1. Safeguarding Adults: Learning in the acute hospital setting Allison Cannon Asst. Director of Quality Lynn Beun, RGN

2. Do we learn yes

3. No

4. Maybe

5. Protecting adults – practical steps taken by the Trust Nursing Metrics Safeguarding Committee Comfort rounds Sit and seeFlagging Pathways for patients with Learning Disabilities Training AAR/RCA

6. Alerts by Age

7. Level of investigation

10. Feeding with oral syringes – abuse or acceptable?

11. Exercise: Patient story 1 Mrs A aged 86 years was admitted to hospital following a fall. She had Parkinson’s disease and has difficulty eating and drinking. Her fluid balance chart (overleaf) shows that her oral intake is poor. Her daughter reports to you that she has witnessed a member of staff giving 10 mls of Fortisips on 4 occasions into her mouth using an oral-enteral syringe on four occasions. Q1. What pro-active safeguard steps could be taken to ensure Mrs. A. obtains adequate fluids and nutrition? Q2. Is oral syringe feeding acceptable practice or abuse? Discuss.

12. Mrs. A: Oral and IV fluid intake

13. Accident or Neglect?

14. Exercise: Patient Story 2 Mrs. B. aged 88. Admitted to hospital with abdominal pain. She went to the X-Ray department for a scan which had to be taken lying on her front. She had to lie on a plastic cover on the scanner unit. Whilst turning Mrs. B. onto her front an injury occurred. The skin of her leg stuck to the plastic sheet. She experienced a lot of bleeding and damage to her leg. Q1. Is this an accident or is it neglect? Q2. What questions would you want to ask to find out what had happened? Q3. How would you safeguard other patients?

15. Pressure damage

16. Changes to Practice Pocket guides for clinical staff Reviewed policy Feedback Action plans Hand held record Staff learning Handover – bedside handover. Equipment checks