ABMU HB Ward G - 17/03/10 Transforming Care Insert name of presentation on Master Slide

Unit summary and team members Ward G is 26 Bedded Surgical Ward Team Members includes: Senior Clinical Nurse Clinical Lead HCSW Members of MDT Add a couple of bullet points here about your hospital and the ward. Based Morriston Hospital Feel free to incorporate data like: number of beds, patient/staff numbers, any awards you may have won, features of the unit, etc. Please include a picture of your team! 2

Ward vision To provide high quality patient care, by happy friendly highly motivated staff, in a clean and calm environment that results in a positive patient experience.

Team members

Activity follow results Direct care time % = 62.9% Interruptions = 278 (one nurse interrupted 54 times in one hour) Distance walked = 14,808 steps in 12 hours Anything unusual to report? Majority of activity follows performed by facilitators 5

‘Before’ photos 6

‘After’ photos 7

‘After’ photos 8

‘After’ photos 9 9

‘Before’ photos 10

KHWD board 12 12

RTTC Tracker - last completed section Releasing Time To Care in NHS Wales RTTC Tracker Y N WEEK 16 Starting first Process Module, planning second Process Module AREA CHECKLIST ANSWER COMMENTS KHWD - sustain 1 Are at least 8 measures in place   2 Is the board clear, well organised & easy to understand 3 Are the measures up to date 4 Are all Safety Cross Calendars filled in up to previous day 5 Are meetings around the board taking place 6 Are action plans in place for addressing issues WOW - sustain 7 Has a fifth area for 5S been identified? 8 Are 5S audits in place and up to date 9 Are audit actions being completed and documented 10 Are spaghetti diagrams visible 11 Are Standards / SOP* being followed by all staff 12 Supplies are adjusting quantities of stock/equipment on ward PSAG - complete & sustain 13 Are all patient information users using PSAG board 14 Is final version of board being evaluated and tested 15 Is an audit system set up to sustain use of PSAG? PROCESS MODULES 16 Process Module 1 observations are underway 17 Process Module 2 has been chosen 18 Process Module 2 is in planning stage or just started GENERAL 19 Is the Project Plan up to date 20 Have steering group had at least 4 meetings, ward leaders have participated 21 Is the story board up to date showing progress SCORE SCORE; 18 / 21 STAFF ENGAGEMENT 22 How many staff currently involved 100% SCORING 23 How many staff have completed the 5s training game 0 to 13 14 to 18 19 to 21 24 How many staff have watched the RTTC DVD (NHSI) 0% 25 How many times has an interested party visited the ward in last 2 weeks Consult Steering Group / Project Lead to get issues sorted. Contact NLIAH. Action must be taken quickly to avoid falling behind Plan for Week 18 checklist. Well done! ACTIONS 26 Outstanding actions from Week 14 completed y If answer NO to any above, document action plan below; Next Steps; finish Process Module 1, start PM 2 ACTION PLAN Checklist Area & Number; Planned course of action & date for completion by Date Completed update audit file to accomadate P.S.A.G. board 15/03/2010 module 1 underway tbc no due to workload of ward 13

Transforming Care Quotes “Initially I thought that this was a waste of time and it was a management pleasing exercise .However I must say that the ward organisation and general cleanliness has improved . Time is saved with improvement in accessibility of stock. Evidently the ward appears much more organised” (Registered Nurse). 14

Transforming Care Quotes “From spending 7 weeks on the ward and continuing to work here regularly as bank I find that RTTC really works. The ward is well run and very well organised. Everything has its place and is easy to find. It saves time as a bank nurse not having to ask all the time where things are kept as everything is well labelled and stocked. This is not the case from my experience on other wards. I find a lot of my time working on other wards is spent asking where things are kept. In my opinion RTTC on ward G has resulted in a well organised and efficient ward. It is a pleasure to work there” (Student Nurse).