Operational status – action required

Our bed capacity is extremely constrained this morning and we have a significant number of patients waiting in our Emergency Department.

Please continue to focus on the following actions:

  • Review all patients with a clinically fit for discharge date (CFD) of today to verify the discharge is going to take place
  • Review patients with a CFD in the past or tomorrow to identify whether they can be discharged today
  • Make use of the discharge lounge as early as possible – there are a number of spaces available
  • Escalate any delays to flow (transport delays, TTOs, equipment) within your division and then to Silver if you are unable to resolve them.

Thank you all for your efforts in ensuring we can continue to provide safe, kind and excellent care for our patients.

New bed block icons in Epic from tomorrow

From tomorrow (Tuesday 14 June) new bed block icons will be available in the Bed Planning tab in Epic to allow operational planning staff (e.g. bed planners and ward clerks) to indicate why a particular bed has been blocked and is therefore marked as unavailable.

There will be three icons available to indicate the reason for a bed block:

  1. ‘COVID Isolation’
  2. ‘Isolation’
  3. ‘Other’

Multiple blocks can be added to the same bed at the same time and comments can also be added.

The actual process for bed blocking in Epic will not change with the addition of these icons.

A new tip sheet (ADT 1028: Bed Blocks) is available in the eHospital Education Library accessible via the ‘My-eHospital Link’ button in the top toolbar of Epic (the tip sheet is listed within Group Code ‘ADT & Prelude (Admissions / discharges / transfers)’.

Reverse Boarding policy

From tomorrow (Tuesday 14 June)  a new transfer reason will be added in Epic called ‘Reverse Boarding Requirement’.

This aligns to the recently updated Reverse Boarding policy on Merlin and must be used when a patient is being transferred to a Reverse Board bed. If this reason is not used, then the patient will not be recorded as being Reverse Boarded.

For further guidance, please discuss with your ward sister, charge nurse, matron or head of nursing.

Reminder: Sepsis physician’s assistant

As part of our efforts on improving the timely treatment of sepsis in our adult inpatient ward areas, the sepsis physician’s assistant (PA) role has been designed and agreed in collaboration with the PA team and various stakeholders.

According to the National Institute of Clinical Excellence and the Sepsis Trust, the delivery of Sepsis 6 within an hour will reduce the risk of mortality and morbidity in patients. If you have a patient triggering sepsis (NEWS 2 >5) and there is a suspicion/diagnosis of sepsis, and you do not have the skills and resources to:

  • Establish IV access for the delivery of IV antibiotics and IV fluids
  • Take urgent bloods such as:
    • Blood cultures
    • CRP
    • Clotting
    • Lactate from a venous blood gas or arterial blood gas
    • FBC
    • Glucose

call a PA who will be holding the sepsis PA phone and will aim to get to the ward/area within 15 minutes of referral. Further information on the processes involved is available on Connect.

Laminated copies of the process maps have been placed at nurses’ stations within clinical areas. Ward/area managers have been provided with further information, so please contact them if you have any queries.

For further information please contact Stephanie Fuller, sepsis and deteriorating patient QI lead, or by calling 01223 216053.

Tea and coffee for staff

We are pleased to announce that, with kind support from Addenbrooke’s Charitable Trust, we will shortly be providing all areas with a supply of tea and coffee for staff to enjoy. We will start to roll this out in the first instance to all clinical ward areas, with other areas following shortly. Deliveries will start from today, Monday 13 June, and will be made via your usual weekly delivery. #StrongerTogether

Travel: Rail strikes in June

As some of you will have seen in the media, The National Union of Rail, Maritime and Transport Workers (RMT) has called three 24-hour strikes on 21, 23 and 25 June.

This means that rail services will be disrupted on those days. Whilst we hope for amical resolution to the discussions, we are developing contingency plans to support our staff in getting into work should strike action be taken.

If your journey to work may be affected by this strike action please speak to your line manager as soon as possible.

Bursary for diaspora staff to volunteer in health partnerships

Cambridge Global Health Partnerships (CGHP) and CUH are joining the Tropical Health and Education Trust’s (THET) Diversity Network. Part of this includes the opportunity to apply for bursaries for NHS diaspora staff to deliver voluntary training and capacity development for low- and middle-income countries (LMICs) health workers in their country of origin.

Volunteers must be a member of diaspora, in whose country of origin the project will be implemented. For the purpose of this grants call, and as per THET’s recent publication, Experts in our Midst, the definition of modern diasporas is: “ethnic minority groups of migrant origins residing and acting in host countries but maintaining strong sentimental and material links with their countries of origin”.

CGHP welcomes applications from any diaspora member of CUH staff interested in volunteering. We particularly welcome interest by diaspora from the following countries where we have established health partnerships:

  • Kenya
  • Sierra Leone
  • Uganda
  • Zimbabwe

Volunteers will join our health partnership teams and work with colleagues to deliver support for training and capacity development of LMIC health workers or those training them. Volunteering will be remote and in person through online meetings, discussions and trainings and in-person partnership visit, funded by the bursary.

To register your interest and/or find out more about this opportunity, please email CGHP at info@cghp.org.uk by Friday 17 June. To learn about CGHP please visit our website.

My CUH story – Long Service Awards – Vivien Mendoza

Our staff are what make our hospitals special. This week we are recognising and celebrating staff who are receiving their long service awards and we’ll be sharing some of their stories.

Today we are sharing Vivien Mendoza’s story. Vivien first travelled from the Philippines to work as a nurse at Addenbrooke’s over 20 years ago. For the past year Vivien has been one of three matrons at the NIHR Cambridge Clinical Research Facility (CRF) in the Cambridge Clinical Research Centre (CCRC).

Vivien explained that working in neurosciences she felt she was doing something really worthwhile and she now feels the same way in the Clinical Research Facility. “Getting involved in studies that might lead to a change in patient care or help improve the care given is truly rewarding.”

Read Vivien’s story on the CUH website.

08:27 – join via Zoom or Facebook

The 08:27 takes place each Tuesday morning and provides the latest updates and opportunity to ask questions. You can join via Zoom using the link below or watch via Facebook in the staff group. Recordings are also added to the staff portal following the meeting.

Join via Zoom: https://zoom.us/j/98966977211?pwd=SHBhRXlDUXRUbFcyU3psbzdHQmxZUT09
Passcode: 638644