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CARe ScreenCommunicAtions and Reporting Screen
April 2017
For more information about the content of this display, contact the
Clinical Governance Unit
(08) 8080 1580
WELCOME TO Broken Hill Health Service
We will ensure you have a positive experience of your health service.
We will ensure you receive respect from our staff and that we provide you with safe, high quality health care.
Like you, we sometimes experience life and work related pressures as we work with you. It would be great if you could work with us to improve and maintain your health.
We rely on your advice to improve how we look after you.
If you have any questions about our service, or can see something we could improve, please let us know.
This charter allows patients, consumers, families, carers and services providing health care to share an understanding of the rights of people receiving health care.
To download your own copy of this charter, go to the Safety and Quality website at:
www.safetyandquality.gov.au
If you want to know more about the privacy of your health information, ask for the ‘Privacy Leaflet for Patients’ at your next visit to the health service.
The Far West LHD Community
Update can be found
on the Far West LHD
website.
fwlhd.health.nsw.gov.au
Broken Hill Health Service
Patient Booklet.
Have you got your copy?
Far West LHD Vision
Excellence in Rural and Remote Health…
Providing safe services by…
AccreditationAuditing how well we follow
the rules
Reporting issues when we see
them
Investigating Complaints
Investigating incidents and near misses
Provision of Care: Discharge Planning
Feb2017results
Staff Rounding feedback about
Discharge planning processes
What is working well?
- Timely decision to discharge- Documenting Estimated Date of Discharge (EDD)- Full team involvement- Journey board meetings
What is not working well?
- Delayed pathology results- Discharge summaries- Referring to the team is not done soon enough in the admission- Assessment recommendations and plans are not always followed- Keeping the patient informed of plans and changes
Suggestions to improve
- Preparing and dispensing medications the day before discharge- Electronic discharge referrals- Greater consideration of home situation - Discharge risk assessment- Team collaboration for planning discharge
Standard 12 - February 2017 - Discharge Planning – Far West LHD
What were the audit results?
What does it mean?
What were we checking this month? Audit data source: QARS N= 56
Discharge Risks
Discharge Referrals
Discharge Information
34%Discharge
risk screen
completed
before
discharge
Risk
35%Ongoing
fall or
pressure
risk
documente
d in the
patient
discharge
summary
Handover
21%Referred to
allied
health /
community
nurses for
falls or
pressure
needs
Referrals
40%Provided
with patient
information
about who
to contact if
they are
worried
after
leaving
hospital
Info
If you have any questions or suggestions, speak with the Nurse Unit Manager or Health Service Manager
What do we plan to do about it?
1
2
3 June
2017
Implement discharge phone calls
Review staff feedback about discharge processes
Identify ongoing actions from staff feedback and patient feedback (discharge phone calls)
March
2017
April
2017
0% 20% 40% 60% 80% 100%
Has a discharge risk screen been…
Does the discharge documentation…
Does the discharge documentation…
Have transport arrangements on…
If the patient is at risk of a fall or…
Has the patient been offered…
Has the discharge checklists been…
Upcoming audits:
Month Department audits Verification audits
April
•Focus: Falls
Prevention (Standard 10)
•Standard 9: Clinical
Deterioration
May
•Focus: Preventing
Healthcare Infections (Standard 3)
•Standard 1:
Governance (Nursing
Documentation)
March audits will focus on:
Department Audit:
Standard 10
Preventing
Falls and
Harm from
Falls
Verification Audit:
Standard 9
Recognising
and
Responding
to Clinical
Deterioration
April is Preventing
Falls and Harm
from Falls Month Standard 10
Preventing Falls and Harm from Falls
Falls prevention is everyone’s business:
• Improve your strength and balance
• Check your eyesight
• Check your medicines
• Check your home
• Use your walking aid if you have one
• Wear shoes or grip socks
• Don’t rush
• Ask for help if you need it
Falls happen. You can do
something to stop yourself from falling.
Enrol in the next Stepping On
Program Ph 8080 1411.
Prevent OsteoporosisGet plenty of calcium
Get out in the sun
Avoid smoking
Limit how much alcohol you drink
Do regular exercise while on your feet
(weight bearing exercise)
Prevent fractures by preventing falls
What does a Falls risk assessment mean to patient care?
OMS: Falls Risk Screen (eMR)
High score indicates HIGH RISK
Any falls risk identified indicates need for a FRAMP MANAGEMENT PLAN (paper form)
Management plan indicates need for FALLS PREVENTION INTERVENTIONS
Make sure the patient knows how to find their way around the bed area, toilet and ward
Ensure the call bell and walking frame is in reach
Ensure safe footwear or Ruby Red Sox are worn
Ensure a safe environment bed and chair heights, over-bed table on the non-exit side
of the bed, remove clutter, night lighting
Ensure patient wears eyeglasses if needed
Physiotherapy review mobility and transfers
Occupational Therapy review safety and planning for home
Dietitian review nutrition for strength & balance
What does a Falls risk assessment mean to patient care?
Available on the intranet, or ask the ward Clinical Nurse Educator.
The nursing Falls Prevention and Management
Competency must be
completed
every year.
Fall safety for KidsFall safety for kids at home:
• Beware of heights – windows, high chairs
• Keep stairs safe – handrails on both sides, stair gate
• Lock windows so they can’t climb through
• Prevent access to extension cords – these cause trips
• Prevent access to ladders
• Fix slippery surfaces – rubber mat in the bath, clean up spills on tiles
• Use night lights
• Cover sharp edges on furniture
Source: http://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/child-safety/art-20046124
Awareness of policies is very important.
Key policies to be aware of for Standard 10:
• FW_PD2014_008 Falls Injury Prevention and Injury Minimisation for Adult Patients - (03/06/2014)
• PD2011_029 - Falls - Prevention of Falls and Harm from Falls among Older People: 2011-2015
• FW_PD2011_024 Post Falls Management and Neurological Examination - (26/02/2014)
Share the care: Falls Prevention is everyone's business
April Falls Month
Far West LHD is promoting Falls Prevention this April 2017.
Our theme is “Moving Right to Stay Upright”
Share the care: Falls Prevention is everyone's business
April Falls Month
What can you do in your ward?
This year we are running a Best Ward Display Competition.
Each unit is encouraged to put up displays in their unit from April 1st –
April 8th. These are judged on Monday 3rd April 2017.
Talk to your NUM today!
Share the care: Falls Prevention is everyone's business
April Falls Month
What is happening for April Falls Month 2017?
Awareness Day in Foyer
Wards Display Competition
Carer Group Presentations
Community Activities: ABC Radio / BDT
Colouring In Competition.
Hand Hygiene
Compliance Rate 2016
Department Compliance
91
%
91
% 94
%
85
%
86
%
97
%
82
%
10
0%
93
%
89
%
98
%
74
%
84
.2%
58
.6%
93
.2%
92
.9%
93
.8%
85
.8%
54
.5%
88
.9% 92
%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dia
lysi
s
Eme
rgen
cy
Me
dic
al
SAR
HU
Spe
cial
ists
Clin
ic
The
atre
Surg
ical
ICU
/CC
U
Pae
dia
tric
s
On
colo
gy
Period 1
Period 2
Period 3
Hand Hygiene Compliance
Rate 2016
Health Care Worker
Compliance
94
%
82
%
96
%
67
%
79
%
10
0%
10
0%
10
0%
94
%
71
%
93
% 10
0%
90
%
70
%
70
%
10
0%
93
.2%
76
.8%
81
.5%
85
.0%
84
.2%
86
.7%
77
.8%
10
0%
10
0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Nu
rse
/mid
wif
e
Me
dic
al P
ract
itio
ner
Pe
rso
nal
Car
e S
taff
Alli
ed H
ealt
h C
are
Wo
rke
r
Ad
min
istr
ativ
e &
Cle
rica
l sta
ff
Stu
den
t N
urs
e/m
idw
ife
Stu
den
t D
oct
or
Stu
den
t P
erso
nal
Car
e
Oth
er
Period 1
Period 2
Period 3
The Far West LHD 2017
Innovation and Staff Excellence
Ceremony will be held on
Friday 4th
August 2017
Nominations open NOW
Nominate improvement activities or
nominate staff for recognition
Entry forms and more information can be found on the Far West Intranet –Innovation Awards page
When you or your loved one are a patient in hospital, you have a right to ask for extra assessment if you are concerned that you are becoming more unwell.
IT’S OK TO ASK FOR HELP.
Patient satisfaction survey…
What you tell us about your
experiences when using the health service helps us
to improve.
Please contact us if you would like to provide feedback
about your experience of using this health service.
Your feedback can help us to improve.
Contact us to provide feedback.Write to the Chief Executive
PO Box 457, Broken Hill, 2880
Far West LHD Website –Contact Us section
Health Care Complaints Commission
OR
OR
OR
Hand Hygiene
Has your health worker cleaned their hands before they touch
you?
IT’S OK TO ASK YOUR HEALTH WORKER TO CLEAN THEIR HANDS BEFORE THEY TOUCH
YOU.
Health information at the click of a button
Starting
November
2016
Patient Hourly Rounding and
the 5 P’s
Patient hourly rounding will provide an opportunity for the
patients to get:
Checked every hour.
Needs met every hour.
Falls prevented.
Pressure injuries reduced.
More satisfaction and care.
Pain
Assessment
PlacementPosition
Personal
Needs
Pumps
We at FWLHD invest time…….
TO MAKE PATIENTS FEEL WELCOME AND SATISFIED.
Five Fundamentals of Patient Communication to..
AIDETAIDET is a simple acronym that represents a very powerful way to communicate with patients.
Acknowledge
Introduce
Duration
Explanation
Thank you
…greet you through eye
contact, smile and say a friendly hello.
…share their name and
what they can do to put patients at ease.
Our staff will ….
…explain the timeframe and
procedures, the anticipated duration of waits
and update you if the timing changes.
…communicate what is going
to happen, why it is happening and what you
can expect. You can ask questions as well.
…take time to thank you for
allowing them to care for you.
Decrease
Anxiety
Increase
Satisfaction
Improve
Shared
Decision
Making
Improve
Clinical
Outcomes
The Staying Healthy Program is for you.
The program will link you to a Care Navigator who will help
you to:
make changes to your lifestyles that put you at risk
access and navigate the people and services you need
stay well now and in the future
Care Navigators are now available at 2 GP Practices:
• Nachiappans Surgery
• Broken Hill GP Super Clinic
For more information or to enrol in the program please contact
your GP or ask for
• Liz Cross at Nachiappans Surgery
• Molley Jones at the Broken Hill GP Super Clinic
On contact Denise McCallum Project Manager Integrated Care on 08 8080 1315 or 0428 266 357
Are you 20-55 years old and at risk of developing a long-term illness in the future?
People can use an iPad in the ED Waiting Room to make online GP appointments:
for follow up GP appointments after
treatment in the ED and Fast Track Clinic
to make appointments if the ED and Fast
Track Clinic has extended waiting times
can be used 24 hours a day
quick and easy to use
For more information please contact Denise McCallum
Project Manager Integrated Care 8080 1315 or 0428 266 357
People can use an iPad to make on line GP appointments
Drop in to check your chronic disease risks.
First Wednesday of
each month 11am-12noon
Allied Health Department, Broken
Hill Hospital.
• Designed to help people with heart and lung disease return to an active life.
• You will require a referral from your GP, Specialist or hospital Doctor.
• Contact the CDMP Team to enquire
Ph: 08 8080 1125 or 0409 920 588
Find out more about Volunteer Involvement
across the LHDIf you are interested in becoming a volunteer or would like more information
about our Volunteer Services:
• Check out the Volunteer Link on the Far West LHD Website
• View articles, news and achievements of our volunteers in Far West LHD
In Focus Newsletter and on Far West LHD Facebook
• Read our Volunteer Handbook and Brochures on Far West LHD Website
• Call Mary the Volunteer Manager on 08 8080 1256 or
• Email: [email protected]
“Volunteers are unpaid, not because they are worthless,
but because they are priceless” Author Unknown
Aboriginal Liaison
Officers
If you are Aboriginal or Torres Strait
Islander and you would like to speak
to our Aboriginal Liaison Officers,
please ask the staff to contact them
for you.
Peter and Haley work weekdays.
An Invitation to
Join your
Local Health CouncilWhat are Health Councils?
A Health Council:
• Brings local health needs and issues to the attention of the Health Service
• Participates in the planning, development, delivery and evaluation of health services
• Promotes and improves the health of the local community in partnership with others
Contact Darriea Turley 80801511 for further information.
Get Healthy Far West LHD is an exciting staff health program
that requires staff to form teams of seven and compete against
other teams in the Far West LHD for points!
This provides the perfect opportunity to challenge yourself and
your teammates to get healthier and improve your wellbeing.
What is Get Healthy
Far West LHD?
Check out our website:
www.gethealthyfwlhd.com.au
and like our Facebook page to receive updates!
Our staff are getting healthy so we can help you get and stay healthy as well!
- Expert personal coaching
- Learn to be more active
- Make healthier choices
- Learn healthier eating habits
- Maintain a healthy weight
For further information, or to get started,
visit the website:
http://www.gethealthynsw.com.au/
Your free NSW Health service provides
the expertise and motivation you need to
help reach your goals, which includes:
A diagnosis of Cancer and the following treatment journey can be confusing and at times overwhelming for
the person who has cancer, their carers and family.
The Cancer Support Service exists to assist you throughout this time.
Contact :Sandra Turley Rural Cancer Coordinator 80801197 or 0427 064 367
Counsellor Garry Halliday on 80801577
meet at the Bridge Club (Sturt Park) on 2nd Wednesday of each month from 11am. Call 8087 7642
7pm 3rd Thursday of each month at Demo Club. Call 80874554
• Breast Cancer Support Group 4pm on 4th Friday of each month at Lifeline. Call 8087 7932
Free Relaxation Workshops
Contact Chronic & Complex Care Team
0409920588
Hospital In The Home (HITH) operates at the Broken Hill Health Service.
HITH can provide:
Wound care IV antibiotics Infusions
You don’t have to come into the Emergency Department or be in hospital overnight if the HITH service can do it for you instead.
Your doctor can refer you to the HITH unit.
Transport is available if you need it.
For enquires, phone 8080 1672
Going home from hospital.
Patients will receive a copy of their discharge summary, which is a summary
of the care received while in hospital.
Up to a five day supply of medications may be provided. Medication education
and support will also be given on discharge.
Patient transport is available if you need assistance to get home.
Patients that are unable to be collected by 11am will be transferred to our
discharge lounge to wait.
The discharge lounge is located on the Surgical Ward and staff can be contacted
on 8080 1672 between 9am & 5pm.
Lots of MozziesWinter and spring rain means more
mosquitos this summer and autumn.
For more information, go to the NSW Health website at http://www.health.nsw.gov.au/environment/factsheets/Pages/mosquito-control-
floods-and-public-events.aspx
Take precautions to avoid being bitten and reduce or get rid of mosquito breeding areas
Protect yourself from Mosquito
Disease
For more information, go to the NSW Health website at http://www.health.nsw.gov.au/Infectious/factsheets/Pages/mosquito.aspx
No holes or rips in fly screens on all doors & windows
Cover up outside – wear light coloured loose fitting clothes and covered footwear
Apply mosquito repellent regularly to exposed skin
When mosquitos are inside the room, use insect spray especially behind furniture and in dark places
Friday 28 April
to Wednesday
10 May