A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

Board of Directors Part 114 June 2013Time for breaks, good food and drink for the breaks andsomewhere away from the ward to take the breaksBetter access to equipment and drugs for emergency use. Morethoughtful planning by staff during the day to ensure night staffhave them readily availableImproved and more rapid porteringMedical outliers on wards increase pressure on staff – please keepthem to a minimumBetter portering and security for confused patientsNot using agency staff wherever possibleMinimising patient and staff transfers during the nightLess noise from staff, phones and lower lights7.3.8Interview with members of the Clinical Site TeamMost of the issues raised by the nursing staff were reaffirmed by thethree members of the CST that we spoke to. Their main pointswere:More doctors are needed – either a medical registrar or SeniorHouse OfficerAnother porter would be extremely helpful. The IT system forsummoning a porter is slow, cumbersome and repetitive andneeds urgently to be modified.More nursing/medical jobs can be done in the day – equipmenttracking, drug charts written up in a more anticipatory fashione.g. night sedation and analgesia, having supplies of emergencytherapy such as antibiotics available on the ward as it can bedifficult to obtain these at night when the pharmacist is only oncall.iPADs for the Clinical Site Team would allow more informationto be given to the team when they are walking the hospital,resulting in more swift and appropriate action.The surgical F1 covering the surgical wards feels isolated. Theirregistrar is in bed on site but seemingly does not like beingdisturbed.14The Hospital at NightQuality/Performance