The Orthopaedic view point Care shared with orthogeriatrician Peri-operative checklist Ask the each bedside Little time needed on average

The Orthopaedic view point Challenges Length of time to get going Get all colleagues involved Audit needed to really see the results Nursing & FY1 turnover Keep up the enthusiasm How to measure outcomes easily?

The Orthopaedic view point Benefits Improved knowledge Spillover for other patients Ultimately (we hope!) – less delirium shorter LOS less cost per patient

The Orthopaedic view point In future: ? Same scores throughout hospital ? AMT 10 on NEWS sheet

The Orthogeriatrician’s view point Knowledge base improved Scores help Early detection Rx improved Impression of less dementia Are we preventing delirium?

The Nursing point of view Not all auxiliaries trained Knowledge & confidence improved Treatment improved Dealing with family improved?? Prevention improved?? Less delirium??

Summary Hard to implement Time, training Engage all Tasks delineated for all It won’t happen in 5 minutes Concerted efforts of the Leader

Summary Easy once it’s going Worthwhile Thank you