royal stoke aec unit - ambulatory emergency care
TRANSCRIPT
Royal Stoke AEC UnitDesigning an AEC
Alan Bethell – Matron
Steve Joynson-Robbins – Project Manager
Royal Stoke AEC ModelProcess based Model
Principle
To treat all emergency patients as ambulatory unless proven otherwise.
Get involved – Don’t be pushed…• Initial design meeting
• Be there and have a say.
• List your requirements • Equipment • Patient Experience • Environment • Make it inaccessible for beds! • Listen to the board….but tell them when they
are wrong!
• Smile in the right places!
Triumvirate
Nursing
Medical Managerial
Timeline
• Joined AEC Network Cohort VI
• Designed and planned unit during winter 14/15
• Revenue case agreed internally
• Opened 19th October 2015
Jun 2014 October 19th
2015
Dec 2014 Feb 2015 Jul 2015May 2015
Joined NetworkInitial Unit
DesignDesign and capital bid
Construction starts!
Revenue Case agreed
Final planning OPEN
Future Plans
Expansion of Hours
Redesign AEC Unit
Redesign of Acute Medicine
All GP referrals Monitoring
Phase
Challenges:• Recruitment • Expansion of roles • External Challenge• Commissioning
Unit Floor Plan
Patient Experience • How do patient access you ?
• Where will they be waiting?
• What will they be doing?
• How are you going to entertain them?
• Refreshments for relatives!
Friends and family Feedback Would you recommend AEC
97
100
96
94
92
91
100 100
90
97
96
84
86
88
90
92
94
96
98
100
Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16
Staff Experience• Prior to opening :
• How you develop your staff?• How do they know what to do?
• Opening day and first week• HELP! • Chaos!• It will settle down.
• Week 2• Catch up with the staff • Understand their challenges• Rapid change cycle(s) to improve processes
• Week 3• Consolidate and contiune
Promote your unit!
• Local Press
• National Press
– Good morning Britain!
– ITV News !
• Radio Interviews
AEC Team
• Consultant
• GP
• Registrar
• Advanced nurse practioner(s)
• SHO
• Acute nurses
• Receptionist(s)
• Admin support
