical Care, the Chief Executive’s Award for Innovation, Team of the Year and the coveted Chair’s Award, which celebrates excellence in service. The awards also celebrate the exceptional achievements and commitment of so many at University Hospitals Birmingham. The hospital employs an army of staff in non-clinical roles as well as a host of corporate staff who ensure the smooth running of the organisation will be recognised with the Behind the Scenes and the newlynamed Supporting our Services awards UHB Chief Executive, Dame Julie Moore,
said: “The new categories ensure the Best in Care Awards reflect the broad spectrum of staff that make up UHB and the significant contributions they make. “I am very much looking forward to this year’s event and to reading your nominations.” There are 13 categories in total celebrating the variety of ways staff, volunteers and QEHB Charity supporters contribute to providing the best in care. So if there’s an individual or a team that you feel deserves to be celebrated, show your gratitude by making a nomination. Anyone can nominate and nominating is easy. The finalists and some of those who nominate them will be invited to a glittering awards ceremony in November where the worthy winners will be announced. Nominations close on 31 July 2017. To make your nominations complete the online form: www.nhs.uk/awards, write to Best in Care Awards, Communications, University Hospitals Birmingham, Edgbaston B15 2TH or call 0121 371 6490.
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