RD Vol 8 issue 27 Summer 2013 - Rotunda Hospital

Friends of the RotundaSportingFundraisersThe June Bank Holiday turned out to be aspectacularly hot and sunny day in Dublin’sCity Centre and welcomed over 40,000 happyparticipants to the Flora Women’s MiniMarathon. A special congratulations to all ofour fundraising team who participated in therace: Lucy Murphy, Joanne Lyon, Jacky Lyon,Michelle Aylmer, Valerie Tierney, YvonneTierney, Fiona Tierney, Anita Tierney, KarenHennessy, Anne-Marie Lenard, SheilaThompson, Olivia McGaffey, Valerie Gonzalez,Malgorzata Michalak-Marchi, Claire O’Neill,Niamh Doyle, Michelle Aylmer, Una NicGuidhir,Elaine Connolly, Rachel Corr, Olwe DowzardMcConaghy, Catherine Naughton, Sandra MSmith, Christine Carolan, Tina O’Reilly, LynnieBrackfield, Anita Mac Carthy, Lorraine Carroll,Jackie Mulready and Karen Gunning.Some of our fundraising team pictured here (left) at our pre-race ‘Meet & Greet’ at thePillar Room, Rotunda. And Joanne Lyon and family at the Flora Mini-Marathon (right).Rotunda Golf ClassicThe Masters’ CupA sincere thanks to the Ride Out for PremsCommittee of the Irish Premature BabiesOrganisation for their incredible donation of€20,000 in aid of the Rotunda’s NICU.Dr Adrienne Foran advised those present at thepresentation that the funds will be used to helppurchase an advanced echocardiogram machinethat will improve the Unit’s ability to assesscardiac function of very premature babies atthe bedside.Research Funded by the Friends of the RotundaBlood Clotting in Early Onset Pre-eclampsiaDr. Fionnuala Ní ÁinleEarly onset pre-eclampsia is a disorder ofpregnancy characterized by high blood pressureand protein in the urine. Mothers with this disordermay be very unwell and can die of their illness.A quarter of the babies born to women with earlyonset pre-eclampsia do not grow properly and athird are born prematurely. We aim to study bloodclotting in these patients, to better understand therole of dysregulation of coagulation in thepathogenesis of pre-eclampsia.▪ Congratulations to our 2013 Winners –Dr Sam Coulter-Smith’s Team with awinning score of 91 points.▪ Second Place: The HARI Unit –Dr Rishi Roopnarinesingh’s Team witha score of 87 points.▪ Third Place: The Coombe Women andInfants University Hospital with a scoreof 86 points.Sincere thanks to all our Sponsors:A&L Goodbody, Café Rotunda for the SnackPacks, The Gate Theatre, Professor FergalMalone, Origo for the BOSCH domesticappliances, Taste Catering, Milltown andBeechpark Golf Clubs.The Lady Captain, Mary Lou Quinn and LadyMembers of Beechpark Golf Club presenteda donation cheque of €1,670 to the Friends’Chairperson, Frances Gardiner, from fundsraised at their recent Ladies Open Day rafflein aid of Rotunda research.Proceeds from the day’s golf will be in aid ofthe Rotunda Research Fund. The raffle raised€1,240 and will be used to support a newFriends’ initiative promoting better nutrition fornew mothers and their babies within inner cityDublin.4

Over to YouThe Hysterectomy CampBy Nikhil Purandare,Assistant MasterThe Shree Bidada Sarvodaya TrustHospital is a charitable non-profitorganization in the Kutch region, in thestate of Gujrat, along the west coast of India.The organisation is committed to providingmedical and surgical treatments to patients ofall ages. This trust is well known for its medicalcamp, which it runs every year.On the 26 th of January, 2001, the Kutchregion suffered at the hands of a massiveearthquake that reached a magnitude of 7.7.The earthquake killed 20,000 people, injuredanother 167,000 and destroyed nearly 400,000homes. The shockwaves spread 700km, 21districts were affected and it is believed itrendered 600,000 people homeless. After theearthquake the trust treated 30,000 victims andhas since provided food and shelter to 200,000earthquake victims. The trust has recentlyopened a rehabilitation centre that providesstate of the art treatment to earthquake victimsas well as other patients. This trust runs healthcamps all year round in the various medicalspecialties where services are provided free.Cases which cannot be dealt with in a ruralsetting, due to lack of facilities, are referred toother private charitable and non-charitablehospitals in Mumbai and the trust covers thecost in these cases.The trust now runs a permanent eightybed-hospital, which provide eye, dental,gynaecology, obstetric, rehabilitation,naturopathy and basic medical services. Everyyear in January there is a health camp ingynaecology also known as The HysterectomyCamp where over 300 patients attend from thesurrounding 1,200 villages. Food and shelter isprovided for the patients and their families forthe four days as some of the patients have totravel a fair distance to get to the health camps.Doctors, nurses and people from other walksof life travel from the US, UK, Ireland and therest of India to care for these patients.I have attended this camp on four occasions.Each year we admit around 50 to 60 patientsfor a hysterectomy and around 50 patients forother minor surgical procedures. Mosthysterectomies are done for uterine prolapse,Dr Nikhil Purandarewhich is generally long standing and hascaused women much trouble for a longtime. Volunteers for this camp come fromvarious different professions and not justfrom the medical facility.People from all walks of life volunteerand fulfill portering, travel, organisationand administrative jobs to help. A lot ofadministrative work goes into the setting upof the camp. Travel needs to be organisedfor all the volunteers. Their livingarrangements and food need to be sortedand tents need to be set up for the familiesof the patients. A lot of work goes into therunning of the camps. This service providespatients with a free gynaecological serviceand also helps train the next generation ofgynaecological surgeons.The introduction of third generationablative techniques has reduced thenumber of hysterectomies. As a result, thenumber of hysterectomies performed bygynaecological trainees has greatlyreduced.Simulated surgical training will help“Anyone can volunteerat this camp. Theliving conditions forvolunteers are verygood and the localstaff are extremelyfriendly.”The Shree Bidada Sarvodaya Trust Hospitalimprove trainees surgical skills but it will notreplace hands on surgery. The aim of thehysterectomy camp is to provide an operativegynaecological service to the less priviledgedrural women of the Bidada province in Gujrat,as well as to encourage trainees to operateon numerous cases under supervision.Patients are jointly seen by a registrar and aconsultant and posted for surgery whereappropriate.At each camp there are three anaestheticteams, three consultant gynaecologists andthree or four trainee registrars. Three surgicaltables run simultaneously. The immediatepost op care is the responsibilty of theoperating surgeons,volunteering nurses andinterns. The cases are then handed over tothe local GPs and nurses who continue toprovide their services until the patients aredischarged.Anyone can volunteer at this camp. Theliving conditions for volunteers are very goodand the local staff are extremely friendly. Ourstay is made very comfortable so it’s almostlike a working holiday.5

Tobacco Free CampusNo Butts PleaseThe Rotunda Hospital campus will be tobacco free for Charter Day, November 1 st , 2013.By Teresa McCluskey,Assistant Director of Midwifery/NursingOur health is influenced by many andvaried factors; where we live, wherewe grow up, our education to namea few. Social determinants such as housing,income, wealth and life opportunities havemost impact on our health.The health and social care policy, FutureHealth 2013 – 2016, aims to support a healthsystem where ‘money follows the patient’and to develop a universal health insurancesystem for the provision of high qualitypublically funded health services with a strongfocus on preventative medicine.The Health, Safety and Welfare at WorkAct 1989 and 2005 places a duty on both theemployer and employee to prevent risk tohealth at work as far as is reasonablypracticable.The Rotunda Hospital is a health promotinghospital and is committed to its responsibilitiesas a healthcare provider, not only to itspatients but also to staff and visitors.TobaccoTobacco in whatever form is legal and readilyaccessible in Ireland. The industry targetsyoung people and the marketing of tobaccotaps into gender stereotypes for examplewomen’s fears about weight gain and beingsocially acceptable. We need to emphasise towomen that by breaking the cycle of smokingthe social, economic and health benefits arepassed on, not only to the women themselves,but also to their family and children.Our multidisciplinary health careprofessionals must support women who arepregnant, and plan their care here at theRotunda:▪▪▪Know who is looking for help to quitsmokingBe firm and supportiveGive this group of women plenty ofinformationNo Butts PleaseThe Rotunda Hospital policy Tobacco FreeCampus aims to establish a healthyenvironment for all employees, patients,service users and visitors in all departmentsand on the grounds of the Rotunda Hospital,by protecting them from exposure toenvironmental tobacco smoke.The Executive Management Team andthe Board of Governors, support ourTobacco Free Campus initiative.The Rotunda Hospital will be tobaccofree for Charter Day, November 1 st , 2013The project committee held its inauguralmeeting on March 20 th . Our objective isto support staff, patients and visitors tode-normalize smoking throughout theRotunda Hospital campus thus makingsmoking an unacceptable practice on thegrounds of the hospital. Smoking atentrances and exits to the hospital, or onany part of the grounds of the hospital, willnot be allowed following the introductionof the smoking ban.Our responsibilities in this regard includesupporting our colleagues and patientsand user groups to give up smoking onRotunda Hospital grounds. Our healthpromotion office and occupational healthdepartment colleagues will support teamleaders in the campaign to stamp outsmoking and support those who wish tocease smoking and prevent exposure tosecond hand smoke.The Practice Development Departmentwill also schedule training sessions onBrief Intervention for Smoking Cessation.Did You Know?▪ There are approximately 7,000 deathsper year in Ireland from smokingrelated illnesses. This figure is broadlybroken down to ⅓ from cancer, ⅓from cardiovascular disease and ⅓from other lung diseases e.g. chronicobstructive pulmonary disease.▪ 1 in 2 people will die from a smokingrelated disease in Ireland.▪ The average number of years lostdue to smoking is 16 years.▪ Tobacco smoke contains over 4,000chemicals, including tar which cancause cancer.▪ Of cancers caused by smoking 4 outof 5 cases are lung cancer.▪ Lung cancer is the biggest cancerkiller in Ireland for both sexes.▪ Lung cancer death is more prevalentin women than breast cancer (NationalCancer Registry 2011).▪ 29% of people in Ireland smoke. Thisequates to 1 in 4 adults who are stillsmoking.6

Quality and SafetyPatient Safety DayBy Mary O’Reilly,Practice Development CoordinatorThe Rotunda Hospital held itsfirst Patient Safety AwarenessDay on May 15 th for all staff. Theidea to hold an awareness day came froma group of midwives and risk managementwho deal with patient safety issues daily.The aim of the day was to recognize theadvancements that have been made inpatient safety within the hospital, whileacknowledging the challenges that remainand a need for a commitment to work onthose challenges.According to WHO, one in ten patientsworldwide is harmed while receiving hospitalcare due to avoidable medical errors. TheClinical Risk Department highlighted variousongoing hospital processes and projectswhich manage risk. They gave examples ofhow information given by staff on incidentforms is used to improve hospital systems,for example heated cots were introduced as adirect outcome of information received on theincident forms. They also gave information onthe departmental patient safety meetings,improvements made as a result ofinvestigating incidents and Never Events.According to the National Patient Safetyagency there are 25 Never Events. They areserious, largely preventable incidents thatshould not occur if the available preventativemeasures are implemented. They range fromwrong site surgery, entrapment in bedrails,retained swabs, patient misidentification, todeath.Patient Safety at the RotundaTheatreStaff in theatre are consistently improvingthe quality of care and safety patients receivebefore, during and after surgery. As thepatient is prepared for surgery, detailedchecks are carried out to ensure theprocedure will run smoothly. Prior tocommencing the surgery a time out is calledand the full team do a check to make surethat everything is correct before proceedingwith the surgery. Likewise a detailed check isdone before the patient leaves theatre.SharpsThe European bio-safety network hasissued a European sharps directive toprovide protection for healthcare workersacross Europe. This law was enforced inIreland on May 11 th . The aim of this directiveis to achieve the safest working environmentfor healthcare workers through the preventionof sharps injuries. Over the past few monthsthe hospital has been looking at the manyinstruments in daily use that are classifiedas sharps. Each of these have been riskassessed and sharp safe replacements havebeen sourced. A number of these weredemonstrated throughout the day and willbe available in the clinical areas shortly.Patient IdentificationFailure to correctly identify patients canresult in medication errors, blood transfusionerrors, testing errors, wrong personprocedures, and indeed has the potentialto discharge infants to a wrong family.To display the need for correct patientidentification and not just a bed number,celebrity armbands were available forattendees to wear for the day, which proveda conversation topic and a strong awarenessof the need to remember patients are peoplenot numbers.Clinical AuditThe clinical audit facilitator was able to takethe mystery out of audit and displayed arecent audit carried out by our teenagemidwife highlighting that as a result of auditpositive changes in practice can occur. Wewere also fortunate to have a computerisedhand hygiene tool and a demonstration of a‘Hoover Board’ device for the safe transferof patient from trolley to bed. This devicewould be of huge benefit to the welfare ofstaff and patients as it eliminates the needfor the manual lifting of patients.HouseholdThe household department focused on theuse of new equipment to increase safetywhile cleaning floors.As we celebrated the day we got word ofan unexpected visitor. HIQA had arrived fora hygiene inspection of the hospital. Aspatient safety is a number one priority forthe hospital, we welcomed the opportunity tohighlight to our visitors that Rotunda staff arecommitted to safe patient care not only forone day of scrutiny, but every day of theweek, 52 weeks of the year.The safety committee would like to extendtheir thanks to everyone who supported themon the day. If anyone has any suggestions forthe next Patient Safety Awareness Day wewould love to hear from you.7

Round UpRetirementsBridie Padden retired from her position as Household Assistant inApril. Bridie had worked in the Rotunda for over 19 years. She willbe missed by all of her colleagues in the Household Department andby staff in the Neonatal Unit where her quiet and pleasant mannerensured her work was completed in a calm and efficient manner.We wish her a long healthy and happy retirement.Parking OfferRotunda patients, staff and visitors can avail of a €6 day rate in theParnell Centre Car Park. Car park tickets must be stamped at theRotunda Security Desk and presented at the car park office. OpenMonday to Thursday 6:30am to 00:30am, Friday 6:30am to 1:30am,Saturday 7:00am to 1:30am and Sunday 11:00am to 00:30am.info@parkrite.ie 01 8722413 www.parkrite.ieEvents at the RotundaWIN A TWO NIGHT STAY INANY IRISH COUNTRY HOTELFOR 2 PEOPLEincluding 1 evening mealwww.irishcountryhotels.comTo be in with a chance of winning thisfabulous break in any Irish CountryHotel simply answer the followingquestion:When will the Rotunda HospitalCampus be Tobacco Free?Answer:Name:Tel No:Please send your answer to KieranSlevin, HR Dept, Rotunda Hospital,Dublin 1. The closing date is 31stJuly 2013. One entry per person.Terms & Conditions ApplyOur dedicated walking group, RotundaRamblers, meet every Tuesday at 1pmat reception for a lunchtime walk. Ledby Anne M. O’Byrne, interesting walkingroutes include the Mater and ReservoirWalk, a Constitutional Hill Walk, and theTemple Bar Walk. Contact Anne atamobyrne@rotunda.ie for information.Competition WinnerCongratulations to Patricia Ryan,Administrative Assistant, MedicalSocial Work Department, winner ofthe competition in the Spring issue.Pilates Classes, run by Marie Keane, take place in the PillarRoom with much enthusiasm. Classes, which book out veryquickly, run in blocks of six weeks at various times. ContactMarie Keane on 086 8657150 for information.The Rotunda Choir, meet every Thursday in the HR TrainingRoom at 5pm. New membersare always welcome, so don'tbe shy! Contact PatriciaO’Connor for information -poconnor@rotunda.ieBoggleHow many words can you find in theBoggle Grid in one minute! Wordsmust be at least three letters long,may include singular and pluralseparately, but may not use the sameletter cube more than once per word.D K E SA E T RO C R IN A A ESummer RecipeThe combination of sweet, acidic tomatoes with salty, spicy chorizoand tangy sherry vinegar is a match made in heaven. Serves 4Ingredients:3 ripe beef tomatoes, cut into wedges½ red onion, thinly slicedfew thyme sprigs, leaves picked1 tbsp sherry vinegar2 tbsp extra-virgin olive oil100g chorizo, sliced on the diagonalMethod:Put the tomatoes in a bowl with the onionand thyme. Season, then drizzle with thevinegar and oil. Let the flavours mingle while you cook the chorizo. In a hot, drypan, fry the chorizo slices until browned on both sides. Serve the tomatoes withthe fried chorizo, drizzled with a little oil from the pan.Per Serving:184 kcalories, protein 6g, carbohydrate 5g, fat 16 g, saturated fat 5g, fibre 1g,sugar 5g, salt 1.17 g. Recipe from Good Food magazine, June 2009.9 36z19 6247 4524 8378 5531 7519 3SudokuTo playSudoku, entera numberfrom 1 through9 in eachspace suchthat everyrow, column,and 3x3blockcontainsexactly oneof eachnumber.8