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Clinical Practice

Clinical Practice 

This award recognises the importance of staff innovation which helps and improves everyday practices in the workplace and/or approaches to patient care.

     West Dunbartonshire BBV service A dedicated team of nurses, specialising in blood-borne viruses (BBV), are hel...

    

West Dunbartonshire BBV service

A dedicated team of nurses, specialising in blood-borne viruses (BBV), are helping patients in West Dunbartonshire to access treatment for their condition nearer to home.

Before the specialist team was set up locally six years ago, patients had to travel to Gartnavel General in Glasgow for treatment for Hepatitis C, and only about 10% of patients actually attended their appointment. The patients have very complex needs and didn’t make the journey for a number of reasons.

The new service has been very successful and attendances have significantly increased.

One patient said: “It made a big difference and actually made me go through with my treatment. If I couldn’t make it for any reason they would come to my home. It’s basically made me want to live again.”


Pictured above: Back from left; Lynn Laverty, Gioia Sichi-Smith, front from left; Jacquelyn McGinley alongside one of their patients

“Happy”, “delighted”, “surprised” – the reactions of 3 nurses on learning that they had been nominated for a Chairm...

“Happy”, “delighted”, “surprised” – the reactions of 3 nurses on learning that they had been nominated for a Chairman’s Award for Clinical Practice. Val McKune, Ann Green, and Claire McCrae are colleagues at the Queen Elizabeth University Hospital working across respiratory, gastroenterology and general medicine.

They shouldn’t really be surprised as the improvements they have championed since June 2016 - as Exemplar Wards in the Daily Dynamic Discharge model - have had a major impact in improving patient flow not only through their wards but throughout the hospital. The change in working practice has been so successful it is now being rolled out nationally.

The essence of the model is twice daily Board Rounds attended by a full multi-disciplinary team. This means everyone involved in a patient’s care knows how the patient is and what is planned for them for the next 24-48 hours.

Using a carefully structured protocol to identify when patients are ready for discharge allows junior doctors and some nurses to discharge patients appropriately – with the right tests, medications or after care in place.

All three nurses agree that the Daily Dynamic Discharge model has improved patient care and experience and transformed the working day for all the staff on the ward, clinical, AHPs and others. They are modest ambassadors for a great success story that embodies outstanding clinical practice with person centred care, with highly beneficial outcomes for patients, staff and the service.

You can read full details of the programme at: http://www.gov.scot/Resource/0051/00518119.pdf

Improve the Care of the Deteriorating Patient This team of nurses in ward B2 at the Beatson West of Scotland Cance...

Improve the Care of the Deteriorating Patient

This team of nurses in ward B2 at the Beatson West of Scotland Cancer Centre implemented a process in collaboration with the practice development team which identified a key staff member every shift who is responsible for deteriorating patients.

This team have had a remarkable buy in from the full team and as a result have very quickly sustained 95 per cent reliability. The process that the team has developed has caught the attention of the other wards across NHSGGC who have asked the team to share their experience to enable them to adopt a similar or the same process.

Furthermore as part of the Practice Development Nurses wider focus on deteriorating patients, they have been spreading the word of the success this has been and has also sparked interest of healthcare professionals in countries across Europe.

This process has led to robust and sustainable care which has improved the patient’s experience and better outcomes if they become acutely.