1. Crosshouse
Peter O’Brien

2. Insert up to date team photo

3. Last learning session New venue New weekly Structure
Concerns checklist
ICU Discharge Process
What you said on your last learning session presentation that you wanted to test / do next

4. What Have You Tested Since We Last Met?
Staff Resilience
Removing group physio/preassessment
4 week programme
New venue
Phoning patients who DNA’ed

5. What Have You Tested Since We Last Met?
Screening FACE – psychology - to consider the mental health of patients being considered
Discussing patient summaries as a team
HADS completed prior to attending and screened by psychologist on day 1

6. What Was/Felt Different From Previous Cohort(s)
More time to fill
Small numbers inhibited peer support
Questionnaire completion became a comfort blanket to NOT talk.

7. What Did You Learn/Change Following Testing?
By contacting patients who DNA’ed increased the following week attendance
Forgetfulness a common reason

8. What We Plan To Test Next
Medicines reconcilliation form incorporated into ICU admissions booklet.
Texting the morning off the programme
Physio – no exercise class and no six minute walk test for pre-assessment
Health & Social care shopping list using the concerns checklist

9. What We Could Help With
Refining the process – our experience of 6 cohorts

10. Look At What We Do/Use
Add photos

11. What We Need Help With Where to from now?
Trying to create time and space -

12. Abandoned, financial strain, frustration, employer expectations, no primary care involvement, difficulty applying for blue badge, relationship strain, overprotective relative
Shock, delirium
tiredness, frustration, the death rollercoaster, derealisation, unpleasant dreams, amnesia, profound weakness
Abandoned, fearful, anxious, wished I’d been told what to expect, learning to walk again, looking into a mirror for the first time
Critical Care
Ward Care
Home/ primary Care

13. Debrief patient/family prior to d/c from ICU
Concerns checklist
Stress thermometer
Rehab prescription with MDT
Caregiver /family needs
Continued contact
Rehab – monitoring
Concerns checklist
Stress thermometer
Caregiver/family needs
Peer Support Group
InS:PIRE
Primary care interface
Link person
Third sector prescription
Concerns checklist
Stress thermometer
Critical Care
Ward Care
Home/ primary Care