1. Nursing & Midwifery at Letterkenny General Hospital Dr. Anne Flood Director of Nursing & Midwifery Letterkenny General Hospital

2. Workforce Profile 1420 wte 520 wte RN/RMs 110 wte HCAs 3 ANPs 22 CNS/CMSs 98 Nursing Students 7 Midwifery Students Registered Nurse Medicinal Prescribers= 13 supported to do this course, (10 registered, 2 awaiting registration. 3 more candidates are undertaking this course). Registered Ionising Radiation Prescribers = 3 ( Oncology x 1, ED x 2) Nursing and Midwifery is represented at senior corporate level on all hospital governance structures. Active CNME and NMPD

3. Demographic Profile 340-bedded acute general and maternity hospital Population 161,137 99,783 patient attendances 25,176 ED attendances 61,571 attended OPD 13,036 Day Case attendances 2000 births 6 th busiest acute hospital in Ireland

4. Services General Surgery, including breast surgery, colorectal and urology General Medicine including Respiratory, Cardiology, Endocrinology, Gastro- Enterology Acute Medical Assessment Unit Emergency Department Orthopaedics Paediatrics Short Stay Ward Out Patients Service Day services Endoscopy services Intensive Care High Dependency Unit Enhanced Recovery Unit Coronary Care Cardiac Rehabilitation Services Renal Dialysis Older People’s Service Stroke Medical Rehabilitation service Oncology/ Haematology Obstetrics & Gynaecology Neonatology Radiology Laboratory

5. 26 th July 2013 at 5 pm

11. Extent of Damage Coronary Care Unit Emergency Department Acute Medical Assessment Unit Haematology/Oncology Ward Kitchen and Dining Facilities Laboratory Main Outpatients Department Medical Records & Office Accommodation Radiology Department Cardiac Investigations Gynaecology Ambulatory Care Unit

12. Strategic Vision Maintained Patients & Families Nurses, Midwives & HCAs The Organisation

13. Reliable Care Effective Communication Well Nourished CleanComfortable Respect & Dignity ResponsiveContinuitySafe Our Patients

14. Our Nurses, Midwives & HCAs Patient Centred Skillmix Skillset Competent & Safe Team Vitality Leadership Leaders Respect Value Added Care Supported & Nurtured

15. Our Hospital Bench marked Well Good Reputation Public Confidence Staff Pride Energy & Vitality AccountableResponsive Good Employer Robustly Governed

16. Our Strategy

17. Outcome Measures Protected Medication Administration Administration of first dose drugs IV Cannulation and Venepuncture Medicinal Nurse Prescribing and Ionising Nurse Prescribing Registered Nurse Medicinal Prescribers Letterkenny General Hospital Nursing Metrics The Enhanced Recovery Unit The Productive Ward –Releasing Time to Care Project National pilot site for eRostering

18. Productive Operating Theatre (TPOT) End of Life Care National Practice Development Programme. Hand Hygiene Initiative Documentation project PPPGs accessed on QPulse. Development of the LGH Wound Formulary. National Adult Early Warning Score (NEWS) Maternity Early Warning Score (MEWS). PVC Care Bundle Urinary Catheter Care Bundle Nursing and Midwifery is represented at senior corporate level on all hospital governance structures

19. Our Future

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23. Area 1Gynaecology / Obstetrics – completed Area 2Kitchens - initiated Area 3Emergency Department - completed Area 4Radiology Area 5Coronary Care / Haematology / Oncology / Cardiac investigations Area 6aPharmacy - completed Area6 bMedical Records Area 7Staff Change / Pharmacy Stores / Mortuary / Admin Area 8Boiler House and Underground Ducts Area 9Laboratories - completed Area 10Outpatients Progress

24. Thankyou