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SHINE Award for Quality and Innovation<br />

Tissue viability nurses<br />

This team scooped the SHINE award for their innovative work to<br />

reduce pressure ulcers at the Trust.<br />

After securing funding via the Dragons Den scheme these<br />

nurses rolled out pocket mirrors to all nursing staff to help the<br />

early detection of pressure sores on hard-to-see areas like heels.<br />

They’re also working to educate staff on correctly grading<br />

pressure ulcers and have designed a workbook for children too.<br />

Accepting the award Carol Linfoot said: “As someone said earlier,<br />

it’s not rocket science. It’s difficult for our patients to visualise it so<br />

we are always trying to think of new ways to help them.<br />

“We are always discussing things, we talk a lot together and<br />

we just had an idea. We were petrified before Dragons Den but<br />

it was a really fun experience, we really enjoyed it and would<br />

definitely recommend others go for it if they have an idea.”<br />

Patient Safety Award<br />

Pharmacy team<br />

Our pharmacy teams put patient safety first when they made the<br />

move to seven day working. They estimate that their weekend<br />

service will prevent around 1,000 patients a year from coming<br />

to harm. Mike Urwin accepted the award on behalf of staff<br />

and said: ”We have a great team, I challenge them everyday,<br />

sometimes they don’t like it but they always rise to the occasion.<br />

We had a long and interesting consultation, staff engaged with it<br />

really well and everyone recognised the need for it, and it works<br />

great now.”<br />

Helen added: “I’m very proud of us all, we are a big team and<br />

we now work weekends, we’ve done it!<br />

“We spend a lot of time on the wards at the weekend and we<br />

can see the impact of the change and we have developed good<br />

relationships with the wards.”<br />

Clinical Service Redesign<br />

Family history breast care team<br />

The family history breast care team have designed a service<br />

which has resulted in patients being seen at Grimsby hospital<br />

rather than further afield.<br />

They run a clinic where patients are assessed to determine their<br />

risk of breast cancer due to family history. The service is patient<br />

focused and forward thinking and ensures people have the<br />

psychological support they need at a difficult time.<br />

Speaking about their win Helen Lindley said:“We have two<br />

people missing, one is on holiday and one is getting married<br />

tomorrow so they have good excuses.<br />

“It’s been a team effort. We’re up against some really great<br />

teams and I’m just really chuffed. Ladies come in with history<br />

and we work hard to reassure them and say what we can do for<br />

them.”<br />

Jenny Smith added: “It’s a very rewarding and challenging area<br />

to work in.”<br />

8<br />

Together<br />

Members of the tissue viability team with chief nurse Tara Filby and Nigel McElvenny<br />

from British Gas<br />

Representatives from the pharmacy teams trustwide including Mike Urwin, centre<br />

Jenny Smith and Helen Lindley from the family history breast care team with Shane<br />

Spencer from Keyzo and Karen Griffiths, chief operating officer<br />

View these photos and more taken by Guy<br />

Hageman at www.guyhageman.co.uk<br />

Team looking at right line at the right time<br />

A new team has been launched<br />

aimed at making sure patients get<br />

the right line at the right time for the<br />

right treatment.<br />

The vascular access team is on hand<br />

to provide support for staff and<br />

individualised care for patients needing a<br />

vascular access device.<br />

Nick Harrison, nurse consultant -<br />

deteriorating patient, heads the team<br />

which also includes clinical nurse<br />

specialists in invasive devices Ellie-Jane<br />

Jones and Maggie Parker.<br />

Vascular access devices (VADs) are an<br />

essential element in the treatment of lots<br />

of conditions and include short peripheral<br />

cannulas, midline catheters, peripherally<br />

inserted central catheters (PICC) and<br />

other tunnelled devices.<br />

Nick said: “It has been internationally<br />

recognised that standardised procedures<br />

and equipment, along with staff training<br />

in the insertion and maintenance of<br />

devices minimises the risk of infections<br />

and other complications.”<br />

He said the new team, which sits with<br />

surgery and critical care, has evolved<br />

from the long established oncology PICC<br />

service, along with support from both<br />

infection control and anaesthetic teams.<br />

They are available Monday to Friday, 9am<br />

to 5pm, at SGH and DPoW.<br />

Nick said: “We are on hand from<br />

assessment of vessel health, to insertions<br />

of difficult peripheral cannulas and<br />

peripherally inserted central catheters<br />

through to appropriate referrals for more<br />

advanced vascular access.”<br />

The team aims to:<br />

• Prevent unnecessary venepunctures<br />

• Minimise delays in treatment<br />

• Prevent further damage to veins<br />

• Reduce catheter-related blood<br />

stream infections<br />

• Save nurses’ time<br />

• Reduce patient anxiety and pain.<br />

As well as delivering patient care they<br />

will also be instrumental in training staff<br />

on such things as: flushing techniques,<br />

blood sampling, dressing techniques,<br />

removal of devices, physiology associated<br />

with vascular devices, after care<br />

management both for in and outpatients<br />

and associated complications and<br />

solutions.<br />

Nick has been involved in vascular access<br />

and PICC insertions for a number of years<br />

and has a keen interest in sepsis and<br />

associated pathophysiology.<br />

Maggie Parker, Nick Harrison and Ellie-Jane Jones<br />

Ellie-Jane has worked within the acute<br />

haematology/oncology for 10 years<br />

with experience in bone marrow<br />

transplantation giving her a wide range<br />

of experience with a multitude of devices.<br />

She is a qualified PICC inserter and has<br />

an interest in sepsis and its prevention.<br />

Maggie’s clinical experience is firmly<br />

rooted in critical care nursing and<br />

has an interest in the education and<br />

development of staff. With a recent<br />

acquisition of advanced vascular access<br />

skills, Maggie now places PICCs in<br />

acutely ill patients and is convinced these<br />

are an essential tool to help avert patient<br />

deterioration.<br />

The service runs Monday to Friday and<br />

referrals are only just a bleep or phone<br />

call away. Further information about the<br />

team can be accessed via the Hub.<br />

An example of how they can help<br />

includes: Patient A required six weeks<br />

of treatment for endocarditis with<br />

Gentamycin and Vancomycin. Peripheral<br />

vascular health rapidly deteriorated<br />

leading to discomfort and delayed<br />

administration of antibiotics.<br />

Insertion of a PICC gave the patient<br />

relief and reassurance that the condition<br />

would be effectively treated.<br />

How to contact us<br />

• Nick Harrison — SGH ext 5958 or<br />

bleep 6211<br />

• Ellie-Jane Jones — SGH ext 3022<br />

or bleep 6239<br />

• Maggie Parker — DPoW ext 1131<br />

or bleep 268<br />

we care, we respect, we deliver 9

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