1. Insert name of presentation on Master Slide Transforming Care Two pilot wards are West 3 and West 5. Both are 29 bedded elective orthopaedic wards.

2. Well Organised ward (WOW) West 3 ward –Dynamap stations –Store rooms x 2 –Hoist Station –Drug cupboards –Sluice

3. 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

4. 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

5. 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

6. Store rooms Before: After:

7. Store Rooms Before: After:

8. 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

9. West 3 before:West 3 after:

10. Drug Cupboards Before:After:

11. Drug Cupboards: Before: Doors were old and tatty Old posters and information on outside Inside not clearly labelled

12. WOW West 5 –Dynamap station –Sluice –Linen Room –Store room aka ‘the shed’

13. The Sluice, before:

14. The Sluice after: Stock levels clearly marked Spaces clearly marked and labelled Bowls moved to lower shelf

15. Spaghetti Diagram West 5 sluice room before West 5 sluice room after

16. 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

17. ‘The Shed’

19. A Place for everything and everything in it’s place!

20. Sort! The 60 minute makeover approach!

21. Shine!

22. Set Shelves all clearly marked and labelled Pictures on cupboard doors Pictures in spaces on shelves and on floor Dynamap stations clearly marked

23. 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!!!!

24. Before:After:

25. Sustain Audits in place Each area has named person responsible for auditing weekly Stock levels displayed

26. Measures Board Action Planning Monthly meetings around board as data collected monthly

27. Next Steps: PSAG boards ordered and delivered Location decided Symbols agreed Team engaged Thin tape??????