Mar 162017
 

The 2017 #HelloMyNameIs student competition asked healthcare students to submit a 500-word reflective piece on where they’ve used the phrase “Hello! My name is…” and how it’s helped their development as a healthcare professional. Our first winner, Emma Morgan-Williams of Swansea University won on the strength of this submission:


Emma Morgan-Williams, Swansea University

I first became aware of Dr Kate Granger’s ‘Hello my name is’ campaign during the initial lectures I attended at Swansea University. I knew that at some point during my forthcoming placements I would use the phrase, however, I was not expecting it to become one of the very first things I would say.

On the very first day, of my very first ward placement within a local hospital I had the opportunity to use and slightly adapt the phrase ‘Hello my name is’, personally feeling more comfortable with ‘Hiya, I’m Emma’.

My mentor gave me the opportunity to assist in the personal care of a patient who was on end of life pathway. As we entered the patients room my mentor spoke to the family. Before even thinking, the words ‘Hiya I’m Emma, I’m a student nurse. Would you mind if I helped my mentor?’ came out of my mouth.  The family gave permission for me to help, as due to the medication that the patient was having he was not in a position to do so. Even though they had granted me permission, I gave them a further opportunity to change their mind; I did not want them to feel obligated in allowing me to assist. Understanding this was a difficult time for them, I would not have been offended if they had wanted a more experienced pair of hands to care for their Dad at this time.

The simple use of ‘Hiya, I’m Emma’ gave me an instant opening for a conversation with the family. Had I not introduced myself properly I might never have been told how my patient had spent many years working within a hospital setting. I would never have known of his fondness for students. Nor would I have learnt how his daughter thought that it was very fitting that a student was there helping him in his last days. ‘Hiya I’m Emma’ helped me to feel more confident in caring for my patient. ‘Hiya I’m Emma’ meant enabled me to learn more about my patient, due to conversations I subsequently had with the patient’s family. I learnt that he had a nickname that he liked to be called, whereas he hated the name printed on his chart. I found that this aided me when attending to personal care to address the patient with a familiar name. This is something I might never have known if I had not taken the time to introduce myself properly.

This My variation of Dr Kate Granger’s ‘Hello my name is’, ‘Hiya, I’m Emma’ enabled the patient’s family to feel that they could speak to me, that I was approachable and open. This simple introduction made me feel more confident approaching the patient’s family and assisting in the care of the patient. I have used ‘Hiya, I’m Emma’ daily since; I am sure that it will follow me through each and every placement and through the rest of my career.

Mar 162017
 

Emma Morgan-Williams, Prifysgol Abertawe

Y tro cyntaf i mi glywed am ymgyrch ‘Helo fy enw i ydy’ Dr Kate Granger oedd yn fy narlithoedd cyntaf ym Mhrifysgol Abertawe.  Roeddwn yn gwybod y byddwn yn defnyddio’r ymadrodd rhywbryd yn ystod fy lleoliadau, ond nid oeddwn wedi meddwl mai dyma fyddai un o’r pethau cyntaf y byddwn yn ei ddweud.

Ar fy niwrnod cyntaf un, ar fy lleoliad cyntaf ar ward mewn ysbyty lleol, cefais y cyfle i ddefnyddio ac addasu ychydig ar yr ymadrodd ‘Helo fy enw i ydy’; yn bersonol, roeddwn yn teimlo’n fwy cyfforddus yn dweud ‘Haia, Emma ydw i’.

Cefais gyfle gan fy mentor i gynorthwyo gyda gofal personol claf a oedd ar y llwybr diwedd oes.  Wrth fynd i mewn i ystafell y claf fe siaradodd fy mentor gyda’r teulu.  Cyn i mi gael cyfle i feddwl, dywedais y geiriau ‘Haia, Emma ydw i, dwi’n fyfyrwraig nyrsio.  A fyddai’n iawn i mi helpu fy mentor?’.  Cefais ganiatâd y teulu i helpu,  oherwydd ni allai’r claf roi caniatâd o ganlyniad i’r feddyginiaeth yr oedd yn ei derbyn.  Er eu bod wedi rhoi caniatâd i mi, rhoddais gyfle pellach iddynt newid eu meddwl; nid oeddwn eisiau gwneud iddynt deimlo rheidrwydd i mi gael cynorthwyo.  Oherwydd ei fod yn gyfnod anodd iddynt, byddwn wedi deall yn iawn pe byddai’n well ganddynt gael dwylo mwy profiadol i ofalu am eu Tad yn y cyfnod hwn.

Roedd defnyddio ‘Haia, Enw ydw i’, yn ffordd naturiol o ddechrau sgwrs gyda’r teulu.  Pe na fyddwn wedi cyflwyno fy hun yn iawn efallai na fyddwn wedi canfod bod fy nghlaf wedi treulio blynyddoedd lawer yn gweithio mewn ysbyty.  Ni fyddwn wedi clywed am ei hoffter o fyfyrwyr.  Ni fyddwn ychwaith wedi dysgu gan ei ferch y byddai wedi credu ei bod yn briodol i fyfyriwr ei gynorthwyo yn ystod ei ddyddiau olaf.  Roedd dweud ‘Haia, Emma ydw i’ wedi gwneud i mi deimlo’n fwy hyderus yn gofalu am fy nghlaf.  Roedd ‘Haia, Emma ydw i’ yn fy ngalluogi i ddysgu mwy am fy nghlaf, drwy’r sgyrsiau dilynol a gefais gyda theulu’r claf.  Dysgais beth oedd y llysenw yr hoffai i bobl ei alw, a’i fod yn casáu’r enw a oedd ar ei siart.  Roedd hyn yn fy helpu i gyfeirio at y claf gydag enw cyfarwydd wrth roi gofal personol iddo.  Mae’n bosibl na fyddwn wedi cael gwybod hyn oni bai fy mod wedi cyflwyno fy hun yn iawn.

Roedd fy amrywiaeth i ar ymadrodd ‘Helo fy enw i ydy’ Dr Kate Granger, ‘Haia, Emma ydw i’ yn galluogi’r teulu i deimlo y gallant siarad gyda mi, fy mod yn gyfeillgar ac yn agored.  Rhoddodd y cyflwyniad syml hwn fwy o hyder i mi siarad gyda theulu’r claf a chynorthwyo gyda gofal y claf.  Rwyf wedi defnyddio ‘Haia, Emma ydw i’ bob dydd ers hynny; rwy’n siŵr y bydd yn fy nilyn ymhob lleoliad ac am weddill fy ngyrfa.

Sep 132016
 

tdg-tronThe first time I ever saw or heard of Sepsis it was on a death certificate. The death certificate was my brother’s. I remember squinting across the registrar’s table at this little word next to “primary cause of death.” It meant nothing to me.

My brother was… is… Mark. He was 41 years old, married with a 3 year old daughter. He had a family and a future.

At midday on Thursday 31st May, 2012 Mark walked into A&E (London) with stomach pains. By 17.15p.m. he had suffered a cardiac arrest. By 19.00p.m. he was on a ventilator with a 50/50 chance of survival. By 01.00a.m. on Friday 1st June, his kidneys had failed, his odds had shortened and his family were on the M4 having received the phone call nobody wants. The next morning his heart was too weak for dialysis. We know now that he was in septic shock. Multiple organ failure. He fought hard on his last day as did all the ITU staff. Everyone gave everything but sepsis won. He died peacefully lunchtime on Saturday 2nd June.

We couldn’t believe how this had happened. He had a stomach bug. How could we have lost a son, a brother, a husband, and Sophie a dad? Well, what I know now which I didn’t know then is that it can happen, it does happen and it happens far too often. In fact it happens 44,000 times a year in the UK. 2,200 times in Wales. I thought we were one in a million. We were not.

Sepsis is a car crash illness. It is indiscriminate and can affect anyone. It kills nearly a third of all the people it touches. That’s more than breast, bowel and prostate cancer combined. Shocking isn’t it? You know what’s also shocking? If spotted early it’s treatable and preventable.

It’s fair to say that sepsis changed my life. It does that to lives.

Not long after Mark died I met Ron Daniels of the United Kingdom Sepsis Trust and began raising awareness in Wales. I’m now Executive Director of UK Sepsis Trust in Wales. I’ve met Ministers, cycled from West Wales to Westminster fund raising, I speak in schools, at hospitals, to the people in shops and on buses. We have engaged Welsh Government in our work, a cross-party group has been established.  People are listening.

I listen too; to survivors and how they have struggled post sepsis, to the bereaved and how they struggle too.

Awareness and education is everything. People need to know what sepsis is and what it can do. We need to get to a stage where public and health professionals alike are thinking about and recognise sepsis. They need to see it coming because it hides really well. As Mohammed Ali said, “His hands can’t hit what his eyes can’t see” Ironically he recently died from sepsis.

I’ve been helped along the way by some wonderful people both inside and outside healthcare. .  I am on the RRAILS steering group.   As such, I’ve seen first-hand the incredible hard work of dedicated NHS Wales staff committed to improve practice to improve outcomes. The programme is doing some great work striving to educate NHS Wales staff on Sepsis.  We want the same thing.

We’ve even won an award for it! It was fantastic for The Global Sepsis Alliance to recognise and reward NHS Wales for its awareness and education initiatives.

But..

We cannot afford to lose momentum. There can be no resting on laurels. We should celebrate what has been done, be proud but also continue to challenge and champion what still needs to be done. For me, there has to be a collective effort from Community to Cabinet. We need a common language for patients and practice. The patients need a pathway, an All Wales pathway. If we speak about sepsis the same, we can think about sepsis the same. It brings us together and as we say here in Wales… “together, stronger”.

Want to get involved?

@TCTRON

terence@sepsistrust.org

https://www.justgiving.com/fundraising/cycle4sepsis16

Jan 212015
 
Dr Helen Kemp

Dr Helen Kemp

On Wednesday last week, my shared ambition for a one-stop online resource for General Practice became a reality.

The GPOne website was launched by Primary Care Quality and Healthy Working Wales Team in Public Health Wales, with the endorsement of the Welsh Government’s Chief Medical Officer, Dr Ruth Hussey. It was great to feel the support and positive energy at the launch.

After 7 years of development and much collaborative working, this was an exciting time for primary care – the foundation of healthcare in Wales.

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Dec 232014
 
Tracey Cooper

Tracey Cooper

What does work to improve care for patients with leg ulcers, a service that listens to the needs of older people in care homes and a special centre to treat alcohol related injuries have in common?

All these innovations, which were developed by healthcare staff and are making a big difference to patient care, were winners in the NHS Wales Awards earlier this year.

And with just over five weeks until the closing date for entries into next year’s Awards, I can’t wait to see the latest creativity being delivered by staff and students across NHS Wales to transform care for patients.

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Nov 182014
 
Mike Spencer

Mike Spencer

Sarah Puntoni

Sarah Puntoni

Prudent healthcare challenges us to ‘remodel the relationship between user and provider on the basis of co-production’. However co-production is a concept that is often thought of in the context of service (re-)design, rather than in clinical consultations.

So how can co-production work in one to one interactions? Co-production is an approach to public services based on equal and reciprocal relationships between professionals, people using services, their families and their communities.  These are the same relationships that need to be in place to deliver person centred care through shared decision making and self management support. So, if we are able to support our service users to take a more active and confident role in managing their health and conditions, we will be nearer to achieving a prudent approach to healthcare.

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Nov 102014
 

The last time I blogged, I was talking about improving your journey to work by making decisions based on data, but I also wanted to look at how to prioritise which changes are of the biggest benefit and which are the most easily achieved. After all, we only have a finite amount of time and resources within work. How do we choose what improvement area to work on next?

In IQT Silver we use Pareto charts to see where opportunity for improvement lies within work.

David Williams

David Williams

A Pareto chart,based on the Pareto principle, states that, for many events, roughly 80% of the effects come from 20% of the causes. Possible examples of this in healthcare are:

80% of referrals coming from 20% of the population, or

80% of hospital bed days come from 20% of inpatients.

A Pareto chart is a type of chart that contains both an ordered bar chart and a line graph, where the bars are ordered from highest to lowest and the line shows the cumulative percentage of the bars across the chart. The ordered bars show how often something happens, the costs of something or another important unit of measure.

This format makes it easy to see at a glance where the biggest areas for improvement lie and how much of the whole picture they represent. This is done by looking up from a bar within the chart to the cumulative line, then across to the right to read the percentage that the chosen bar and those to the left of it represent out of the whole percentage.

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Sep 172014
 
Anitha Uddin

Anitha Uddin

As a group our Swansea University Chapter decided we wanted to support the #hello my name is… campaign, and thought that a student nurse badge initiative would be a great way to get involved. We felt this would be a fantastic opportunity for our student chapter to make a change with a big impact, therefore fully embracing the ideas of quality improvement.

Our faculty lead Julia Pridmore supported us on our project and helped us acquire the student badges that incorporate the #hello my name is… logo. This project was fully supported by Swansea University, implementing the badges for September’s intake of nurses and rolling them out to subsequent cohorts of nursing students. The badges will be bilingual and worn by all fields of nursing students (child, mental health and adult). They are clip on and slide into a plastic holder, so very safe but visible at the same time.
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Jul 152014
 

Helen Birtwhistle

I was privileged to once again be a judge at the recent NHS Wales Awards and what struck me was just how much of the innovative work being honoured had co-production and prudent healthcare at its core.

We know financial pressures mean working in healthcare is often a tough place to be but this is a time to work smarter and make the best use of resources to deliver quality, safe patient care across Wales.

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