Beeldmateriaal
deel 3
Het Productieve Verpleegteam™
Meer tijd voor de patiënt
CC Zorgadviseurs
officieel licentiehouder van
The Productive Ward ©
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Voorwoord
Met trots presenteren wij u deze reader die gaat over het unieke programma
Het Productieve Verpleegteam
- Meer tijd voor de patiënt -
Wilt u meer informatie dan kunt u contact opnemen met:
Marcel de Jong (0348) 493 000
CC Zorgadviseurs Beneluxlaan 2c 3446 GR Woerden Postbus 644 340 AP Woerden T (0348) 493 000 F (0348) 493 009
[email protected] www.cczorgadviseurs.nl
Exclusief licentiehouder van het productieve verpleegteam
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Inhoudsopgave 1.
Ervaring van een patiënt (persoonlijke brief)
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2.
Divers beeldmateriaal (verzameld uit ziekenhuizen)
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3.
Vision Statement: Ward 10
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4.
Ward Brief : Releasing Time to Care
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NHS Institute for Innovation and Improvement
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1.
Het Productieve Verpleegteam leidt tot een hogere patiënttevredenheid.
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2.
BEFORE
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AFTER Een voorbeeld van de behaalde resultaten van de module: Een goed georganiseerde afdeling. Door middel van kaartjes waar de inhoud van het rek op af te lezen is, ziet een medewerker binnen 3 seconden waar hetgeen men nodig heeft ligt (3 seconden regel).
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BEFORE
AFTER Een voorbeeld van de behaalde resultaten van de module: Een goed georganiseerde afdeling.
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Module: Status van de patiënt in een oogopslag. Patiëntinformatie wordt visueel gemaakt door middel van een patiëntenbord. Alle medewerkers beschikken hierdoor over de meest recente informatie over patiënten waardoor navraag naar patiënten overbodig wordt. Dit voorkomt verstoringen en fouten.
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Behaalde resultaten na de eerste 3 (basis)modules in een ziekenhuis in Engeland. De linkerkolommen geven een stijging aan in gemiddelde directe patiëntentijd. De rechterkolommen geven een daling aan in het aantal verstoringen (denk hierbij aan collega’s die elkaar om informatie moeten vragen).
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Door middel van het bevestigen van veiligheidssymbolen aan bijvoorbeeld het bed van een patiënt wordt direct inzichtelijk gemaakt wat voor hulpvraag er nodig is. Dit voorkomt verstoringen en leidt tot het verlenen van snelle zorg.
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Het opstellen van een afdelingsvisie is de eerste oefening waar een afdeling, die start met 'Het productieve Verpleegteam', mee aan de slag gaat. Een afdelingsvisie dient als verklaring die iedereen vertelt wat de ambitie is die de betreffende afdeling nastreeft en wil bereiken. Tevens vertelt een afdelingsvisie mensen van buiten de afdeling wat de aspiraties zijn van de afdeling en maakt het hen mogelijk mee te doen en ondersteuning te geven.
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4.
Releasing Time to Care The Productive Ward Ward Brief
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Spend more time caring for your patients The NHS Institute has found that ward based nurses spend less than 40% of their time on direct patient care. The Productive Ward aims to turn around this situation by releasing time to care. The Productive Ward will help you to: Increase the time you can spend with patients. Provide safe and reliable care, to help patients get better, quicker. Improve the experience of staff and patients.
There are many processes and tasks happening on a ward, often at once. To make this worse, things go wrong. These problems conspire against the best efforts of ward teams to deliver the care they aspire to. The basics of dignified care, medicines management, ward rounds, visiting hours, meal rounds, admissions, discharging, infection control, length of stay and paperwork are all priorities and all take up considerable amounts of time on a ward. Valuable time is spent looking for equipment, people, keys, linen, medicines, meals and information. Time is spent wondering who is supposed to be doing what and if a difference is being made.
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Releasing Time to Care Organise your ward so it works for you. Saving you time. Everyone has the information to do their job; reducing interruptions and improving communication. Reduce the time taken on handovers to be clear who is responsible for what. Release time from the meal round while increasing patient experience and ensuring nutritional needs are met. Limit interruption during medicine rounds allowing safer administration. Know how well you’re doing and whether care is getting better. By increasing the time for direct patient care you can create safe and reliable care systems. Patients who receive the right care at the right time get better sooner.
“Although I am a newly qualified nurse, and only been on the ward a year, I have seen a massive difference in the way the ward works in only three months of doing the programme.” David Whitehead, Royal Liverpool and Broadgreen University Hospitals NHS Trust (Productive Ward test site).
“Every day it just gets better and better through taking part in the Productive Ward.” Physiotherapist, Barnsley District Hospital NHS Foundation Trust (Productive Ward test site)
“When you watch the video of the ward team back you could see where there was room for improvement - it was easy to see how you wasted a lot of time.” Wendy, HCA, Barnsley District Hospital NHS Foundation Trust
“Our new meal round happens naturally. It is just the way the ward works and the standard we maintain.” Cathie Blackwell, Sister, Royal Liverpool and Broadgreen University Hospitals NHS Trust.
www.institute.nhs.uk/productiveward
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Make your ward calm and safe The Productive Ward will help you look at your ward and the processes of care within. This means that your team lead and control the improvement. You will learn simple improvement techniques that have produced dramatic results in healthcare settings. The Productive Ward is user friendly and allows you to work at your own pace. Step by step
guidance will help you and your team through a series of modules. Whilst the modules describe examples of what good looks like, you can develop your own solutions to suit your ward. The Productive Ward can be applied to any ward in any setting. It has been developed by the NHS Institute with support from a range of NHS ward teams.
How the Productive Ward is designed to help you release time to care
The well organised ward
Trust start up kit What you do next
Patient Observations
Discharge Management
Patient Status at a glance
Ward start up kit
Shift Handovers
Toileting
Meals
Toolkit
What you do first
Knowing how we are doing
Medicines
The future
Other ward processes
The Productive Ward Module Structure
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Modules: What you do first Trust Start Up Kit: What your organisation needs to commit, how it prepares to start and how your organisation chooses where to start. Ward Start Up Kit: What your ward needs to do to get ready. Knowing how we are doing Developing ward based measures to help you and your team make informed decisions. Well organised ward Make your ward areas work for your staff so that your staff don’t have to work around your ward areas. Patient status at a glace Give your team patient information that improves communication, patient experience and patient flow.
What you do next Meal Rounds: Reduce the time your team spends physically delivering meals and allow more time for your team to assist with feeding and ensure proactive nutritional assessment for the patients in your care. Medicines round: You and your team ensure medicine rounds do not clash with other ward processes. Reduce interruptions and ensure everything is ready for a safe round. Discharge Management: Remove the rush of discharging on your ward by planning the process to ensure discharge at the correct point in the patient journey. Shift Handovers: Reducing the time your team spends on handovers, while making the information handed over more appropriate, easier to remember and easier to understand. Toileting: Ensure the dignity of the patients in your care and reduce the impact of toileting on other tasks on your ward. Patient Observation: Increase the reliability of patient observations being carried out by your team. Ensure they are timely and that appropriate action is taken on the results. Tool Kit: A step by step guide to all of the Productive Ward tools. For you to use in conjunction with the modules your team is working on.
The future Other ward processes: Over the next few months we are further testing the existing modules and developing new modules based on other ward processes such as the cleaning routines, nursing procedures, ward rounds and team meetings.
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Getting Involved - Now You will need to actively involve your Chief Executive and Nursing Director in this initiative.
Over the next year we are further testing and developing the Productive Ward for national release in 2008. If you and your trust leaders are interested in becoming part of the next phase testing commences in June this year. We would like to invite your Director of Nursing to sign up to one of the Productive Ward Introductory Events, along with one or two ward staff from your organisation, including the potential ward leader of the Productive Ward programme in your organisation. The events have a limited number of places and the attendance of your Director of Nursing is a prerequisite. At the event there will be opportunities to receive practical guidance on becoming a Productive Ward site, real care studies and feedback from other NHS organisations who have been involved in the development of the Productive Ward and preview of the first Productive Ward modules. Each event will be held twice to make travel options easier. Once in London and once in Coventry. The Productive Ward Introductory Events, will take place on: 7 June 2007 at the Thistle Marble Arch, London and 14 June 2007 at the NHS Institute Coventry House, Warwick University, Coventry. To sign up to the select testing network your Director of Nursing needs to visit: www.institute.nhs.uk/productiveward
Website: For more information and to register your interest please visit www.institute.nhs.uk/productiveward Further copies of this document can be obtained from: Prolog Phase 3, Bureau Services, Sherwood Business Park, Annesley, Nottingham NG15 0UH Telephone: 08700662071 Email:
[email protected] Quote: NHSIPW001 Ward Leader Brief
Contact the Productive Ward Team:
[email protected]
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Exclusief licentiehouder van het productieve verpleegteam in Nederland
CC Zorgadviseurs Beneluxlaan 2c 3446 GR Woerden Postbus 644 340 AP Woerden T (0348) 493 000 F (0348) 493 009
[email protected] www.cczorgadviseurs.nl
