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T WxÄ|äxÜç Lab Accreditation The Official Newsletter of The Rotunda Hospital Volume 8 Issue 27 Summer 2013 Rotunda News Healthcare Innovation Awards Best Poster Award Management Team Hospital Developments Friends of the Rotunda Sporting Fundraisers Over to You The Hysterectomy Camp 2 3 4 5 Quality & Safety Patient Safety Awareness Day 7 Round Up Retirements, Events, Competition, Sudoku & More 8 Tobacco Free Campus No Butts Please 6 Members of the Laboratory Staff he Department of Laboratory Medicine has been accredited to the international standards ISO15189 and ISO22870. These standards specify the quality management system requirements particular to hospital laboratories and point-of-care. The standards were developed by the International Organisation for Standardisation and were first published in 2003. They have been updated twice in the intervening years to include feedback from users and recent advances in modern laboratory practice. The standards address essential elements for medical laboratories, in particular focusing on patient and clinical needs. They address additional issues which include the provision of advisory services to clinicians, collection of patient samples, provision of testing in a medical emergency and the contribution of medical laboratory service to patient care. The requirement for accreditation became a legal requirement under legislation SI No 360 of 2005 which required blood bank laboratories to operate to ISO15189 by November 2008. These laboratories must also comply with additional requirements relating to blood traceability and haemovigilance. The whole accreditation process has been and continues to be a major undertaking but ultimately a rewarding and successful one. It has evolved over many years under the watchful eye of Susan Luke, Quality Manager. All members of the laboratory staff played an integral role in ensuring that INAB accreditation was achieved. Their contribution and ongoing commitment to the accreditation process is sincerely acknowledged. It is an achievement that we are immensely proud of and one we wish to share with the entire hospital staff. The Rotunda Hospital Department of Laboratory Medicine is one of the few laboratories in Ireland with INAB accreditation. The help and support of our friends and colleagues throughout the hospital was critical to this successful outcome. We thank all of the Rotunda staff for their unwavering support. By John O’Loughlin, Laboratory Manager and Dr Eibhlis O’Donovan, Consultant Pathologist

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T

WxÄ|äxÜç

Lab Accreditation

The Official Newsletter of The Rotunda Hospital

Volume 8 Issue 27 Summer 2013

Rotunda News

Healthcare Innovation Awards

Best Poster Award

Management Team

Hospital Developments

Friends of the Rotunda

Sporting Fundraisers

Over to You

The Hysterectomy Camp

2

3

4

5

Quality & Safety

Patient Safety Awareness Day 7 Round Up

Retirements, Events, Competition, Sudoku & More 8

Tobacco Free Campus

No Butts Please

6

Members of the Laboratory Staff

he Department of Laboratory

Medicine has been accredited to the

international standards ISO15189 and

ISO22870. These standards specify the quality

management system requirements particular

to hospital laboratories and point-of-care.

The standards were developed by the

International Organisation for Standardisation

and were first published in 2003. They have

been updated twice in the intervening years

to include feedback from users and recent

advances in modern laboratory practice.

The standards address essential elements

for medical laboratories, in particular focusing

on patient and clinical needs. They address

additional issues which include the provision

of advisory services to clinicians, collection

of patient samples, provision of testing in a

medical emergency and the contribution of

medical laboratory service to patient care.

The requirement for accreditation became a

legal requirement under legislation SI No 360

of 2005 which required blood bank laboratories

to operate to ISO15189 by November 2008.

These laboratories must also comply with

additional requirements relating to blood

traceability and haemovigilance.

The whole accreditation process has been

and continues to be a major undertaking but

ultimately a rewarding and successful one.

It has evolved over many years under the

watchful eye of Susan Luke, Quality Manager.

All members of the laboratory staff played an

integral role in ensuring that INAB accreditation

was achieved. Their contribution and ongoing

commitment to the accreditation process is

sincerely acknowledged. It is an achievement

that we are immensely proud of and one we

wish to share with the entire hospital staff. The

Rotunda Hospital Department of Laboratory

Medicine is one of the few laboratories in

Ireland with INAB accreditation.

The help and support of our friends and

colleagues throughout the hospital was critical

to this successful outcome. We thank all of the

Rotunda staff for their unwavering support.

By John O’Loughlin, Laboratory Manager

and Dr Eibhlis O’Donovan, Consultant Pathologist

W

Letters to the Editor

Message From the Editor

If you’d like to send a letter to the Editor, suggest a subject to be covered in our next issue or even write an article for us, please contact Kieran Slevin at [email protected] or at ext 1777

News

2

elcome to the 2013 summer edition

of Rotunda Delivery. At last it would

appear as if we are starting to

experience the summer feeling with the long

evenings and good weather now upon us. In

this issue we highlight a number of activities

which have taken place since our last edition

at the end of March.

The Executive Management Team provide

us with their regular update on the many

ongoing initiatives ranging from activity levels,

financial, to the day to day operational

activities within our demand driven, busy

hospital and the continual need to manage

as prudently as we can within our allocated

budget. The implications of the recently

launched Higgins report are outlined and its

relevance to the Rotunda Hospital.

The Friends of the Rotunda provide us with

an update on their recent fundraising activities

including the annual Golf Classic and the

Women’s Mini Marathon, both of which

are excellent means of raising funds and

exercising at the same time.

In this edition, we carry an article on the

introduction of a Tobacco Free campus which

will take effect from 1st November, 2013, in the

interest of the overall health of staff, patients

and visitors. It is expected that the other

maternity hospitals in Dublin will also

implement such a policy at the same time. You

can therefore expect over the coming months

to see a number of communications keeping

you updated as this initiative progresses.

Dr Nikhil Purandare gives us a concise

image of the Shree Bidada Sarvodaya Trust

Hospital in India where he has volunteered.

Mary O’Reilly provides an article on the

recently held Patient Safety Awareness Day.

I hope you enjoy this edition of our newsletter

and find something of interest to you. As

always we are looking for staff to come forward

with suggestions, stories and ideas to include

in the next edition. Simply contact any member

of the Newsletter Committee with your

submission. Remember this is your newsletter

and suggestions are always welcome on how

to improve its content.

Kieran Slevin

Editor

By Dr Afif EL-Khuffash,

Consultant Neonatologist

D r Afif EL-Khuffash, consultant

neonatologist in the Rotunda

Hospital and his colleague

Professor Patrick McNamara from the

Hospital for Sick Children in Toronto,

Canada were finalists at the recent

Healthcare Innovation Awards, which were

held in the Clyde Court Hotel on May 10th

2013. Dr EL-Khuffash and Professor

McNamara developed a mobile device

application to act as a teaching aid for

neonatologists who are receiving formal

training in echocardiography.

Echocardiography in the neonatal setting

refers to the use of ultrasound techniques

to assess the function of the heart. The

use of targeted neonatal echocardiography

(TnECHO) for the evaluation of the

cardiovascular wellbeing is becoming the

standard of care across many NICUs.

The purpose of TnECHO is to provide

physiological information in real time, in

order to support clinical decision making.

TnECHO is a new subspecialty in

neonatology. During his fellowship training,

and while working as a consultant in

Toronto, Dr EL-Khuffash became an

integral part of the service at the Hospital

for Sick Children. The service is now

available in the Rotunda and is integrated

with the excellent service provided by Dr

Orla Franklin, paediatric cardiologist.

The app is of unique design, simple to

use and contains comprehensive image,

text and video material designed to aid in

the learning experience. This is the first

educational app on a mobile platform

that serves as a mobile teaching aid to

neonatologist and neonatal trainees all

over the world. This initiative is precedent

setting in neonatal medicine and aligns

with our leadership role in the field globally.

As mobile devices are portable, learners

have first hand access to information

while they are practicing the skill of

echocardiography. Prior to this there were

limited resources available for individuals

who were undergoing TnECHO training.

The only resources available, outside of

structured training courses, were

educational DVDs that are very cost

prohibitive and website based educational

programs.

The app was released in May 2012, free

of charge on the Apple App Store under the

Sickkids name and has been very

positively received. It was featured last

year on CBC news and has received a very

positive response from neonatologists

across the world with over 2,500

downloads in fifty countries worldwide over

a twelve month period.

The Rotunda Hospital accepts no responsibility for errors, omissions or views expressed herein. © 2013 Rotunda Hospital. All rights reserved. No part of this publication may be reproduced, stored in a

retrieval system or transmitted in any form or by any means without prior permission of the publishers. Rotunda Delivery is produced by Geraldine Walsh of the Rotunda Hospital Library and

Information Service. Published by Rotunda Hospital, Parnell Square, Dublin 1. Tel: 01 8171700. Fax: 01 8726523. www.rotunda.ie

Dr Afif EL-Khuffash and his wife Dr Anne Doherty

11th International Congress on Drug Therapy in HIV Infection, November 2012, Glasgow

Dr Jack Lambert and his team, Laura Else, Valerie Jackson, Marian Brennan,

Jackie Breiden, David Beck, Saye Khoo and Sam Coulter-Smith, secured the Best

Poster award at the 11th International Congress on Drug Therapy in HIV Infection,

held on November 11th to 15th, in Glasgow, United Kingdom. The poster entitled

“Therapeutic drug monitoring (TDM) of atazanavir/ritonavir (ATV/r) in pregnancy”

received this recognition in the category of Clinical Pharmacology, Pt 1.

Congratulations to Dr Lambert and his team on this success.

Going Mobile

Developments

he Executive Management Team

believe that 2013 will be challenging

in many ways but have every

confidence in the ability and support of staff

so that the Rotunda will continue to be a

Maternity Hospital to be proud of and one

that women choose for their care.

Hospital Groups As most of you know the Minister launched

the Higgins Report on hospital groups in May.

The Rotunda will be part of a North East

group of hospitals with RCSI as the major

medical academic link. The report recognised

the importance of the strong established

links with The Mater Hospital and despite

the Mater being in a different group,

recommended these links should continue.

It was also suggested that the Rotunda

should continue to have and expand its

sphere of influence by taking a leadership

role in obstetric, gynaecological and

paediatric services in the north east.

The group will have a new name, as yet to

be decided. We will be meeting with senior

members of the implementation team over

the coming months and will update you as

soon as possible.

Maternity Services in the Spotlight The recent tragic maternal death in Galway

and the subsequent coroner’s case, the

current debate on termination of pregnancy

legislation and our own maternal death

coroner’s case from 2010 has focused much

media attention on maternity services. We

need this interest and attention to be taken

and converted into action by the politicians

so that the enormous effort put in by our

skilled and dedicated staff is recognised.

Despite the occasional negative media

headline, it is important that you are all

aware that the fantastic results we achieve

at the Rotunda are down to you. These

outcomes are achieved in spite of the

difficult conditions we have to work in.

T

3

Management Team

Ms Pauline Treanor

Secretary/Group General Manager

Dr Sam Coulter-Smith

Master

Ms Margaret Philbin

Director of Midwifery/Nursing

Headcount We have received notification from the

HSE of a reduced headcount adjustment

for 2013. The WTE for the Hospital at the

end of January was 691.33.

Front Hall Re-Flooring Significant restoration work is planned

for the old front hall and corridor area

which will be completed over five months.

The Portland stone, which has suffered

badly over the last ten years, must be

repaired.

A plan is in place to deal with all issues

which may arise but no doubt it will create

difficulties for staff and will be quite

disruptive. It is necessary work and we

have a duty to maintain the historic areas

of the old building so please be patient.

Quality, Safety and Risk Self assessment against the National

Standards is a key element of our QSR

programme this year. Undertaking these

assessments will be challenging in the

current environment of staff and budget

controls. The approach we take to the self

assessment will demonstrate our

commitment to patient safety and quality

and we should not be afraid of raising our

concerns where they exist.

The recent publication of the results of

audits on Hospital Hygiene carried out by

HIQA in 2012 demonstrate the need for all

staff to take responsibility for ensuring all

areas of the hospital are maintained to a

high hygiene standard.

The Rotunda Hospital received an

unannounced HIQA hygiene inspection on

May 15th, the results of which will be

published in the coming months. This visit

coincided with the inaugural Patient Safety

Awareness Day, an initiative that focused

on safety and risk awareness. Well done

to all the staff who organised this very

successful, educational and fun event.

Budget We have received notice of our allocation

of funding from the HSE for 2013. Each

hospital is being requested to declare at the

beginning of the year that it is not planning

for a deficit by year end. We have concerns

as to the adequacy of the funding to be

allocated to meet all of our targets. We have

expressed this concern to the HSE and will

continue to work with them to address the

matter. However, it is important that all staff

are aware that spending may only occur

within agreed parameters and that activity is

going to be measured continually to ensure

we are within targets in all areas. No new

services can be developed unless they can

clearly be identified as cost neutral or we

can secure the additional funding in

advance of the service starting. We will

need to continually review work processes

to gain additional efficiencies. Budget

holders will have regular reports and will

account for variations from targets.

Activity The hospital continues to be busy but

the big increase in activity seems to have

levelled off. There has been a significant

swing towards public antenatal care, away

from SPC and private care and this has

had a big impact on our overall financial

situation as well as making the clinics

busier. The task force group to review

how women who are admitted during

pregnancy are managed with an objective

to reduce admissions by increasing day

case management is working well and we

look forward to see how this will create bed

availability to allow us manage the service

more efficiently. We currently have

significant numbers of women waiting for

gynaecology outpatient appointments and

this is being discussed with the HSE with

an objective of reaching a solution to

reducing the waiting time. The neonatal

activity continues to be very high.

Hospital

Fundraisers

4

Friends of the Rotunda

Sporting The June Bank Holiday turned out to be a

spectacularly hot and sunny day in Dublin’s

City Centre and welcomed over 40,000 happy

participants to the Flora Women’s Mini

Marathon. A special congratulations to all of

our fundraising team who participated in the

race: Lucy Murphy, Joanne Lyon, Jacky Lyon,

Michelle Aylmer, Valerie Tierney, Yvonne

Tierney, Fiona Tierney, Anita Tierney, Karen

Hennessy, Anne-Marie Lenard, Sheila

Thompson, Olivia McGaffey, Valerie Gonzalez,

Malgorzata Michalak-Marchi, Claire O’Neill,

Niamh Doyle, Michelle Aylmer, Una NicGuidhir,

Elaine Connolly, Rachel Corr, Olwe Dowzard

McConaghy, Catherine Naughton, Sandra M

Smith, Christine Carolan, Tina O’Reilly, Lynnie

Brackfield, Anita Mac Carthy, Lorraine Carroll,

Jackie Mulready and Karen Gunning.

Research Funded by the Friends of the Rotunda Blood Clotting in Early Onset Pre-eclampsia

Dr. Fionnuala Ní Áinle

Early onset pre-eclampsia is a disorder of

pregnancy characterized by high blood pressure

and protein in the urine. Mothers with this disorder

may be very unwell and can die of their illness.

A quarter of the babies born to women with early

onset pre-eclampsia do not grow properly and a

third are born prematurely. We aim to study blood

clotting in these patients, to better understand the

role of dysregulation of coagulation in the

pathogenesis of pre-eclampsia.

Some of our fundraising team pictured here (left) at our pre-race ‘Meet & Greet’ at the

Pillar Room, Rotunda. And Joanne Lyon and family at the Flora Mini-Marathon (right).

A sincere thanks to the Ride Out for Prems

Committee of the Irish Premature Babies

Organisation for their incredible donation of

€20,000 in aid of the Rotunda’s NICU.

Dr Adrienne Foran advised those present at the

presentation that the funds will be used to help

purchase an advanced echocardiogram machine

that will improve the Unit’s ability to assess

cardiac function of very premature babies at

the bedside.

Rotunda Golf Classic

The Masters’ Cup

▪ Congratulations to our 2013 Winners –

Dr Sam Coulter-Smith’s Team with a

winning score of 91 points.

▪ Second Place: The HARI Unit –

Dr Rishi Roopnarinesingh’s Team with

a score of 87 points.

▪ Third Place: The Coombe Women and

Infants University Hospital with a score

of 86 points.

Sincere thanks to all our Sponsors:

A&L Goodbody, Café Rotunda for the Snack

Packs, The Gate Theatre, Professor Fergal

Malone, Origo for the BOSCH domestic

appliances, Taste Catering, Milltown and

Beechpark Golf Clubs.

The Lady Captain, Mary Lou Quinn and Lady

Members of Beechpark Golf Club presented

a donation cheque of €1,670 to the Friends’

Chairperson, Frances Gardiner, from funds

raised at their recent Ladies Open Day raffle

in aid of Rotunda research.

Proceeds from the day’s golf will be in aid of

the Rotunda Research Fund. The raffle raised

€1,240 and will be used to support a new

Friends’ initiative promoting better nutrition for

new mothers and their babies within inner city

Dublin.

Over to You

5

By Nikhil Purandare,

Assistant Master

T he Shree Bidada Sarvodaya Trust

Hospital is a charitable non-profit

organization in the Kutch region, in the

state of Gujrat, along the west coast of India.

The organisation is committed to providing

medical and surgical treatments to patients of

all ages. This trust is well known for its medical

camp, which it runs every year.

On the 26th of January, 2001, the Kutch

region suffered at the hands of a massive

earthquake that reached a magnitude of 7.7.

The earthquake killed 20,000 people, injured

another 167,000 and destroyed nearly 400,000

homes. The shockwaves spread 700km, 21

districts were affected and it is believed it

rendered 600,000 people homeless. After the

earthquake the trust treated 30,000 victims and

has since provided food and shelter to 200,000

earthquake victims. The trust has recently

opened a rehabilitation centre that provides

state of the art treatment to earthquake victims

as well as other patients. This trust runs health

camps all year round in the various medical

specialties where services are provided free.

Cases which cannot be dealt with in a rural

setting, due to lack of facilities, are referred to

other private charitable and non-charitable

hospitals in Mumbai and the trust covers the

cost in these cases.

The trust now runs a permanent eighty

bed-hospital, which provide eye, dental,

gynaecology, obstetric, rehabilitation,

naturopathy and basic medical services. Every

year in January there is a health camp in

gynaecology also known as The Hysterectomy

Camp where over 300 patients attend from the

surrounding 1,200 villages. Food and shelter is

provided for the patients and their families for

the four days as some of the patients have to

travel a fair distance to get to the health camps.

Doctors, nurses and people from other walks

of life travel from the US, UK, Ireland and the

rest of India to care for these patients.

I have attended this camp on four occasions.

Each year we admit around 50 to 60 patients

for a hysterectomy and around 50 patients for

other minor surgical procedures. Most

hysterectomies are done for uterine prolapse,

which is generally long standing and has

caused women much trouble for a long

time. Volunteers for this camp come from

various different professions and not just

from the medical facility.

People from all walks of life volunteer

and fulfill portering, travel, organisation

and administrative jobs to help. A lot of

administrative work goes into the setting up

of the camp. Travel needs to be organised

for all the volunteers. Their living

arrangements and food need to be sorted

and tents need to be set up for the families

of the patients. A lot of work goes into the

running of the camps. This service provides

patients with a free gynaecological service

and also helps train the next generation of

gynaecological surgeons.

The introduction of third generation

ablative techniques has reduced the

number of hysterectomies. As a result, the

number of hysterectomies performed by

gynaecological trainees has greatly

reduced.

Simulated surgical training will help

improve trainees surgical skills but it will not

replace hands on surgery. The aim of the

hysterectomy camp is to provide an operative

gynaecological service to the less priviledged

rural women of the Bidada province in Gujrat,

as well as to encourage trainees to operate

on numerous cases under supervision.

Patients are jointly seen by a registrar and a

consultant and posted for surgery where

appropriate.

At each camp there are three anaesthetic

teams, three consultant gynaecologists and

three or four trainee registrars. Three surgical

tables run simultaneously. The immediate

post op care is the responsibilty of the

operating surgeons,volunteering nurses and

interns. The cases are then handed over to

the local GPs and nurses who continue to

provide their services until the patients are

discharged.

Anyone can volunteer at this camp. The

living conditions for volunteers are very good

and the local staff are extremely friendly. Our

stay is made very comfortable so it’s almost

like a working holiday.

The Hysterectomy Camp

Anyone can volunteer at this camp. The

living conditions for volunteers are very good and the local staff are extremely

friendly.

Dr Nikhil Purandare The Shree Bidada Sarvodaya Trust Hospital

The Rotunda Hospital campus will be tobacco free for Charter Day, November 1st, 2013.

Tobacco Free Campus

6

No Butts Please By Teresa McCluskey,

Assistant Director of Midwifery/Nursing

environmental tobacco smoke.

The Executive Management Team and

the Board of Governors, support our

Tobacco Free Campus initiative.

The Rotunda Hospital will be tobacco

free for Charter Day, November 1st, 2013

The project committee held its inaugural

meeting on March 20th. Our objective is

to support staff, patients and visitors to

de-normalize smoking throughout the

Rotunda Hospital campus thus making

smoking an unacceptable practice on the

grounds of the hospital. Smoking at

entrances and exits to the hospital, or on

any part of the grounds of the hospital, will

not be allowed following the introduction

of the smoking ban.

Our responsibilities in this regard include

supporting our colleagues and patients

and user groups to give up smoking on

Rotunda Hospital grounds. Our health

promotion office and occupational health

department colleagues will support team

leaders in the campaign to stamp out

smoking and support those who wish to

cease smoking and prevent exposure to

second hand smoke.

The Practice Development Department

will also schedule training sessions on

Brief Intervention for Smoking Cessation.

O ur health is influenced by many and

varied factors; where we live, where

we grow up, our education to name

a few. Social determinants such as housing,

income, wealth and life opportunities have

most impact on our health.

The health and social care policy, Future

Health 2013 – 2016, aims to support a health

system where ‘money follows the patient’

and to develop a universal health insurance

system for the provision of high quality

publically funded health services with a strong

focus on preventative medicine.

The Health, Safety and Welfare at Work

Act 1989 and 2005 places a duty on both the

employer and employee to prevent risk to

health at work as far as is reasonably

practicable.

The Rotunda Hospital is a health promoting

hospital and is committed to its responsibilities

as a healthcare provider, not only to its

patients but also to staff and visitors.

Tobacco

Tobacco in whatever form is legal and readily

accessible in Ireland. The industry targets

young people and the marketing of tobacco

taps into gender stereotypes for example

women’s fears about weight gain and being

socially acceptable. We need to emphasise to

women that by breaking the cycle of smoking

the social, economic and health benefits are

passed on, not only to the women themselves,

but also to their family and children.

Our multidisciplinary health care

professionals must support women who are

pregnant, and plan their care here at the

Rotunda:

▪ Know who is looking for help to quit

smoking

▪ Be firm and supportive

▪ Give this group of women plenty of

information

No Butts Please

The Rotunda Hospital policy Tobacco Free

Campus aims to establish a healthy

environment for all employees, patients,

service users and visitors in all departments

and on the grounds of the Rotunda Hospital,

by protecting them from exposure to

Did You Know?

▪ There are approximately 7,000 deaths

per year in Ireland from smoking

related illnesses. This figure is broadly

broken down to ⅓ from cancer, ⅓

from cardiovascular disease and ⅓

from other lung diseases e.g. chronic

obstructive pulmonary disease.

▪ 1 in 2 people will die from a smoking

related disease in Ireland.

▪ The average number of years lost

due to smoking is 16 years.

▪ Tobacco smoke contains over 4,000

chemicals, including tar which can

cause cancer.

▪ Of cancers caused by smoking 4 out

of 5 cases are lung cancer.

▪ Lung cancer is the biggest cancer

killer in Ireland for both sexes.

▪ Lung cancer death is more prevalent

in women than breast cancer (National

Cancer Registry 2011).

▪ 29% of people in Ireland smoke. This

equates to 1 in 4 adults who are still

smoking.

7

By Mary O’Reilly,

Practice Development Coordinator

issued a European sharps directive to

provide protection for healthcare workers

across Europe. This law was enforced in

Ireland on May 11th. The aim of this directive

is to achieve the safest working environment

for healthcare workers through the prevention

of sharps injuries. Over the past few months

the hospital has been looking at the many

instruments in daily use that are classified

as sharps. Each of these have been risk

assessed and sharp safe replacements have

been sourced. A number of these were

demonstrated throughout the day and will

be available in the clinical areas shortly.

Patient Identification

Failure to correctly identify patients can

result in medication errors, blood transfusion

errors, testing errors, wrong person

procedures, and indeed has the potential

to discharge infants to a wrong family.

To display the need for correct patient

identification and not just a bed number,

celebrity armbands were available for

attendees to wear for the day, which proved

a conversation topic and a strong awareness

of the need to remember patients are people

not numbers.

Clinical Audit

The clinical audit facilitator was able to take

the mystery out of audit and displayed a

recent audit carried out by our teenage

midwife highlighting that as a result of audit

positive changes in practice can occur. We

were also fortunate to have a computerised

hand hygiene tool and a demonstration of a

‘Hoover Board’ device for the safe transfer

of patient from trolley to bed. This device

would be of huge benefit to the welfare of

staff and patients as it eliminates the need

for the manual lifting of patients.

Household

The household department focused on the

use of new equipment to increase safety

while cleaning floors.

As we celebrated the day we got word of

an unexpected visitor. HIQA had arrived for

a hygiene inspection of the hospital. As

patient safety is a number one priority for

the hospital, we welcomed the opportunity to

highlight to our visitors that Rotunda staff are

committed to safe patient care not only for

one day of scrutiny, but every day of the

week, 52 weeks of the year.

The safety committee would like to extend

their thanks to everyone who supported them

on the day. If anyone has any suggestions for

the next Patient Safety Awareness Day we

would love to hear from you.

Quality and Safety

T he Rotunda Hospital held its

first Patient Safety Awareness

Day on May 15th for all staff. The

idea to hold an awareness day came from

a group of midwives and risk management

who deal with patient safety issues daily.

The aim of the day was to recognize the

advancements that have been made in

patient safety within the hospital, while

acknowledging the challenges that remain

and a need for a commitment to work on

those challenges.

According to WHO, one in ten patients

worldwide is harmed while receiving hospital

care due to avoidable medical errors. The

Clinical Risk Department highlighted various

ongoing hospital processes and projects

which manage risk. They gave examples of

how information given by staff on incident

forms is used to improve hospital systems,

for example heated cots were introduced as a

direct outcome of information received on the

incident forms. They also gave information on

the departmental patient safety meetings,

improvements made as a result of

investigating incidents and Never Events.

According to the National Patient Safety

agency there are 25 Never Events. They are

serious, largely preventable incidents that

should not occur if the available preventative

measures are implemented. They range from

wrong site surgery, entrapment in bedrails,

retained swabs, patient misidentification, to

death.

Patient Safety at the Rotunda

Theatre

Staff in theatre are consistently improving

the quality of care and safety patients receive

before, during and after surgery. As the

patient is prepared for surgery, detailed

checks are carried out to ensure the

procedure will run smoothly. Prior to

commencing the surgery a time out is called

and the full team do a check to make sure

that everything is correct before proceeding

with the surgery. Likewise a detailed check is

done before the patient leaves theatre.

Sharps

The European bio-safety network has

Patient Safety Day

Round Up

Retirements

Round Up

8

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question:

Competition Winner

Congratulations to Patricia Ryan, Administrative Assistant, Medical Social Work Department, winner of the competition in the Spring issue.

When will the Rotunda Hospital

Campus be Tobacco Free?

Answer:

Name:

Tel No:

Please send your answer to Kieran

Slevin, HR Dept, Rotunda Hospital,

Dublin 1. The closing date is 31st

July 2013. One entry per person.

Terms & Conditions Apply

Bridie Padden retired from her position as Household Assistant in

April. Bridie had worked in the Rotunda for over 19 years. She will

be missed by all of her colleagues in the Household Department and

by staff in the Neonatal Unit where her quiet and pleasant manner

ensured her work was completed in a calm and efficient manner.

We wish her a long healthy and happy retirement.

D K E S

A E T R

O C R I

N A A E

How many words can you find in the

Boggle Grid in one minute! Words

must be at least three letters long,

may include singular and plural

separately, but may not use the same

letter cube more than once per word.

Boggle

Sudoku 9 3

6

z

1

9 6

2

4

5

3

1 7

5

7

8 5

1

9 3

7 4

5

2

4 8

3

To play

Sudoku, enter

a number

from 1 through

9 in each

space such

that every

row, column,

and 3x3

block

contains

exactly one

of each

number.

Summer Recipe The combination of sweet, acidic tomatoes with salty, spicy chorizo

and tangy sherry vinegar is a match made in heaven. Serves 4

Ingredients:

3 ripe beef tomatoes, cut into wedges

½ red onion, thinly sliced

few thyme sprigs, leaves picked

1 tbsp sherry vinegar

2 tbsp extra-virgin olive oil

100g chorizo, sliced on the diagonal

Method:

Put the tomatoes in a bowl with the onion

and thyme. Season, then drizzle with the

vinegar and oil. Let the flavours mingle while you cook the chorizo. In a hot, dry

pan, fry the chorizo slices until browned on both sides. Serve the tomatoes with

the fried chorizo, drizzled with a little oil from the pan.

Per Serving:

184 kcalories, protein 6g, carbohydrate 5g, fat 16 g, saturated fat 5g, fibre 1g,

sugar 5g, salt 1.17 g. Recipe from Good Food magazine, June 2009.

Our dedicated walking group, Rotunda

Ramblers, meet every Tuesday at 1pm

at reception for a lunchtime walk. Led

by Anne M. O’Byrne, interesting walking

routes include the Mater and Reservoir

Walk, a Constitutional Hill Walk, and the

Temple Bar Walk. Contact Anne at

[email protected] for information.

Pilates Classes, run by Marie Keane, take place in the Pillar

Room with much enthusiasm. Classes, which book out very

quickly, run in blocks of six weeks at various times. Contact

Marie Keane on 086 8657150 for information.

The Rotunda Choir, meet every Thursday in the HR Training

Room at 5pm. New members

are always welcome, so don't

be shy! Contact Patricia

O’Connor for information -

[email protected]

Events at the Rotunda

Parking Offer Rotunda patients, staff and visitors can avail of a €6 day rate in the

Parnell Centre Car Park. Car park tickets must be stamped at the

Rotunda Security Desk and presented at the car park office. Open

Monday to Thursday 6:30am to 00:30am, Friday 6:30am to 1:30am,

Saturday 7:00am to 1:30am and Sunday 11:00am to 00:30am.

[email protected] 01 8722413 www.parkrite.ie