Transcript Cardiff and Vale Health Board

Transforming Care
Two pilot wards are West 3 and West 5. Both are 29 bedded
Insert name
of presentation
elective
orthopaedic
wards.on Master Slide
Well Organised ward (WOW)
• West 3 ward
– Dynamap stations
– Store rooms x 2
– Hoist Station
– Drug cupboards
– Sluice
Dynamaps before:
Not all in one place
Untidy
Batteries flat as not plugged in
Sats probe often broken because
left on floor
Time taken to find dynamap, stock up
and plug in when at the patient’s bed =
6 minutes 41 seconds
Dynamap station,
After:
Dynamaps located in two defined
areas on the ward
Left tidy
Plugged in
Stocked with appropriate
paperwork and equipment
Time taken to collect dynamap
from station and take to patient =
1 minute 41 seconds
That’s a saving of 5 minutes
The impact:
• If as an average observations are required
every 4 hours and there are 6 dynamaps
available, 6x6 =36 times per day
• Saved 5 minutes each use
• =3 hours a day
• =21 hours a week and 45 days over a
year!
Also saved steps, 617 steps before, 107 steps after.
Over a week saves 10.7 miles, 43 times around the
Millennium Stadium
Store rooms
Before:
After:
Store Rooms
Before:
After:
Hoist Station
• Hoist station now in place, no
longer kept in patients bathroom
• Slings for hoist kept in same room
not on high shelf in Linen room
• Steps saved =51 steps saved per
trip.
– Over one year = over 1 mile saved
» One trip per week
West 3 before:
West 3 after:
Drug Cupboards
Before:
After:
Drug Cupboards:
• Before:
• Doors were old and
tatty
• Old posters and
information on outside
• Inside not clearly
labelled
WOW
• West 5
– Dynamap station
– Sluice
– Linen Room
– Store room aka ‘the shed’
The Sluice, before:
The Sluice after:
• Stock levels
clearly marked
• Spaces clearly
marked and
labelled
• Bowls moved to
lower shelf
Spaghetti Diagram
West 5 sluice room before
West 5 sluice room after
Moving Bowls
• Saved 10 steps per trip
– Over one year saved one mile
 Saved 15 seconds per trip
(six trips per day, 90 seconds saved)
10.5 minutes a week, 546 minutes per year,
 9 hours per year saved
‘The Shed’
A Place for
everything and
everything in it’s
place!
Sort!
The 60 minute makeover approach!
Shine!
Set
• Shelves all clearly marked and
labelled
• Pictures on cupboard doors
• Pictures in spaces on shelves
and on floor
• Dynamap stations clearly
marked
Standardise
• Anti-embolic stockings moved from the
‘shed’ to the linen room. (Nearer the
patients).
• This simple move saved 2 minutes 30
seconds per trip
• Over a year saving: almost 2 days!
– And 87500 steps a year! That’s 44 miles!!!!
Before:
After:
Sustain
• Audits in place
• Each area has named
person responsible for
auditing weekly
• Stock levels displayed
Measures Board
Action Planning
• Monthly meetings around board as data
collected monthly
Next Steps:
•
•
•
•
•
PSAG boards ordered and delivered
Location decided
Symbols agreed
Team engaged
Thin tape??????