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Transforming CareTwo pilot wards are West 3 and West 5. Both are 29 bedded elective orthopaedic wards.

Well Organised ward (WOW)

• West 3 ward– Dynamap stations

– Store rooms x 2

– Hoist Station

– Drug cupboards

– Sluice

Dynamaps before:

Not all in one place

Untidy

Batteries flat as not plugged in

Sats probe often broken because left on floor

Time taken to find dynamap, stock up and plug in when at the patient’s bed = 6 minutes 41 seconds

Dynamap station, After:

Dynamaps located in two defined areas on the ward

Left tidy

Plugged in

Stocked with appropriate paperwork and equipmentTime taken to collect dynamap from station and take to patient = 1 minute 41 seconds

That’s a saving of 5 minutes

The impact:• If as an average observations are required

every 4 hours and there are 6 dynamaps available, 6x6 =36 times per day

• Saved 5 minutes each use

• =3 hours a day

• =21 hours a week and 45 days over a year!

Also saved steps, 617 steps before, 107 steps after.Over a week saves 10.7 miles, 43 times around the

Millennium Stadium

Store rooms Before: After:

Store RoomsBefore: After:

Hoist Station

• Hoist station now in place, no longer kept in patients bathroom

• Slings for hoist kept in same room not on high shelf in Linen room

• Steps saved =51 steps saved per trip.– Over one year = over 1 mile saved

» One trip per week

West 3 before: West 3 after:

Drug Cupboards Before: After:

Drug Cupboards:

• Before:

• Doors were old and tatty

• Old posters and information on outside

• Inside not clearly labelled

WOW• West 5

– Dynamap station

– Sluice

– Linen Room

– Store room aka ‘the shed’

The Sluice, before:

The Sluice after:• Stock levels

clearly marked

• Spaces clearly marked and labelled

• Bowls moved to lower shelf

Spaghetti DiagramWest 5 sluice room before West 5 sluice room after

Moving Bowls

• Saved 10 steps per trip – Over one year saved one mile

Saved 15 seconds per trip

(six trips per day, 90 seconds saved)

10.5 minutes a week, 546 minutes per year,

9 hours per year saved

‘The Shed’

A Place for everything and everything in it’s place!

Sort!

The 60 minute makeover approach!

Shine!

Set• Shelves all clearly marked and

labelled• Pictures on cupboard doors• Pictures in spaces on shelves

and on floor• Dynamap stations clearly

marked

Standardise• Anti-embolic stockings moved from the

‘shed’ to the linen room. (Nearer the patients).

• This simple move saved 2 minutes 30 seconds per trip

• Over a year saving: almost 2 days!– And 87500 steps a year! That’s 44 miles!!!!

Before: After:

Sustain• Audits in place• Each area has named person

responsible for auditing weekly• Stock levels displayed

Measures BoardAction Planning• Monthly meetings around board as data

collected monthly

Next Steps:

• PSAG boards ordered and delivered

• Location decided

• Symbols agreed

• Team engaged

• Thin tape??????