E-newsletter  #4 December 2012


“The collaborative learning methodology was validated – I’m now a convert. I saw impressive presentations, heard great discussions and felt a shift in understanding the rationale behind First, Do No Harm. It won’t happen overnight. However, with this commitment it will happen.” Denise Kivell, Director of Nursing, Counties Manukau DHB.
Denise was one of nearly 70 attendees at the recent ‘Falls and Pressure Injuries Collaborative Learning Session 2’ (5 – 6 November), hosted jointly by First, Do No Harm and the Health of Older People (HOP) Network, held at Ko Awatea, Middlemore Hospital. District health board clinical staff and improvement specialists worked alongside age-related residential care staff to put in place processes aimed at reducing harm from falls and pressure injuries.
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Learning Session 2 delivers results through 'all teach, all learn’

Presenting at First, Do No Harm’s Falls and Pressure Injuries Collaborative Learning Session 2 on 5 November 2012 was a big moment for Waitemata DHB’s Head of Division Nursing for Medicine and Health of Oder People, Shirley Ross. Shirley is a member of the DHB’s well-established Falls Steering Group which has so far been responsible for introducing 19 improvements focusing on falls prevention. The presentation provided the impetus to pull together an overview of activity to date. It was also an ideal opportunity to showcase the outcomes of their activity, which are beginning to validate the approach and effort put in by the Group and wider team.

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Waitemata land on their feet when it comes to falls prevention

Intentional rounding brings benefits to patients and staff

Intentional rounding, sometimes known as hourly rounding, helps frontline teams to organise ward workload and ensure all patients receive attention on a regular basis. In the UK this approach has been found to significantly reduce pressure injuries and falls, and improve pain management. It can also reduce nurse calls, improve employee satisfaction and reduce costs.

Impressed by the potential benefits, Acting Nurse Director Jane Lees and her team at Auckland DHB decided to trial it and in July 2012 intentional rounding was introduced to Auckland City Hospital’s Older People’s Health Remuera and Rangitoto wards.
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If you would like to find out more about an aspect of the Northern Region’s patient safety campaign - First, Do No Harm – or have something relevant you’d like to share with the Region, we’d love to hear about it. Click here
In the meantime on behalf of the First, Do No Harm team we would like to wish you a happy and safe Christmas and New Year.

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The cornerstone of pressure injury prevention is early recognition of those at risk and ensuring an effective management plan is in place. A key challenge is how we ensure that this is a routine part of practice and not missed in the hectic and busy clinical areas. With this in mind Auckland DHB has taken a systems approach to looking at implementing effective assessment strategies and being able to hardwire these in to routine practice.

Despite the best efforts of nursing teams, patients in our hospitals can still suffer pressure injuries during their stay. Harm from pressure injuries can be avoided when timely pressure injury risk assessments and intervention plans are instituted.
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Taking the pain out of pressure injuries

A collaborative work group involving clinical and managerial staff from Waitemata DHB and age-related residential care (ARRC) facilities is behind the highly acclaimed Registered Nurse (RN) Care Guides and Care Giver Guides for Residential Aged Care now being increasingly used around the country.
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Waitemata care guides making a big difference in age-related residential care

Northland DHB staff now have hand hygiene messages at their fingertips – quite literally. The DHB was already using computer screensavers to promote organisational values. It was Northland DHB’s Chief Medical Officer, Mike Roberts, who suggested they could be used to carry other key messages such as hand hygiene. Effective hand hygiene is considered the single most important strategy in preventing healthcare-associated infections.

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Hand hygiene passes screen test