monthly divisional surgery newsletter
TRANSCRIPT
Monthly Divisional Surgery Newsletter
(July 2019)
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Index
NH QUALITY ...............................................................................................................................................................3
1. SPECIALTY KPI LADDER JUNE 2019 .............................................................................................................................3 2. CPF UNSIGNED RESULTS!! .........................................................................................................................................3
WORKSHOPS/CONFERENCES/EVENTS ........................................................................................................................4
1. INFLUENZA VACCINATION PROGRAM 2019...................................................................................................................4 2. FIRE & EMERGENCY / FLU VAX STATS ...........................................................................................................................5 3. DIVISION OF SURGERY JUNIOR MEDICAL STAFF INTERVIEWS FOR 2020 ..............................................................................5 4. VASM...................................................................................................................................................................5
NH UPDATES ..............................................................................................................................................................7
1. NORTHERN HOSPITAL EPPING - NEW GROUND FLOOR WARD NAMES ...............................................................................7 2. HMO SURVEY .........................................................................................................................................................8
EDUCATION ................................................................................................................................................................9
1. NORTHERN HEALTH PERI-OPERATIVE EDUCATION DAYS ..................................................................................................9 2. LEARNING IMPROVEMENT SCIENCE AT NORTHERN HEALTH (LISN) - TRAINING OPPORTUNITY ................................................9 3. SGLT2 INHIBITORS WARNING! .............................................................................................................................. 10 4. SHORT COURSE OXYCODONE COMING TO NORTHERN HEALTH ......................................................................... 10
MANDATORY TRAINING ........................................................................................................................................... 11
MANDATORY TRAINING DATA ........................................................................................................................................ 11
LEAVE ROSTER – JULY 2019 ...................................................................................................................................... 12
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NH QUALITY
1. Specialty KPI Ladder June 2019
Please see attached SPECIALTY KPI Ladder June 2019 to review how your unit compares to other units at NH. For more detailed reports please go to the Reporting Portal on the Intra-Net – see attached PowerPoint for information on how to access! ReportingPortal.pdf
2. CPF Unsigned Results!! This is a reminder to check your unsigned results list Click on the link below to view the QUA204 CPF Unsigned Results report This report lists any results requiring sign off for your unit. Click on the drilldown arrows and find your specialty. Clicking on a patient will take you to the patient's CPF medical record. Any queries relating to results sign off can be directed to [email protected] QUA204 - Detail
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WORKSHOPS/CONFERENCES/EVENTS
1. Influenza Vaccination Program 2019
NH 2019 TARGET 92 % OF STAFF VACCINATED! The Influenza Vaccination Program to protect our community and ourselves has commenced! Staff percentages are set at 92% this year.
The program applies to ALL staff who work a day from 15th April – 2nd August 2019. When the Flu Season is declared ALL unvaccinated staff will need to wear a mask when within 1 metre of patients. In specialist clinics, there will be a separate vaccination nurse in a procedure room to minimise disruption to clinic workflows. An Immuniser will be arranged to attend your team/ program / division meeting to enable easier access for all staff. Flu vaccination is still available to those staff wishing to have it, please contact Staff Health Clinic on ext. 58139. To see up to date surveillance data in regards to influenza cases, please see http://www.vidrl.org.au/surveillance/influenza-surveillance/ If you have received the 2019 influenza vaccination elsewhere, please complete and submit a declaration form to Staff health clinic at [email protected] If you are vaccinated at another health service or through your GP PLEASE submit a declaration form to Staff health clinic at [email protected].
Influenza vaccine fact sheet.pdf
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2. Fire & Emergency / Flu vax stats Hi All, Below is the report that will be presented at the Daily Safety Brief tomorrow morning: Although we have had some improvement, we still have a little bit of work to do. Please can you ensure that you offer our medical team their flu shot, when you pass them in your department. Fire & Emergency
(%) This week
Fire & Emergency (%)
Last week
Flu vax (%)
This week
Flu vax (%)
Last week
Surgical Division 80 74.8 82.3 77.3
Clerical 66.7 50 100 75
Medical 63.5 59.2 58.4 53.7
Nursing 85.5 79.9 90.2 85
I will also obtain and circulate new lists of staff requiring training/flu shot follow up. Tracey Wyllie Operations Director Surgical Services
3. Division of Surgery Junior Medical Staff Interviews for 2020 The Division of Surgery interviews for NSET and SET registrars will be held in early JULY 2019. The Division of Surgery interviews for HMO 2 and 3 will be held in early JULY 2019. An interview timetable will be forwarded shortly. Please consider assisting with the interviews as this gives you the opportunity to have input into the 2020 Junior Medical Staff cohort!
4. VASM 2019 VASM Case Note Review VASM is pleased to announce the release of the 11th edition of the educational Case Note Review Booklet compromised from a selection of cases from the currently audited period, covering as many specialties as possible.
The publication can be found at: https://www.surgeons.org/media/25823060/2019-06-13-vasm-case-note-review-booklet-v11.pdf.
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2019 ANZASM Case Note Review Other current publications include the recently released 15th edition of an ANZASM Case Note Review Booklet compromised from a selection of cases nationally, highlighting common issues and clinical management issue trends.
The publication can be found at: https://www.surgeons.org/media/25820177/ANZASM-CNR-Volume-15_final.pdf.
We hope these reviews will encourage debate, some empathy and sympathy, and help prevent such issues happening again. VASM encourages you to include the Case Note Reviews in training programs for junior staff and make available the important lessons in this publication to all relevant health care professionals. Education Events VASM and the Collaborating Hospitals Audit of Surgical Mortality (CHASM) of New South Wales are coming together to deliver an interactive and informative workshop on completing second-line assessments with a special focus on surgical oncology and futility.
The educational event is themed “Surgical oncology and futility - When cancer surgery goes wrong”.
The event will be held on Friday 11 October 2019 from 12:30pm to 4:30pm at Albury Entertainment Centre, Albury, New South Wales.
The preliminary program be accessed via: https://www.surgeons.org/media/25822943/2019-05-21-2019-vro-asm-flyer.pdf. Thank you for your continued support this year in the mortality audit. Associate Professor Philip McCahy, FRACS (Urology) VASM Clinical Director
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NH UPDATES
1. Northern Hospital Epping - New Ground Floor Ward Names As you will be aware, Northern Hospital is moving towards a simpler and clearer wayfinding strategy. The new wayfinding strategy aims to eliminate the confusion with ward, area, unit and outpatient clinic names. Central to the new wayfinding is changing inpatient units to “wards” and changing from an alphabetical to a numerical name system - i.e. Wards 1 to 21 in a logical order from the main entrance. In March and April this year, all units on level 1 were renamed as wards in numerical order to coincide with the opening of the new Ward 17 (ICU). Outpatient clinics were also renamed as specialist clinics. The next changes to be implemented on Monday, 1 July 2019 are: New Ward Name Previous Name
Ward 1 (Day Oncology) Day Oncology Unit
Ward 2 Children’s Ward
Ward 3 Unit A
Ward 4 Unit B
Ward 5 Unit D
Ward 6 Unit G
Ward 7 NPU 1
Ward 8 NPU 2
New directional signage will be installed by Monday, 1 July 2019 and changes to iPM, Roster On, and other systems will coincide with the ward and clinic name changes. Thank you for your understanding during the changeover. Jane Poxon CHIEF OPERATING OFFICER
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2. HMO Survey Please see attachment regarding HMO survey responses. HMO Survey.pdf
Please see attachment regarding Summary of HMO survey and Focus Group.
Summary of HMO survey and Focus Group.pdf
2018 Hospital Health Check Please see attachment regarding AMA Victoria hospital health check 2018 findings. 2018 Hospital Health Check Northern.pdf
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EDUCATION
1. Northern Health Peri-Operative Education Days The Peri-Operative Education Days are listed for:
Wednesday 31 July 2019
Tuesday 26 November 2019
Wednesday 26 February 2019
Further information will follow to staff affected by these Education Days.
2. Learning Improvement Science at Northern Health (LISN) - Training Opportunity
“Celebrating over 500 participants who have attended from across the state” LISN is an Action Learning workshop built around a simulation of Day Procedure Unit (DPU) where multiple improvement cycles are conducted to improve patient’s clinical outcomes and access, reduce documentation errors, while at the same time improving efficiency The theoretical concepts taught throughout the day include:
Identification of waste in a system
Built in Quality
Standard Daily Work
Levelling
Continuous Flow
Pull Systems
5S Dates for 2019 are as follows:
26 July
20 August
18 September
18 October
13 November Please find attached flyer: \2. February\Attachments\LISN POSTERS_Internal.pdf
Please let the team know if you or someone in your team would like to attend this action packed fun day.
Ariana Carrodus PROJECT MANAGER Project Management Office HRO Transformation Unit
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3. SGLT2 inhibitors WARNING!
SGLT2 inhibitors present a problem peri-operatively as they can cause euglycaemic diabetic ketoacidosis (euDKA) which requires close HDU/ICU monitoring if not stopped three (3) days before surgery. Please see attached recommendations from ANZCA. The Anaesthetics Department is in the process of disseminating information to theatre booking staff as well as day of surgery booking. Dr Amanda Baric is performing an audit of patients presenting to TNH and BHS who are currently taking these medications to determine the extent of the problem. The Endocrinology Department will be presenting a PowerPoint presentation to the Anaesthetic Department with regards to the best way of managing these patients. Although there are guidelines an ELECTIVE procedures with regards to the cessation of SGLT2 inhibitors, including cut-off values if these haven't been ceased, there is no clear evidence as to the best way of managing these patients in the EMERGENCY setting, when the inhibitors haven't been ceased. The Anaesthetics Department is also in the process of implementing a Perioperative Medicine Special Interest Group (interested parties should speak with DARREN LOWEN) looking into the management of patients currently taking a SGLT2 inhibitor in the emergency setting. Draft formalised guidelines will be disseminated to other areas of the hospital for feedback and an education campaign will follow. Alert-DKA-and-oral-hypoglycaemics-20180215.pdf
4. SHORT COURSE OXYCODONE COMING TO NORTHERN HEALTH
Mundipharma launches Australia’s only short-course oxycodone pack for short term management of post-operative pain because:
of the risks on long-term use of opioids
the majority of patients do not use all the medications in the packet (see attached) Short course Oxycodone.pdf
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MANDATORY TRAINING
Mandatory Training Data
Training type Current percentage
ANTT 94%
Fire & Emergency Training www.nh.edmore.com.au
64%
Respecting one Another 88%
Open Disclosure 78%
Hand Hygiene 59%
BLS 73%
Patient First 84%
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LEAVE ROSTER – JULY 2019
SPECIALTY START END
SURG 1 Neil Strugnell 26/7/19
SURG 2 Wanda Stelmach 5/7/19 19/7/19
Grace Chew 12/7/19
SURG 3 Arun Dhir 1/7/19 11/7/19
Ernest Lim 10/7/19 12/7/19
ORTHOPAEDICS Ben Campbell 5/7/19 9/7/19
Juliette Gentle 8/7/19 12/7/19
Sam Bewsher 19/7/19 26/7/19
Lawrence Tee 9/7/19 18/7/19
Lawrence Tee 22/7/19 31/7/19
Richard Pennington 15/7/19
Justin Wong 8/7/19 22/7/19
PLASTICS Jeremy Richardson 11/7/19 12/7/19
UROLOGY Owen Niall 1/7/19 14/7/19
Owen Niall 24/7/19
Dennis Gyomber 8/7/19 14/7/19
Sudheshan Sundaralingam 11/7/19 12/7/19
Daniel Steiner 3/7/19 14/7/19
VASCULAR Shrikkanth Raj 8/7/19 12/7/19
Shrikkanth Raj 30/7/19
Iman Bayat 8/7/19 12/7/19
ENT Deb Amott 16/7/19 18/7/19
Bing Teh 26/7/19
Zenia Chow 29/7/19
OPHTHALMOLOGY
Jonathan Kam 4/7/19 18/7/19