Annual Quality Report - Next Steps Update From 2018/2019
Theme Title Next Steps
Status
Goal 4:
Raising the
Standards
Emergency
Department
• Continue to work alongside the Capital Development Team to influence the
development of the new Emergency Department which is on schedule for
completion 2020
• The development of the Advanced Nurse Practitioner role will support existing medical
teams and raise standards of care provided to those attending the ED. First cohort of 3
staff are due to complete their training September 2019
• Continue to develop partnership arrangements as other Speciality Hubs are developed
including Respiratory, GI and Cardiology and in doing so potentially reduce admissions
and support earlier discharge from inpatient wards and as a result increase hospital
capacity.
NICE
Guidelines
• Continue to build on the SharePoint site for monitoring of compliance
• Work with the NICE managers forum
• Escalate any issues to the Standard, Policy and Guidelines Committee.
Audit National Audit of Procedural Sedation in Adults
The Key recommendations from the audit were:
• Procedural sedation should be undertaken in a resuscitation room or in one with
dedicated resuscitation facilities immediately available. Departments not achieving this
should work to remedy the situation. Although there were few adverse incidents in this
audit, they serve as a clear reminder of associated risks
• ED procedural sedation involves the allocation of three distinct roles. EDs should ensure
the presence of a separate sedationist, procedurist and nurse on all occasions
• All elements of monitoring in Standard 5 should be used and recorded. Improvement
activity for use of capnography needs to continue to meet this fundamental standard
• Oxygen was routinely administered from the start of procedures. Individual departments
should identify whether their practice is consistent with current guidance about
'appropriate' oxygen therapy and make improvements accordingly
• Departments need to identify ways of providing and recording the issuance of written
discharge advice.
On Plan
Achieved
Behind Plan
On Plan
Achieved
On Plan
On Plan
Achieved
82 Goal 4: Raising the Standards