Back to Basics Kathy Patrick and Sue Davidson
Back 2 Basics is a concept that values and promotes quality of care
Failing hospitals were linked to substandard care. Lack of leadership and communication were identified as major concerns. As leaders in our clinical area our starting point for Back to Basics was reviewing and benchmarking our own unit critically. Our observations were that simple changes in communication, attitudes, dignity and respect and improvement in hospital information boards could be achieved.
A simple door sign means a patients dignity and respect is protected. The colours on these signs are changed every 6 months to ensure staff do not become complacent.
To ensure equity for women and their families, to promote comfort during their stay, we developed an information poster for each delivery room. The items on this ranged from how to access toilet facilities to where to make a free drink. Our research had shown that this information could sometimes be delivered inconsistently.
This notice board is in a prominent position on delivery suite to demonstrate to staff how we work within the NMC Code.
The following photographs were obtained anonymously by various members of our team, demonstrating unacceptable standards. Staff can become desensitised to certain situations on a Delivery Suite. The following slides have the strongest impact when shown in a non- clinical setting. The shock value is obvious, and once viewed, we have found staff work harder to promote a clean environment, with more regards to patients and colleagues We try to show different slides each year – but are finding it increasingly difficult to obtain the ones that leave the longest impression! We have taken this as a measure of our success!
This flush May prove a Little difficult
This took 2 hours to clean, as the blood had congealed.
The stool is wedged under the bed. The patient was left on this bed following suturing, with the lower part of the bed at this angle. Obviously a health and safety issue
This cannula was left on the radiator. Obviously a health and safety issue.
Have a guess What's wrong With this one!
This was Found on A monitor That had A green for Clean sticker
This was Discovered just Before attaching To a patient
This monitor was luckily discovered in this condition prior to a patient entering the room. This was 18 hours post delivery!!!!!
At what point would you say this bucket was full?
Faeces left in the pool for the whole post- natal period the patient remained in the room. The room did not smell pleasant.
This patient has been offered food whilst still sitting in the soiled delivery sheets. The plastic sheet is still present. The CTG has obviously not been cleaned. Linen on the floor.
An important element of care is a clean and welcoming environment
Working as a team allows us to maintain high standards empowering all staff to challenge substandard practice.
http://www.bbc.co.uk/news/uk- scotland-edinburgh-east-fife- 33225584
To ensure high clinical standards are maintained we have early input with student midwives on commencement of their clinical placements. We also deliver our Back to Basics Presentation to students at the University of Northampton. We encourage student midwives to develop advocacy for the women in their care and empower them to challenge bad practice.
Continue links with Northampton university. Speak with Student Midwives Challenge and be prepared to be challenged in clinical environment. Develop a reputation for high standards of care that embeds the NMC code of practice.
Twice yearly awards to be presented to the individual who consistently demonstrates the four elements of care 1)welcoming 2)Attitude 3)Dignity/Respect 4)Promotes Clean Environment. Awar arde ded d for Clinical al Excellence Sue & Kathy
Feed back from “Friends and Family Questionnaire” Feedback from mandatory staff training day Feedback from student midwives following presentation at University. Uniform Audit Work in progress developing an extended friends and family questionnaire that we conduct once a month for our own measurable outcomes
Since the commencement of ‘Back to Basics’ we have had an article published in the British Journal of Midwifery (BJM) Power et al. 2016
“We are what we repeatedly do. Excellence, therefore, is not an act but a habit” Aristotle “ They may forget your name, but they will never forget how you made them feel” Maya Angelou
Power, A. Davidson, S. and Patrick, K. (2016) Being ‘with women’ in contemporary midwifery practice: One Trust’s response to the Francis report. BJM 24:10 Page 711-713 Francis R (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. The Stationary Office, London Nursing and Midwifery Council(2015) The Code: Professional standards of practice and behaviour for nurses and midwives. NMC, London
Any Any Que Questio stions? ns?
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