What was the issue you were addressing or working on?
Many older people were being admitted to appropriate wards from an acute medical perspective but were missing the opportunity to benefit from a coordinated comprehensive geriatric assessment which would potentially ensure a better patient journey and reduce the hospital stay.
What you did?
8 nurses appointed (2 at each receiving site) who undertake a number of key roles including:
- Reviewing and selecting patients for DME Consultant to see
- Contacting family/Next of Kin/Nursing Homes for relevant history to include previous functional level, Power of Attorney and also clarifying reason for admission if not clear. Providing feedback on plan of care
- Ensuring Cannard/MUST Scoring/AMT/MMSE and other risk assessment documents are completed in line with OPAC Standards
- Participating in ward round taking note of plan for care.
- Carrying out referrals to SALT, Physio, Psychiatrist, Geriatric Day Hospital, and Out Patient Clinics.
- Carrying out ECGs, venepucture, cannulation if required
- Supporting transfers to appropriate ward and early discharge
What were the outcomes - benefits or otherwise?
Significantly improved identification of appropriate patients for geriatrician review resulting in earlier intervention and shortened length of stay. Future proposals would be to increase the number of staff in post to provide 24/7 cover.