safeguarding adults: learning in the acute hospital setting allison cannon asst. director of quality...
TRANSCRIPT
Safeguarding Adults: Learning in the acute
hospital settingAllison Cannon
Asst. Director of Quality
Lynn Beun, RGN
Protecting adults – practical steps taken by the Trust
Nursing Metrics
Safeguarding Committee
Comfort rounds
Sit and see Flagging
Pathways for patients with Learning
Disabilities
Training
AAR/RCA
Alerts by Age
3 4 4
810
36
0
5
10
15
20
25
30
35
40
1
31- 40 yrs
41-50 yrs
51-60 yrs
61-70 yrs
71-80 yrs
80+ yrs
30
21
11
2 1
0
5
10
15
20
25
30
35
1
Neglect
More than onecategory
Physical
Financial
Discriminatory
Exercise: Patient story 1• Mrs A aged 86 years was admitted to hospital following a
fall. She had Parkinson’s disease and has difficulty eating and drinking. Her fluid balance chart (overleaf) shows that her oral intake is poor.
• Her daughter reports to you that she has witnessed a member of staff giving 10 mls of Fortisips on 4 occasions into her mouth using an oral-enteral syringe on four occasions.
• Q1. What pro-active safeguard steps could be taken to ensure Mrs. A. obtains adequate fluids and nutrition?
• Q2. Is oral syringe feeding acceptable practice or abuse? Discuss.
Mrs. A: Oral and IV fluid intake
0
500
1000
1500
2000
2500
3000
3500
01/05/2
012
03/05/2
012
05/05/2
012
07/05/2
012
09/05/2
012
11/05/2
012
13/05/2
012
IV fluids given in mls / 24hours
Oral Fluids Taken in mls /24 hours
Exercise: Patient Story 2• Mrs. B. aged 88. Admitted to hospital with abdominal
pain.• She went to the X-Ray department for a scan which had
to be taken lying on her front. She had to lie on a plastic cover on the scanner unit.
• Whilst turning Mrs. B. onto her front an injury occurred. The skin of her leg stuck to the plastic sheet. She experienced a lot of bleeding and damage to her leg.
• Q1. Is this an accident or is it neglect?• Q2. What questions would you want to ask to find out what had
happened?• Q3. How would you safeguard other patients?