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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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Queen
Alexandra
Hospital
Endoscopy Unit
Morning Prayers
Barbara Crean
Lorraine Walling
Jackie Douglas
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.
Start Stop Audit Nov 12
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.
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
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
From this
Morning prayers was renamed
The Huddle
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!
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
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.
Be careful,
It’s a jungle out
there!