Numerous hours spent finishing important paperwork for sufferers is quick changing into a distant reminiscence for nurses and different healthcare workers in Neath Port Talbot Hospital.
The nursing documentation required for a single admission to hospital can run to greater than 70 pages.
This isn’t solely time-consuming, however irritating for sufferers and carers, who might have been requested the identical questions a number of occasions by healthcare workers elsewhere earlier than they got here into hospital.
Most important photograph above reveals Ward C Supervisor Cath Howells and Neuro-Rehab Ward Supervisor Christine Evans test affected person data utilizing WNCR
Now a digital answer often called the Welsh Nursing Care Report (WNCR), is being rolled out throughout Wales. It means a lot of this work may be accomplished electronically – saving time and bettering affected person security.
The WNCR has concerned creating standardised e-documents, permitting the identical affected person data to be recorded throughout the entire of Wales.
To start with, the admission evaluation, together with six core affected person danger assessments together with vitamin, falls and ache, had been standardised, with work ongoing so as to add extra.
WNCR went reside in Neath Port Talbot Hospital earlier this yr following a pilot in March 2020. Workers now file and entry affected person data utilizing pc units.
Suggestions has been actually constructive, with many nurses reporting it has freed them as much as spend extra time with sufferers.
Scientific nurse specialist Tracy Jones mentioned: “It takes about an hour to finish a complete nursing admission.
“There are about 70 pages to admission paperwork which the nurses or healthcare assist employees have to finish for each single affected person that is available in.
“On each a kind of pages they need to put a sticker with the affected person’s ID on.
“Handwriting may be illegible. Items of paper don’t keep in the identical order, there’s no spellcheck, there are traces crossed by way of. It turns into messy.”
Proper: Workers nurse Zoe Evans is among the many nursing and healthcare workers at Neath Port Talbot Hospital to make use of the system
In addition to having to fill in all of the varieties when sufferers are admitted, danger assessments need to be up to date each day and weekly. But extra paperwork must be accomplished when the affected person is discharged.
Senior matron Liz Williams mentioned: “The purpose of WNCR is to launch nurses from the executive burden of finishing important paper nursing paperwork, permitting them to spend extra time on direct affected person care.
“Digitisation of the nursing documentation has enabled extra distant working. For instance, dietitians and physiotherapists can entry affected person notes with out having to come back to the ward.”
The knowledge can be immediately obtainable when the affected person is discharged, and is fed into the Welsh Scientific Portal, the nationwide digital affected person file.
This implies the data is offered to NHS healthcare workers wherever in Wales the affected person receives care.
Swansea Bay developed an digital nursing evaluation that was piloted in NPTH Ward A in 2018. It was proven to save lots of round 10 minutes per admission for nurses and 20 minutes for healthcare assist employees.
The WNCR was subsequently developed in Swansea Bay on behalf of Digital Well being and Care Wales, which chosen it as the premise of an all-Wales answer.
WNCR went reside in 5 wards in Neath Port Talbot Hospital in April this yr, with a sixth ward added in August.
The hospital was chosen as a result of it was already utilizing one other digital answer, HEPMA – Hospital e-Prescribing and Medicines Administration – so the nursing groups had been acquainted with the know-how concerned.
HEPMA automates the prescribing and administering of medicines for sufferers in hospital, once more saving time and lowering the danger of errors.
Left: Neuro-Rehab Ward Supervisor Christine Evans utilizing WNCR
Swansea Bay’s Digital Programme Supervisor, Marc Thomas, mentioned: “Nurses and healthcare assist employees have embraced the know-how and the brand new digital methods of working.
“Implementing WNCR after HEPMA contributed to its success, although that wasn’t the one cause – we had huge assist from our good group of company nursing colleagues.
“Nevertheless it actually made it simpler as a result of, whereas the sort and quantity of data going into WNCR is huge and various, the workers had been already assured with the units.”
Nursing workers are happy with what they’ve achieved, particularly as Neath Port Talbot is the primary hospital in Wales to have each HEPMA and WNCR.
For instance, ward sisters obtain common studies displaying when the final danger assessments had been accomplished.
Tracy mentioned: “Some show them on the wall so the nursing groups can see them.
“Once they had been first printed out, there have been numerous purple on the studies which confirmed what was outdated or overdue. Now it’s all inexperienced on some wards.
“The nurses are actually happy with that. They’ll see how they’ve improved their follow they usually’ve improved affected person security and affected person care.
“We had a go to from one other well being board they usually had been so impressed by how our studies had been getting used to enhance care and the way the nurses had been taking possession of them.
“It’s a way more skilled manner of finishing nursing documentation, and safer for the affected person and for the workers.”
Liz mentioned the implementation had been profitable as a result of the system was intuitive and had been designed with nurses in thoughts.
“We’re lucky as a result of it was initially designed on this well being board, which we ought to be actually happy with,” she added.
“We’re now planning our subsequent roll-out, at Singleton Hospital this November.”