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Quality Quality
Care and Compassion
Quality Teamwork
Dignity and
Respect
Openness,Honesty and
Responsibility
Teamwork Teamwork
Dignity and
Respect
Dignity and
Respect
Openness,Honesty and
Responsibility
Openness,Honesty and
Responsibility
Care and Compassion
Care and Compassion
SENSORY MATS AND SLEEVES
A NOTE FROM ALEX MCMAHON2
THE MAGAZINE FOR NHS LOTHIAN STAFF
JANUARY 2019
In NHS Lothian we offer Breastfeeding Awareness sessions and Breastfeeding Friendly awards to anywhere that mums might visit in the community, such as GP surgeries, libraries, restaurants and cafes, to provide a safe, relaxing place where all mums are welcomed to feed their babies.The Breastfeeding Friendly Award is a small part of the UNICEF Baby Friendly Initiative to encourage public services to protect, promote and support breastfeeding and to help strengthen mother-baby and family relationships.
The Infant Feeding Team recently awarded The Pennywell All Care Centre (PACC) in Muirhouse.
Pat Bennett, Manager of the PACC said that “Having the award allows the public to have awareness that breastfeeding mums can be comfortable to breastfeed their baby in any area of PACC. If required they can request a private room. They can breastfeed here knowing that they will be supported by staff to do this”.
Pat continued “having the award formalises what support mums can expect, the blue sticker is a visible symbol that is easily recognisable for those who may have communication difficulties or not have English as their first language”.
If you would like to know more or you know somewhere that would like to host the award, please call the Infant Feeding team on: 0131 286 5053
Connections is your magazine. If you’ve a story you wish to be considered or if you have feedback about the magazine please send (no more than 200 words) along with a high quality photo to [email protected]
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NHS Lothian Breastfeeding Friendly Award
You are Incredible
Care and Compassion
BREASTFEEDING
F R I E N D LY
2
Sensory mats and sleeves for patients with dementia
A Note from Alex McMahon Executive Director, Nursing, Midwifery and AHPs Executive Lead for REAS and Prison Healthcare
Every year, especially in the winter months, our staff deal with real pressure in our emergency departments, on our wards as well as in the community. It never ceases to amaze me the dedication staff show, even when they’d rather be at home with their loved ones. Every week I spend around two days visiting different services and it’s fantastic to see this dedication and the developments that are taking place, both in terms of advance practice and also developing roles for our health care support workers.
In 2018 I was delighted that we were recognised nationally when both our Cancer Nursing Team and our Rapid Response Team won UK awards. At a local level teams won awards through Celebrating Success and through other national forums. NHS Lothian has real depth and strength in nursing and AHP staff and my job for 2019 is to build on that platform and make us even more successful.
Throughout the year I’ve had the chance to meet with groups of student nurses. We need to ensure that those nurses are getting the best experience they can. I’ve been heartened to hear that the experience and the support they get from their mentors has been really exceptional.
One of the developments that has really stood out for me in the last year is a project in Canaan Ward in the Royal Edinburgh. Senior Charge Nurse Frances Aitken has run a program based on a
technique to manage stress and distress for people with dementia. They’ve significantly reduced incidents of distress, the use of medication to manage that distress and the need for supplementary staffing. They’ve overall improved the quality of care. We’ve now made a decision to now have Frances work across the whole of Lothian to support other areas that would like to drive that same level of quality so I look forward to seeing how that develops throughout 2019.
I’d like to finish up by saying - thank you for the huge effort you put in during the festive period. Staff in the hospitals and in the community do an amazing job every single day and I love to see this first hand. What I’d love for 2019 is for areas that I’ve not seen before to invite me out to see their service so please take this opportunity to contact me as I’d be delighted to come and visit.
Sensory mats have been used in a variety of ways, like supporting children’s mental development, and more recently as a source of comfort for people with dementia. In the Western General Hospital (WGH) they’ve recently introduced mats and designed a “sleeve” for people with dementia who may benefit from having one.
It started when (a patient that we’ll call) Mr A was admitted to the WGH with acute confusion relating to a severe sepsis. He came from a nursing home and had dementia. On admission Mr A was very agitated and required enhanced observation as he was constantly pulling at his catheter and at his venflon. In a short period of time, Mr A had pulled out six venflons which resulted in a delay in him receiving essential intra venous antibiotics as part of his treatment.
After some discussions around Mr A’s background, Avril Brown, the Acute Hospital Lead for Dementia and Older People in the WGH suggested using a sensory sleeve to support Mr A.
These sleeves and mats are currently made by a volunteer and have a wide variety of designs which made it easier to find one that Mr A preferred. The patient immediately settled. The sleeve deterred him from pulling out his venflon. He was able to receive the antibiotics he needed and no longer needed constant supervision. The mats and sleeves are for one person use only to comply with Infection Control.
Since then we have introduced a “bank” of sensory mats and sleeves that wards within the WGH can access by contacting [email protected] or call on extension 33824.
You Are Incredible
Quality
Openness,Honesty and
Responsibility
JANUARY 2019
3
A huge thank you to everyone who has taken up our ‘Be Incredible - fight flu’ challenge so far, especially those who’ve had your flu jab and are ready for winter!
So many of you have got into the spirit of taking a ‘Be Incredible’ selfie by putting on a superhero mask and t-shirt and posting your ‘Be Incredible’ selfie on social media. Here’s just a few images of you getting behind our campaign. You are all truly incredible!
FLU CLINICSFor those of you who have not had time to get your free flu vaccination, don’t worry... there’s still time!!
You can find details of clinics by going to the intranet directory and clicking in Flu Vaccinations. Please note that you can attend any of the clinics to receive your free flu vaccination.
These clinics are dynamic and subject to change.
Please see local information about arrangements for the roving vaccinator teams including evening, weekend and night duty.
We encourage staff to attend any clinic along with identification and consent form. Please note that you may need to travel to an appropriate clinic.
Don’t delay, protect yourself and your patients – this is your chance to ‘be incredible’!
You Are Incredible
Teamwork
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Western GeneralI was having 20 sessions of Radiotherapy very recently and at the start was very apprehensive given I had worked in microwave radio communications for years and was responsible for the safety side of my people working in that environment.
That said a member of the staff there sat me down and explained the process and the way I was going to be treated which allayed most of those fears. During those early sessions another member of staff explained what the pictures taken of me during the process meant. I really appreciated that.
I’ve taken the trouble to write this as I can’t praise the staff there too highly. They were brilliant all the way through to the end of my last session.
During one of the sessions there was a power outage that interrupted it three times. Their professionalism in keeping me informed, being considerate about how I might feel and making sure I received it correctly eventually was excellent.
Thank you to all the staff in LA7.
St John’sI recently had an operation at St Johns Livingston and the staff from arrival to discharge were fantastic. I really can’t fault the care I received and the treatment given. We are so lucky to have free access to such a wonderful service and I want to extend my thanks to all healthcare professionals employed by the NHS.
Royal Infirmary Edinburgh It’s often said you don’t appreciate the NHS until you need it and I found this to be true.
In February this year when I was in ward 103 and at 6am I had a heart attack but the ultra fast reaction of the nursing staff especially Andrea saved my life. They were as focused and professional at the end of a long shift as they were at the start of it. There can’t be many more jobs that require this level of commitment and quick reaction.
I had 24 hours in intensive care being looked after by a group of people I can only describe as superhuman.
“ The care provided by the staff at the Radiotherapy Unit”
“ Edinburgh Heart Centre”
“Excellent hospital care”
Recognition for our staff from Care Opinon Care and
Compassion
JANUARY 2019
5
Rainbow Cart
The rainbow cart helps to provide a comfortable environment for a child receiving end of life care in a hospital setting. The items within the cart enable staff to make the clinical environment less acute and create a holistic ambience. The rainbow cart was an initiative brought back from North Carolina following a professional visit by Katrina Marshall, Senior Palliative Care Nurse Specialist.
The Rainbow Cart contains nice bedding – duvets and sheets appropriate to different age groups, a selection of sensory lights, iPod for music and stories, hand held fans, nice toiletries, pampering items, books, soft towels, cushions for the chairs and disposable rugs for the floor and single use slippers for the family. It also contains a coffee machine, a variety of snacks for the family during their time in hospital.
The cart can be brought to the patient’s bedside or outside the room. Equally items can be taken from the cart and used.
Ruth Innes, Palliative Care Nurse, Royal Hospital of Sick Children said “We would like to say a special thank you to Jak’s Den Charity for their support and input into this initiative. Jak’s Den provided funding for the cart itself and the purchase of all items. They continue to support this initiative by replenishing what has been used in the cart.
“The Rainbow Cart was introduced in March of this year and has been used a number of times. We have seen how much the items within the cart can transform a room and the response from both parents and staff has been overwhelmingly positive.”
For any information on the Rainbow Cart initiative contact the Anticipatory and Palliative Care Service at RHSC. [email protected] or 0131 536 0318
Cuddle blankets gifted to mother and baby unit St Johns
Project Linus UK is a voluntary organisation that aims to provide comfort, security and a hug through quilts and blankets to ill, injured or traumatised babies, children and young people up to the age of 18.
The babies are given a blanket which is theirs to keep.
“The Mother and Baby Unit (MBU) are hugely grateful for the donation and we want to say a big thank you to the charity and all the volunteers that took their time to make the beautiful clothing and blankets that will be so appreciated by the mothers and babies who receive them.” said Tricia Breslin, Interim Charge Nurse, Mother and Baby Unit, St John’s Hospital.
St John’s Mother and Baby Unit opened 11 years ago and has been providing care to perinatal ladies from cross regional areas of Scotland ever since. Both mother and baby are able to stay in the unit while the mother is receiving treatment. To find out more about the MBU you can watch a short video by going to https://vimeo.com/239798213
Project Linus began in the USA and came to the UK in March 2000. It is a non-profit organisation and everyone involved with it are volunteers who give their time, skill and resources freely.
Dignity and
RespectCare and
Compassion
6
Supporting Our Newly Qualified Nurses
New Royal Edinburgh Building adds value through landscape
Over the past couple of years, the senior management team at the Royal Infirmary Edinburgh have invested in an innovative programme of work in collaboration with the Clinical Education Team to support newly qualified staff nurses (NQNs), with a period of induction followed by support/discussion groups every few weeks.
In their meetings they discussed a variety of topics and as a group are able to offer each other support, guidance and a listening ear.
Lesley Triseliotis, Senior Charge Nurse said: “I am delighted and privileged to be able to facilitate a group of newly qualified nurses who have just started in the RIE.”
“It is a real challenge being a NQN coming into such a busy acute site during the winter months. We were very fortunate that our group were all willing to share stories, good and bad. It felt sad when we met for our final time, but so rewarding to see how far everyone has developed and grown in confidence. I think we will always share a special bond.”
Here’s what a couple of people from the group had to say:
“It gave as the unique opportunity to be open and honest about our experiences and feelings, and I personally felt that this was hugely beneficial to me in my first year of nursing.”
“I’ve found the meetings over the past year so valuable and you’ve been really approachable for advice and guidance - so thank you for that. Also for supplying us with lovely cakes at each meet up”
The latest development on the Royal Edinburgh Campus, which welcomed patients in 2017, achieved the highly commended finalist status at this year’s Landscape Institute Awards. The annual awards celebrate the value of landscape practice in connecting people, place and nature by demonstrating excellence, innovation and creativity in the natural and built environment.
Recognised in the Adding Value Through Landscape category, the Royal Edinburgh Building project was praised for demonstrating that it has brought improved cultural, social economic or learning benefits to the Royal Edinburgh Campus community. The project shows how landscape and architecture can be fused to ensure that the social and health value of access to high-quality landscape can drive the design of the building.
The Royal Edinburgh Hospital has a long standing association with mental health services going back to the site’s development in 1813. The landscaping incorporated through and around the new build was set out to make sure that immediate access, external therapeutic spaces continued to run through the hospital campus for the safe delivery of mental health and associated services. Appointed landscape architect, ERZ worked with NHS Lothian staff and patient representatives to develop and refine the clinical brief.
Our iMatters meeting this summer brought us together with our team feedback report allowing us to get to know each other as individuals as well as our work. Up until then, as we were a fairly new team, we had been working on individual areas of expertise, with awareness of overlapping initiatives but not yet joining them up strategically.
What was clear from the outset was that we were 5 colleagues with a passion for our roles. By the end of the meeting we had identified each role as closely inter-related and the more supported staff feel, the more positive the patient experience is and the fewer number of complaints received.
We were then able to map the bigger picture, seeing the links and sharing work plans to create a strategic vision,
with an action plan and bench marking.
Having a sense of belonging is known to have a positive effect on workplace health and wellbeing. We now meet regularly – informally with coffee, or more formally at Site meetings - and feel a genuine sense of connection and shared goals, which in turn has created a positive team spirit.
Jacqui Macrae, QI Hub Team, RIE
Our iMatter journey
Teamwork
Openness,Honesty and
Responsibility
Quality
JANUARY 2019
7
The winner of the kilt hire competitionMarion Wilson, Learning Facilitator, Comely Bank Centre
Chosen by random number generator – witnessed by Fiona Murray and Bhav Joshi, Strategic Programme Manager - Unscheduled Care. Tuesday 5th December 2018
Competition
Created by nutritionists, the Hapi Nutrition Coaching app makes it simple; eating well and living life to the full. The qualified and experienced Nutritional Therapists provide expert personalised one-to-one coaching and support.
We all use smartphones to take food photos, add value to the experience by injecting a 1 - 1 coaching element. Your HAPIcoach will provide you with 1 on 1 personal nutrition coaching and review every meal you post.
This means your HAPIcoach will take the time to learn your habits and goals. With this information about YOU, your HAPIcoach will provide tailor-made advice to help you reach your health goals!
www.nhsstaffbenefits.co.uk members have access to a discount code when purchasing the app through Google Play or the App Store to receive this service for just £27.99 per month instead of the usual price of £39.99 per month.
To be in with a chance to win 1 month free subscription to Hapi - The Nutrition Coaching App simply answer the following question:
Which of the 5 NHS Lothian values means the most to you?
There’s no wrong answer and the winner will be chosen at random.
Just send us your answer along with your name, job title or department, site and telephone number to:
[email protected] or send to: Communications Department NHS Lothian, Waverley Gate 2-4 Waterloo Place Edinburgh EH1 3EG by 1 February 2018.
Win 1 month free subscription to Hapi – The Nutrition Coaching App
When the temperature outside is hovering around zero and you’re feeling tired and listless from a little too much festive cheer, the temptation to hibernate until spring can be overwhelming. Resist the urge and be active instead.
Physical activity can reduce tiredness, improve your mood and help digest all that festive fare. The long-term benefits of regular physical activity are well-known. The short-term benefits include having more energy, a better ability to cope with stress and an increased metabolic rate – which means calories burn more quickly. An effective and simple form of physical activity is walking. The thermometer may have dropped outside, but if you wrap up warm and go for a brisk walk – about 30 minutes – you will feel better for it.
Your heart will welcome the increased activity and your lungs will enjoy the fresh air after the heat of indoors. The exposure to daylight, so limited at this time of the year, will also help to improve your mood.
If you have children, make sure they are active too. Staying inside with no outlet for their energy can cause frustration and arguments. A game of hide and seek, tig or football in the local park will help burn off the excess energy.
By maintaining a level of physical activity during the holidays, you can combat the tiredness usually associated with the first week back and ensure that you welcome the New Year refreshed and full of energy.
How to tackle tiredness this winter
