icu can improve the night-time hospital

ICU can improve the night-time hospital

Dr John StrangeCoppel prize presentation, 24th October 2013

The night-time hospital

“They’ll make it to the morning”

“I’ve never had to call a consultant overnight”

“Wouldn’t know exactly who to call, and they may not know the patient anyway”

“I don’t have time to do admissions, I’m always overworked

The ‘Clinical Lead’ An ICU SR

Education, supervision, clinical support, mentoring

Managing and leading the team

Immediate feedback and escalation

Workload monitoring

Handover

Bed management, monitoring, quality and safety

Promote collaboration and intercollegiate working

Working as individuals

A team with leadership

Mindset: maintain care

Mindset: progress care

Unsupervised & unsupported

Supported, well trained and supervised

Risk

Safety

Inequitable workload

Transparency & Equity

Limited measurement, poor knowledge

Informed decision making based on real time data

Alfred course in leadership and

mentoring

ICU can improve the night-time hospital….

Should we?

Questions?

jstrange@doctors.org.uk

Acknowledgements

Dr Owen Roodenberg

Dr Ronan O’Leary

Amy McKimm