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

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Board of Directors Part 114 June 20138.Recommendations<strong>1.</strong> Strong consideration should be given for the need for extra cover/stafffor:a. The Acute Medical Unit (see earlier note regarding anuplift in staff there since the research was done)b. The Clinical Site Teamc. Doctor cover at nightd. Extra HCAs on some wardse. Portering and security arrangementsThis could be achieved by rostering staff differently or byemploying extra staff, as appropriate.2. An extra nursing post for the CST might involve a twilight shift rota. Aband 5 nurse who is suitably trained could act as a float forpressurised areas, particularly in the evenings. Nurse prescribing bymembers of the CST could also go a long way to alleviating theproblems around access to drugs overnight.3. There needs to be a review of the current IT system for summoningporters and a much faster and more flexible response from them isneeded.4. As far as outliers are concerned a training needs analysis should becarried out in order to allow staff to cope with a more diverse casemix.5. In order to promote better team working, trained nurses need toconsider the level of support given to HCAs in carrying out basicnursing care.6. Better and more considerate daytime planning by medical and nursingstaff in advance could reduce workload at night by making sure drugsand intravenous therapies are written up and equipment is stored onthe ward when likely to be needed. Supplies of emergency drugs needto be made more readily available at night and could perhaps bestored in a locked cupboard in the CST office.7. There is an urgent need to provide better food at night. Plated mealscould be available for staff before the catering team go off duty whichcould be subsequently heated in a microwave if appropriate. Wellstockedvending machines need to be sited on both wings of thehospital with fresh healthy foods. Staff also need somewhere to taketheir breaks away from wards, if possible.8. Wherever possible, no patients should be moved to another ward aftermidnight.17The Hospital at NightQuality/Performance
Board of Directors Part 114 June 2013APPENDIX APATIENT QUESTIONNAIRE RESPONSESThere were 91 patients interviewed in all – 43 female respondents (47%) and 48male respondents (53%)Yes % No %Question 1Have you only been on thisward for this hospital stay?Question 2Do you think there areenough nursing staff onthis ward at night?Question 3Have you experienced anydifference between careduring the day and night?Question 4Do you get your night-timemedication on time and ifyou require any painmedication during thenight/morning, is this givenpromptly?Question 5Do you feel safe in thehospital at night?Question 6How long does it take for acall bell to be answered atnight?Question 7Have you been able tosleep well whilst inhospital?Question 8Overall, on a scale of 1 to 5(1 being bad and 5 beingexcellent), how good is thecare at night on this ward?53 58% 38 42%51 56% 38 44% 2 non respondents19 21% 72 79%82 90% 8 10% 1 non respondent90 99% 1 1%37 41% 54 59%Immediately 21%Quickly 32%Acceptably 11%Unacceptably 19%Not used 17%34 scored 5 = 37%43 scored 4 = 47%13 scored 3 = 14%0 scored 2 = 0%1 scored 1 = 1%18The Hospital at NightQuality/Performance
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A meeting of the Board of Directors
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Board of Directors Business Program
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