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Queen Alexandra Hospital Endoscopy Unit Morning Prayers Barbara Crean Lorraine Walling Jackie Douglas

Endoscopy - daily prayers

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Presentation from NHS Improvement endoscopy workshop held at Ambassadors Hotel, London on 29 January 2013 http://www.improvement.nhs.uk/diagnostics/EndoscopyImprovement/Events.aspx Endoscopy unit morning prayers Barbara Crean, Lorraine Walling, Jackie Douglas Queen Alexandra Hospital

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Page 1: Endoscopy - daily prayers

Queen

Alexandra

Hospital

Endoscopy Unit

Morning Prayers

Barbara Crean

Lorraine Walling

Jackie Douglas

Page 2: Endoscopy - daily prayers

Endoscopy Unit

• 5 Suites (plus a satellite unit at GWM Hospital)

• 3 Suites on D level

• 2 Suites on G level

• Each have their own admitting rooms,

recovery and discharge facilities.

• All team members work in all areas

• As you can imagine, it is sometimes very

difficult to keep your finger on the pulse.

Page 3: Endoscopy - daily prayers

Start Stop Audit Nov 12

Page 4: Endoscopy - daily prayers

Problems identified that impacted on

Suites starting on time

• Staff turning up 5 / 10 minutes late for work or turning up on time but not in uniform.

• Rooms not being stocked up.

• Wrong equipment in each room.

• Resus trolley not being checked daily.

• Top up order book not being done.

• Running out of CDs

• The list goes on and I’m sure other area have experienced similar problems and can add to the list.

Page 5: Endoscopy - daily prayers

Morning Prayers

From military to NHS

Originally it was more about:

• Team building

• Discussing problems

• Reflecting

• Information sharing

• AND eventually what was happening that day

Page 6: Endoscopy - daily prayers

Needed to move with the times.

• Develop something that was more operational

• Short sharp and delivers

• Needed to be to the point

• Only discuss key elements

• Keeping everyone focused

• Problem solving

• Motivating the staff

• Ultimately to increase productivity

Page 7: Endoscopy - daily prayers

From this

Morning prayers was renamed

The Huddle

Page 8: Endoscopy - daily prayers

The Huddle

Key points:

• Need to ensure everyone was engaged and

listening

• Everyone should be Standing up

• Stood around the allocation board

• Idle chatter to be discouraged

• At the end of the 5 minute huddle the team

should be ready to hit the road running!

Page 9: Endoscopy - daily prayers

The Huddle

Check List

False Endoscopy Unit

'Huddle' Checklist

Date Time 8:00 AM

13:00 PM

All suites stocked and ready YES NO

Each suite has 8 o'clock start allocated YES NO

Name

Cardiac arrest trolley allocated Recovery

Suite 3

G5

Admitting Nurse ready to

start YES NO

First inpatient called

for YES NO

Stop/Start audit handed out YES NO

Order books completed:

Monday only CD Book All Suites x5 YES NO

Tuesday allocation to do top up book YES NO

Wednesday stock book D and G level ready to

go YES NO

Problems identified/instructions

8:00 AM 13:00 PM

Late comers/off sick

• Version 5

• We are continually looking

at making it more user

friendly

• It is a quick tick box

• Highlights problems

• Sickness and late comers

highlighted

• It is also kept and used for

audit.

• It should take 5 to 10 mins

max

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Positives

• Only time during the day the whole team is

together

• Team Building

• Late comers are noted

• Problems identified early….. skill

mix/decontamination/absences

• Motivation with positive thinking

• Start times improving.

Page 13: Endoscopy - daily prayers

Be careful,

It’s a jungle out

there!

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