Compassionate Care at the End of Life in Hospitals Margaret Gleeson, Chief Director of Nursing and Midwifery, UL Hospital Group 27 th April 2016.
Welcome On behalf of the Hospice Friendly Hospitals programme, the HSE Acute Hospitals Division and the UL Hospital Group I am delighted to welcome the IHF and delegates to Limerick today. Theme of today s conference is Compassionate Care at end of Life. We will hear of national and local projects making a difference to patient s, their families and the staff who care for them. The UL Hospital Group have worked with the HFH Programme since 2008.
CDONM General Nurse training completed in St James Hospital Dublin Thirty years experience in the Irish Health Service Eighteen years management experience Three years CNM1 Seven years CNM 11 Five years Project Management, Practice development, Education & Training Research DON Nenagh Hospital One year DON Ennis Hospital One year One and half years National post SDU Dept of Health - Chief Liaison Office for the Dublin Mid- Leinster Hospital Group and Dublin North East Hospital Group HSE- Director of Nursing Lead National Acute Medicine Programme
UL Hospitals - Sites Hospital Model Beds Staff University Hospital Limerick 4 320 in-patient 81 day beds 1942 University Maternity Hospital Speciality 83 in-patient 19 neo-natal 294 Croom Hospital Speciality 37 in-patient 13 day beds 144
UL Hospitals - Sites Hospital Model Beds Staff Ennis Hospital 2 50 in-patient 16 day beds 206 Nenagh Hospital 2 46 in-patient 25 day beds 179 St. John s Hospital 2Surgical 89 Adult 10 day beds 268
UL Hospital Group Board CEO Professor Colette Cowan Chief Financial Officer Mr Hugh Brady Chief Clinical Director and Interim Director of Quality & Patient Care Dr John Kennedy Chief Academic Officer Prof Paul Finucane Chief Operations Officer Ms Noreen Spillane Chief Director of Nursing & Midwifery Ms Margaret Gleeson HR Director Ms Josephine Hynes Comms Officer Ms Elaine Connolly Planning, Performance & Business Information Manager Mr Brian McKeon Clinical Directors tbd- Diagnostics Dr Declan Lyons Medicine Ms Shona Tormey Perioperative Care Dr Gerry Burke Maternal & Child Health
Nursing &Midwifery Governance Structure Chief Executive Officer Colette Cowan Chief Director of Nursing & Midwifery Margaret Gleeson Executive Management Team Night Duty UHL William Shire ADON Brid Canny ADON A/Directorate Nurse Manager Medicine Mairead Cowan Directorate Nurse Manager Peri Operative Kay Chawke Interim Operational Director of Nursing Ennis Patricia O Gorman A/ Operational Director of Nursing Nenagh Cathriona Ryan Directorate Nurse/Midwife Manager Maternal & Child Margaret Quigley Maura Fitzgerald Head of Innovation and Nurse Developement Bed Manager Tina Fitzgerald Infection Prevention & Control Manager Barbara Slevin ADON Practice Development Nurse & Midwifery Coordinators Gerardine Kennedy Mary Doyle Quality Nurse Manager Noreen O Regan ADON Katie Sheehan Catherine Hand Mary Liston ADON Declan McNamara Sheila Sheehan Kerry McAuliffe ADON Joe Cassidy & Ber Murphy A/CNM2 Phil Canny Lynch Mary Boland Corey A/CNM2 Mary Cahir Geraldine Cleary ADON Noreen Hough Ann Jordan Mary J Ryan Catherine Ann Grimes ADON/M Eileen Ronan Bridget McCormack Delia Connery A/ADON Jean Moloney 8 Person Bed Management Team Theresa Fallon Hygiene Quality Assurane IPC Team Clinical Placement Coordinators Allocations Officers Night Duty UHL Nicola Quinn CNM2 Marie Brosnan CNM2
Vision for Nursing and Midwifery Provide quality safe service to all our patients in a dignified manner Develop one single nursing and midwifery workforce Governance framework clearly outlining roles, responsibilities and accountability ensuring the delivery of safe, quality and appropriate care to all patients in the Group Foster a positive atmosphere and culture where staff feel valued, respected, empowered and engaged Focus on the health and wellbeing of all patients and staff Ensure that the Group model of care is underpinned by best available evidence, in line with national standards and legislation
End of Life Care is everyone s responsibility Doctor, nurse, receptionist, ward clerk, porter etc. Training is delivered to the multidisciplinary team One of these is Final Journey s programme which is part of mandatory training. How do we know we are delivering a positive experience to patients and their families? - For example the annual remembrance service held on all sites in the group provides an opportunity for staff to engage with bereaved families. They greatly appreciate that the hospitals are acknowledging them at what can be a very difficult time.
Barriers to Compassionate Care Facilities Structures
Why did you go into Health Care? Caring, Compassion, Help... Meet the needs of the service user.
Today s conference will assist us to remember why we need to show compassion, especially at End of Life.
Where we are in UL Hospital Group: Part of the Acute Hospice Friendly Hospitals Programme. End of Life Care Coordinator. PALS. Final Journeys, Leaders for Compassionate Care Programme. Remembrance Services held for families annually. Acknowledgment
Where we are in UL Hospital Group: Pastoral Care Team End of Life Committees on all sites. Linkage with Milford Hospice ~ Workshops available to staff. Facilities improved with assistance from Design and Dignity Grant.
New Mortuary UL Hospital Limerick developed with support of Design and Dignity Grant.
UHL Family Room October 2015
St Johns Hospital Family Room March 2016
Ennis Family Room Nenagh Family Room Design and Dignity grant
Irish Cancer Society Daffodil Centre UL Hospital Limerick
Where we are going Support CNM/CMM to attend Leaders for Compassionate Care Programme. Support Staff to attend Final Journeys. Working with HFH. Development of designated room for people at End of Life in UHL. Support staff to deliver a dignified end of life journey.
Do not go where the Path may LEAD instead go where there is no path And leave a TRAIL. Ralph Waldo Emerson
Thank You. Thank you.