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Nursing & Midwifery at
Letterkenny General Hospital
Dr. Anne Flood
Director of Nursing & Midwifery
Letterkenny General Hospital
Workforce Profile• 1420 wte• 520 wte RN/RMs• 110 wte HCAs• 3 ANPs• 22 CNS/CMSs• 98 Nursing Students• 7 Midwifery Students
• Registered Nurse Medicinal Prescribers= 13 supported to do this course, (10 registered, 2 awaiting registration. 3 more candidates are undertaking this course).
• Registered Ionising Radiation Prescribers = 3 ( Oncology x 1, ED x 2)
• Nursing and Midwifery is represented at senior corporate level on all hospital governance structures.
• Active CNME and NMPD
Demographic Profile
• 340-bedded acute general and maternity hospital • Population 161,137• 99,783 patient attendances • 25,176 ED attendances• 61,571 attended OPD • 13,036 Day Case attendances• 2000 births• 6th busiest acute hospital in Ireland
Services• General Surgery, including
breast surgery, colorectal and urology
• General Medicine including Respiratory, Cardiology, Endocrinology, Gastro-Enterology
• Acute Medical Assessment Unit• Emergency Department• Orthopaedics• Paediatrics• Short Stay Ward• Out Patients Service• Day services• Endoscopy services
• Intensive Care• High Dependency Unit• Enhanced Recovery Unit• Coronary Care• Cardiac Rehabilitation
Services• Renal Dialysis• Older People’s Service • Stroke Medical Rehabilitation
service • Oncology/ Haematology• Obstetrics & Gynaecology• Neonatology• Radiology• Laboratory
Extent of Damage • Coronary Care Unit • Emergency Department • Acute Medical Assessment Unit• Haematology/Oncology Ward • Kitchen and Dining Facilities • Laboratory • Main Outpatients Department• Medical Records & Office Accommodation • Radiology Department • Cardiac Investigations • Gynaecology Ambulatory Care Unit
Safe
Continuity
Responsive
Respect & Dignity
Comfortable
Clean
Well Nourished
Effective Communication
Reliable Care
Our Patients
Our Nurses, Midwives & HCAs
Patient Centred
Patient Centred
SkillmixSkillmix
SkillsetSkillset
Competent &Safe
Competent &Safe
Team Vitality
Team Vitality
LeadershipLeadership
LeadersLeaders
RespectRespect
Value AddedCare
Value AddedCare
Supported &Nurtured
Supported &Nurtured
Our Hospital
Robustly Governed
Good Employer
Responsive
AccountableEnergy &
Vitality
StaffPride
Public Confidence
Good Reputation
Benchmarked
Well
Outcome Measures• Protected Medication Administration• Administration of first dose drugs• IV Cannulation and Venepuncture• Medicinal Nurse Prescribing and Ionising
Nurse Prescribing • Registered Nurse Medicinal Prescribers• Letterkenny General Hospital Nursing Metrics • The Enhanced Recovery Unit • The Productive Ward –Releasing Time to Care
Project• National pilot site for eRostering
• Productive Operating Theatre (TPOT)• End of Life Care National Practice Development
Programme.• Hand Hygiene Initiative • Documentation project• PPPGs accessed on QPulse. • Development of the LGH Wound Formulary. • National Adult Early Warning Score (NEWS)• Maternity Early Warning Score (MEWS).• PVC Care Bundle• Urinary Catheter Care Bundle• Nursing and Midwifery is represented at senior
corporate level on all hospital governance structures
Area 1 Gynaecology / Obstetrics – completed Area 2 Kitchens - initiated Area 3 Emergency Department -
completed Area 4 Radiology Area 5 Coronary Care / Haematology / Oncology /
Cardiac investigations Area 6a Pharmacy - completedArea6 b Medical Records Area 7 Staff Change / Pharmacy Stores / Mortuary /
Admin Area 8 Boiler House and Underground Ducts Area 9 Laboratories - completedArea 10 Outpatients
Progress