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CDDFT OUR SERVICE IN 10 MINS

FRIDAY 19TH APRIL 2013

Thelma Rosenvinge

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INTRODUCTION

• How the service was configured

• Lead clinician, deputy lead and 3 nurses, 2 admin assistants

• 2 acute sites served by 2 different cancer centers, 2 community hospitals with chemo day units

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WHAT DO WE DO?

• Respond to RAPA alerts• Triage patients who self refer• Review ward patients• Update site specific teams • Teaching• Attend M&M meetings• Engage with network AOS group• Audit

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NEUTROPENIC SEPSIS

• In hours average door to needle time = 58 mins

Out of hours average figure for the past year = 131 mins • Engagement with sepsis steering group• Sepsis care bundle• Neutropenic sepsis kits• Posters for patients and staff in key areas• High visibility in key admission areas• UKONS alert cards and handheld records• Sepsis study days• PGDs

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Neutropenic Sepsis Graph

82.5

55 52.5

60 60

52.5

64

50

35

27.5

35

27.5 28

0

10

20

30

40

50

60

70

80

90

Tim

e (m

ins)

Average In Hours Door to Needle UHND

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NS ongoing work

• Primary care engagement• Trustwide roll out of sepsis bundle• Educational events• Sepsis champions• ? Dedicated sepsis team• Steering group membership to be multidisciplinary• Antibiotic resistance levels to be monitored• Audit• Webpage• Work Smarter !

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PEER REVIEW

• Good practice / significant achievements- Sepsis kits and care bundle, attendance at M&M meetings,

investigation of delays in one hour NS standard.

• Concerns: Lack of consultant review, cover for AOS nurses, pathways and

protocols, fast track clinic slots, staff training records, lack of oncologist representation from centers, MSCC leaflet and lack of electronic records.

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ANY QUESTIONS?