icu can improve the night-time hospital

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ICU can improve the night-time hospital Dr John Strange Coppel prize presentation, 24th October 2013

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2013 Northern Ireland Intensive Care Society Coppel Prize presentation by Dr John Strange

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Page 1: ICU can Improve the Night-Time Hospital

ICU can improve the night-time hospital

Dr John StrangeCoppel prize presentation, 24th October 2013

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The night-time hospital

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“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

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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

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Working as individuals

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A team with leadership

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Mindset: maintain care

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Mindset: progress care

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Unsupervised & unsupported

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Supported, well trained and supervised

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Risk

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Safety

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Inequitable workload

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Transparency & Equity

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Limited measurement, poor knowledge

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Informed decision making based on real time data

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Alfred course in leadership and

mentoring

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ICU can improve the night-time hospital….

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Should we?

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Questions?

[email protected]

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Acknowledgements

Dr Owen Roodenberg

Dr Ronan O’Leary

Amy McKimm