Management of Ward Rounds Action Newspaper

1. Management of Ward Rounds Action Newspaper CSM/BP/JW/LR/KSL Date:29 /03 /2010 No Problem/Action Who By When Check Develop SBAR for Nurse Handover and agreement with other WMs. Develop rollout plan for implementation across the org. LP/WL/GG with M Parker Café Culture event End of April By end of May 1 Ongoing • Review establishment of ward staff/skill mix to:- • Increase no. of ward based ANPs to compensate reduction in JDs on ward due to EWTD • Alter shift patterns to increase number of nursing staff at busy times • Increase ward clerk provision – responsibility for taking relatives phone calls (to be scheduled for quieter times ) • Provide housekeeper on each ward • Provide Ward co-ordinator role (senior staff nurse) for each ward • Increase ratio of HCA : nurse staffing • 5S Ward Manager role** JW 2 **Café Culture event End of April

2. Management of Ward Rounds Action Newspaper Date:29 /03 /2010 CSM/BP/JW/LR/KSL No Problem/Action Who By When Check 3 5S Nursing Documentation L Porter/Wirral Millennium Group Before Cerner phase 2 implementation 2011 L Porter / Model Ward Managers Pilot patient diary, train staff in supporting patients completing it. End of April 4 Incorporate patient diary into Patient Admission Booklet End of June 5 M Parker Following agreement with Gastro Cons re new schedule Review of pharmacy provision to support new ward round timetable on Model Wards 6 P Roberts Work with staff on model wards to Create model ward work schedule. Inc. review of patient meal times L Porter G Garner W Lewis End of April 7 Review booking process with Diagnostics and AHP services to improve communication to wards and patients re times for tests/results etc (to nearest ½ day) Simon Lea A Thuraisingam G Garner W Lewis 8 ??

3. Management of Ward Rounds Action Newspaper CSM/BP/JW/LR/KSL Date:29 /03 /2010 No Problem/Action Who By When Check Standardise location of storage for case notes across all wards – one note trolley per bay containing white and buff notes 9 L Porter W Lewis G Garner Matrons 2 day Kaizen Event Ensure all case note trolleys across the Trust have slots on either side for history sheets and other appropriate charts depending on specialty eg insulin 10 Create storage box for each ward with equipment needed for ward round eg stethoscope, ophthalmoscope, hearing communicator etc 11 12 Standardise location of all current charts in use at end of bed eg obs, fluid balance, warfarin chart etc Meet with Gastro consultants to discuss and plan 6 month pilot of model ward round. Develop Evaluation tool ( to inc monthly feedback meetings) Extraordinary evening meeting asap 13 LR /CSM /JW KSL / BP / AS 14 Meet with Colorectal consultants to discuss and plan pilot of model ward round LR /CSM / KSL / BP 2 months into Gastro pilot

4. Management of Ward Rounds Action Newspaper CSM/BP/JW/LR/KSL Date:29 /03 /2010 No Problem/Action Who By When Check • Agree pilot of ward rounds in other specialties eg DME and surgical specialties looking at:- • Dictated ward round notes • Pairing up consultants to see each others patients • Board rounds of chronic patients 15 ADOs Surgery /Medicine Following pilot in Gastro