Recording Your Care – Future Plans, Present Challenge NIPEC Annual Conference Linen Suite, Mossley Mill 9 th October 2013.

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Presentation transcript:

Recording Your Care – Future Plans, Present Challenge NIPEC Annual Conference Linen Suite, Mossley Mill 9 th October 2013

Linen Suite, Mossley Mill Recording [nursing and midwifery] Care What’s the point?

9 th October 2013 Linen Suite, Mossley Mill ‘If it wasn’t documented ’

9 th October 2013 Linen Suite, Mossley Mill ‘ In attempting to arrive at the truth, I have applied everywhere for information, but in scarcely an instance have I been able to obtain hospital records fit for any purpose of comparison....’ Florence Nightingale 1863

9 th October 2013 Linen Suite, Mossley Mill ‘Mrs Harry denies a series of charges dating between 1998 and 2006 and related to alleged failures to ensure adequate nursing staffing levels and appropriate standards of record keeping, hygiene and cleanliness, administration of medication, provision of nutrition and fluids and patient dignity.’

9 th October 2013 Linen Suite, Mossley Mill What it’s not.....

9 th October 2013 Linen Suite, Mossley Mill What it is.....

9 th October 2013 Linen Suite, Mossley Mill Recording Care

9 th October 2013 Linen Suite, Mossley Mill Audit Tool The Care Plan records: the person’s assessed needs that the person was included in the discussion about his/her plan of care what the person prefers in terms of his/her choices for care appropriate review of how the plan of care is progressing agreed outcomes being achieved

9 th October 2013 Linen Suite, Mossley Mill Recording Care at the Bedside

9 th October 2013 Linen Suite, Mossley Mill Changing Practice Time and Effort Work-based Activities Focus on Person-centred Practice Learning Integrated into Practice Encouraging Teams

9 th October 2013 Linen Suite, Mossley Mill Teams Talking Main benefits from your experience of implementing the Recording Care practice improvement activities?

9 th October 2013 Linen Suite, Mossley Mill Teams Talking What were the main challenges to improving practice?

9 th October 2013 Linen Suite, Mossley Mill Teams Talking What were the main enablers to improving practice?

9 th October 2013 Linen Suite, Mossley Mill What next?

9 th October 2013 Linen Suite, Mossley Mill New ways of working.... South Eastern Health and Social Care Trust Emergency Department

9 th October 2013 Linen Suite, Mossley Mill People at the Centre Nothing about me without me.....

9 th October 2013 Linen Suite, Mossley Mill LIFE has no remote control... We need to change it ourselves... Practice!

9 th October 2013 Linen Suite, Mossley Mill “It ain’t what you do it’s the way that you do it, and that’s what get results…”