Ensuring quality care

Falls prevention  

We have devleoped a new style of falls prevention training. The in-situ falls training programme is currently being implemented throughout the Division of Medicine and has been published on the NHS Improvement website.

Aims

  • to reduce preventable falls and improve staff confidence in managing the fallen patient
  • can be used by all members of staff and encourages communication, team working, prioritisation and delegation skills
  • allows ward staff to be taken from the working environment to complete the bespoke training on the ward.

Training scenarios

The training consists of two short scenarios: one delivering assessment and care plan implementation, the second on post falls management.

It's designed to take place in the ward environment and involves working with ward managers to tailor scenarios which have been adapted in line with lessons learnt from recent route cause analysis investigations. This ensures that training is relevant to the ward environment and patient centred. 

Recreating these ‘real life’ scenarios in a ‘risk free’ environment, facilitates learning whilst increasing retention. The participants lead the simulation scenario which results in them feeling more empowered and also increases confidence in clinical decision making. 

Feedback

Constructive feedback is also an essential part of this process and is given at the end of each simulation scenario to improve performance and facilitate personal development. This type of training engages frontline staff in their own environment which encourages ‘buy-in’ and stimulates a culture change where falls and safety awareness is recognised as the responsibility of all.

Medication

The Medicines Optimisation nurses based in Pharmacy provide a comprehensive support service to nurses who administer medicines to our patients. This includes delivering over nine hours of medicines optimisation training to nurses when they join the Trust; delivering regular mandatory medicines optimisation training sessions; running intravenous medicines administration study days; providing tailored training on controlled drugs, medicines temperature monitoring and clinical numeracy (using the SN@P system); and being available to provide advice to nurses on medicines queries.

We also provide one to one support during accompanied medicines rounds and regularly carry out medicines storage and security audits. We have been in post since October 2015 and the CQC (2017 inspection visit report) recently noted the improvements in the storage and the administration of medicines in the Trust and described the automated medicines storage temperature monitoring as “outstanding practice."