Surgical Assessment Unit
Optimizing staffing levels, implementing time slot appointments, and utilizing dashboards to streamline patient flow in the Surgical Assessment Unit during the COVID-19 pandemic. Strategies for maintaining quality service and efficient decision-making processes.
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Presentation Transcript
Surgical Assessment Unit AN OVERVIEW SAU PRIOR TO AN OVERVIEW SAU PRIOR TO COVID 19 COVID 19
SAU during COVID 19 Reducing the number of chairs in the waiting room from 12-6 6 Beds changed to 3 trolleys SAU email set up Giving patients time slots and the development of the dashboard The risk register was updated to highlight that patients might be asked to wait in their cars if there was no space in the waiting room The Registrars started earlier and were mainly based in SAU as there was no surgery. Thus creating a fast efficient service as a decision maker was reviewing in a timely manner Reduced number of patients as reluctant to come into hospital
Patients felt they received an efficient service and seen in a timely manner and a plan was put in place The benefits to the patients and staff. The Staff felt they had given a good quality service in a timely efficient manner
How we can continue to provide a good service? Staffing Levels Staffing Levels At the start of the improvements we had reduced numbers of patients averaging 7 patients needing to be assessed and plans made. These patients were cared for by 1 band 5 nurse and 1 HCSW. This has now increased back to normal levels averaging 14, but there is still only 1 permanent nurse and HCSW and when available a bank Admin and occasionally another band 5 on a late shift, some who have not worked on the unit before.
How we can continue to provide a good service? Radiology Radiology Xray's and Ultrasounds booked, completed and reviewed in a timely manner. Depending on the time of assessment can lead to delays in scans and time they are reviewed SAU dashboard SAU dashboard The dashboard has been developed to help with social distancing and patient flow Education on using the dashboard Teaching Urology, O&G, Surgery, HANT and Site on using the dashboard. This will enable them to see how many patients are booked into SAU and that the appropriate patient is admitted for assessment at an appropriate time to allow patient flow.
How we can continue to provide a good service? Decision maker Decision maker A decision maker is key to SAU running smoothly. At the start having the registrar based in SAU the patients got seen promptly and decisions made. Patients had short waiting times Theatre time has now increased and the registrar and consultant can be tied up in theatre for hours leaving SAU without a decision maker = Delay in flow.
