icu can improve the night-time hospital
DESCRIPTION
2013 Northern Ireland Intensive Care Society Coppel Prize presentation by Dr John StrangeTRANSCRIPT
ICU can improve the night-time hospital
Dr John StrangeCoppel prize presentation, 24th October 2013
The night-time hospital
“They’ll make it to the morning”
“I’ve never had to call a consultant overnight”
“Wouldn’t know exactly who to call, and they may not know the patient anyway”
“I don’t have time to do admissions, I’m always overworked
The ‘Clinical Lead’ An ICU SR
Education, supervision, clinical support, mentoring
Managing and leading the team
Immediate feedback and escalation
Workload monitoring
Handover
Bed management, monitoring, quality and safety
Promote collaboration and intercollegiate working
Working as individuals
A team with leadership
Mindset: maintain care
Mindset: progress care
Unsupervised & unsupported
Supported, well trained and supervised
Risk
Safety
Inequitable workload
Transparency & Equity
Limited measurement, poor knowledge
Informed decision making based on real time data
Alfred course in leadership and
mentoring
ICU can improve the night-time hospital….
Should we?
Questions?
Acknowledgements
Dr Owen Roodenberg
Dr Ronan O’Leary
Amy McKimm