Recording Your Care – Future Plans, Present Challenge

NIPEC Annual Conference

Linen Suite, Mossley Mill9th October 2013

9th October 2013Linen Suite, Mossley Mill

Recording [nursing and midwifery] Care......

What’s the point?

9th October 2013Linen Suite, Mossley Mill

‘If it wasn’t documented.......’

9th October 2013Linen 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

9th October 2013Linen 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.’

9th October 2013Linen Suite, Mossley Mill

What it’s not.....

9th October 2013Linen Suite, Mossley Mill

What it is.....

9th October 2013Linen Suite, Mossley Mill

Recording Care 2011 - 2013

9th October 2013Linen Suite, Mossley Mill

Audit ToolThe Care Plan records:the person’s assessed needsthat the person was included in the discussion about his/her plan of carewhat the person prefers in terms of his/her choices for careappropriate review of how the plan of care is progressing agreed outcomes being achieved

9th October 2013Linen Suite, Mossley Mill

Recording Care at the Bedside

9th October 2013Linen Suite, Mossley Mill

Changing Practice

Time and Effort

Work-based Activities

Focus on Person-centred

Practice

Learning Integrated into Practice

Encouraging Teams

9th October 2013Linen Suite, Mossley Mill

Teams Talking

Main benefits from your experience of

implementing the Recording Care practice improvement activities?

9th October 2013Linen Suite, Mossley Mill

Teams Talking

What were the main challenges to

improving practice?

9th October 2013Linen Suite, Mossley Mill

Teams Talking

What were the main enablers to

improving practice?

9th October 2013Linen Suite, Mossley Mill

What next?

9th October 2013Linen Suite, Mossley Mill

New ways of working....South Eastern Health and Social Care Trust Emergency Department

9th October 2013Linen Suite, Mossley Mill

People at the Centre

Nothing about me without me.....

9th October 2013Linen Suite, Mossley Mill

LIFE has no remote control...

We need to change it ourselves...

Practice!

9th October 2013Linen Suite, Mossley Mill

“It ain’t what you do it’s the way that you do it,

and that’s what get results…”