April 2024
April Falls Day Better Balance for Falls Prevention
Ryde Hospital’s April Falls campaign got underway with a wonderful interactive display in the foyer with information for staff, patients and families. There was fun and games for staff. The Staff Blazing Balance Challenge was hotly contested with physiotherapy teams taking the top three places. The winners were 1st Place: Neil Hanna & Julia Scott (centre pair); 2nd Place: Sharon Fok and Alistair Gardner (beside to the
right); 3rd Place: Breanna Frendo and OT Kelsey (squatting). The April Falls Month Quiz about falls prevention winners were; Kritika Sriram (first), Jenny McConnell (second), and Narelle Bryant (third). Congratulations to you all (see gallery for photos).
General Manager’s Message Hope you all like the new look Ryde Hospital newsletter. With accreditation just around the corner you will see the executive team out and about talking to saff abouth the National Standards. Please check out the standards ‘ post-cards ’ for a quick overview and cheat sheets.
The 12 th May will mark the 90 th birthday of Ryd Hospital. Please join us for a celebration on Monday 13 May at 10:30am. As well as a wonderful past, Ryde hospital has a beginning to look forward o. There will also be a 90 th anniversary celebration ball on 27 July – get your tickets now (see noticeboard for more information).
ANZAC Day Service Lest We Forget
On Wednesday 24 April the Ryde Hospital ANZAC Service was held outside Deniston House. All staff were invited to join Rev Jean Bell from North Ryde Uniting Church, LCDR Peter Colthorpe President of the North Ryde RSL and the A/General Manager to pay their respects and remember the service and sacrifices made by members of the Australian and New Zealand Armed Forces (see photo gallery). Ryde Hospital’s origins as The Ryde District Soldiers’ Memorial Hospital always make this occasion particularly significant for Ryde.
Contents April Falls day
1
Focus on Allied Health – Nutrition & Dietetics
6
General Manager’s Message
2
Humpty Dumpty
7
ANZAC Day Service
2
Welcome To Ryde
7
Quality & Safety Corner
3
Aboriginal Liaison Officers
8
Nursing News
4
Just for Fun
8
Quality & Improvement Awards
4
Photo Gallery
9
Redevelopment Update
5
Noticeboard
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Newsletter is for Ryde Hospital Staff by Ryde Hospital Staff. Please email items of interest to: Catherine.jones3@health.nsw.gov.au
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Quality & Safety Corner Accreditation Preparation
Sometime this year Ryde Hospital will undergo Accreditation. This will be a short notice accrediatation so we need to be ready. To help you all get prepared there are postcards with questions that accreditaors may ask you. There will be new ones in the foyer frequently.
Stroke Learning Day Our annual Stroke learning day, co-ordinated by our Stroke CNS2 Ms Simpy Arora, was held up in ELCA on April 9th. The multi-professional day addressed such diverse topics as: the specifics of strokes in different parts of the brain, the new technologies of clot removal, the advances in rehabilitation, the Australian Stroke Guidelines, a practical demonstration of the National Institutes of Health Stroke Score (NIHSS) stroke examination, and a review of the approach to the Dizzy patient, as well as research by Ms Arora in the ED into detecting posterior circulation stroke. Participants came from NSLHD and CCLHD were able to attend online, and the feedback reflected the appreciation of attendee for the efforts of our distinguished speakers. “It’s a pleasure to be able to take a day and concentrate on just one topic, especially as complex a topic as Stroke Care. I hope we can do this every year”.
Victoria Arrafas, Melissa Fa, Phillipa Wilford head up the Allied health presentations on aspects of acute post stroke therapy
Dr Jerome Ip explains the time course of acute stroke
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Nursing News International Nurses Day International Nurses Day is an international day observed around the world on 12 May, Florence Nightingale’s birth date, each year, to mark the contributions that nurses make to society. Ryde Hospital will be celebrating on Frday 10 May this year, and we want to celebrate the dedicated nurses at Ryde Hospital. If you know any nursing staff members you appreciate or admire, please nominate them for recognition. The INMD Nomination Forms 2024 are available for all staff. It's a simple process, just fill them out and submit them before the due date on Monday, April 29th, 2024. New Graduate Nurses Ryde welcomed Welcome to the April new graduates who commenced with us on 8th April; Jade Hudson (Ward 7); Annie Henderson (Ward 3); Emma Richards (Ward 2); Monika KC (ED); and Zoe Wright (Ward 8).
Quality & Improvement Awards Ryde Submissions Congratulations to the five projects from Ryde Hospital submitted for the NSLHD Quality Improvement Awards. 1. Hearts & Quilts – Improving End-of-life care 2. Recognising Delirium – Improving early recogition of signs of delirium 3. Falls Prevention at Ryde 4. BEFAST to Recognise Stroke Symptoms 5. Technical Assistants in the Emergency Department The results are announced at the end of May 2024. Some of the winners of the NSLHD awards can be nominated for the NSW Quality Awards later in the year. Congratulations and best of luck to all the Ryde entries.
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Redevelopment Update Temporary Moves The first of the temporary moves for the redevelopment is about to occur with staff readying themselves to make the transition. From Tuesday 7 May, staff at Graythwaite Rehabilitation Centre who elected to relocate will move to Hornsby Ku-ring-gai Hospital to work in the new rehabilitation ward, 3C. Meetings have been held between Hornsby management and Ryde rehabilitation staff as the move edges closer.
Rehabilitation, Allied Health, Aged Care and Ambulatory Care Manager Anna Butcher said staff had been busy preparing for the upcoming moves, which will be in place until the new hospital building is completed. “This has been a very busy time for the GRC staff who have been delivering care to our patients, as well as preparing themselves for the moves,” she said. Rectification works to the waterproofing in GR5 are expected to start in late May and construction activities for the temporary buildings are expected to commence on site late June, including the ICU/CCU and kitchen. The temporary relocation of Health Information Services is progressing, with works underway to refurbish a building at Macquarie Hospital to enable the relocation. Redevelopment Manager Fiona Thorn said it was a busy time for the hospital with the builder and Health Infrastructure making preparations for early construction works. “We have multiple teams pr eparing to move and there is a lot of change occurring across the site. I want to thank everyone for being so cooperative and making this process as smooth as possible,” Fiona said.
Important timeframes for staff: 7 May – Graythwaite GR5 to move to Hornsby Ku-ring-gai Hospital Late May – Rectification works to the waterproofing in GR5 start Late June – Start of construction of temporary ICU building and kitchen.
We appreciate there is a lot going on with the redevelopment and plan to continue the monthly general manager all-staff redevelopment updates to keep you informed and provide an opportunity for you to ask questions. If you would like any further information on these works please contact; Redevelopment Manager, Fiona Thorn 9858 7409
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Focus on Allied Health Nutrition & Dietetics Compliance with ward Protected Mealtimes - How are we doing at Ryde?
Protected Mealtime refers to a period of time on the ward when all non-urgent clinical activity is limited allowing staff to prepare and assist patients at mealtimes and for patients to focus on their meals. The Nutrition and Dietetics department completed the QARS mandated Ward Nutrition Audit in March and the compliance against the set protected Mealtime criteria were recorded as follows over acute and GRC:
• 97% - Ensuring patient is in a safe and comfortable position to eat.
• 50% - Offering hand hygiene to the patient prior to eating.
• 90% - Ensuring tray table is cleared of clutter and moved close to the patient.
• 50% - Ensuring that the patient has been correctly identified if feeding assistance is required via a RED / Blue mat tray aside / Blue mat deliver tray meal ordering alert in eMR. • 100% - Ensuring that the patient receives a meal tray with the correct coloured placement as appropriate.
• 28% - Ensuring assistance is offered to all patients with opening food packages.
• 100% - Ensuring that all identified patients are provided with the correct level of feeding assistance as per the placemat criteria.
• 95% - Ensuring an uninterrupted meal time with no non urgent activity.
• 100% - Ensuring all patients are allowed adequate time to consume their meal. The nutrition audit results have been disseminated to the individual wards from them to develop action plans to improve compliance as appropriate.
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Humpty Dumpty Thank you from ED
We would like to thank the Humpty Dumpty Foundation for their generous donation of the Volumetric Infusion Pump. Having the infusion pump ensures safe administration of intravenous fluids and medication to paediatric patients in our busy ED. Ryde Hospital Emergency Department team is incredibly grateful for your donation and we look forward in using it to improve the care we provide to paediatric patients in our hospital. Humpty Dumpty continue to be a wonderful supporter of Ryde Hospital providing much needed medical equipment for Paediatric Emergency.
Welcome to Ryde Ryde Hospital welcomed the following staff this month. Name Position Name
Position
Annie Henderson
Registered Nurse Registered Nurse Registered Nurse Registered Nurse Registered Nurse Registered Nurse Registered Nurse
Pradip B C
Registered Nurse
Jade Hudson India Rose Zoe Wright
Nithya Gopya
Administration Officer Registered Nurse Assistant in nursing
Hye Rin Hailey Kim
Maitreyi Patel Dominic Cork
Emma Richards Bhumi Prajapati
Social Worker
Cho Kwan Sarah Leon
Registered Nurse Registered Nurse
Monika K C
Xiao Xu
Library Update- Apps Mobile Apps and Point of Care Tools are available to all NSLHD staff. • UpToDate • BMJ Best Practice • Therapeutic Guidelines • Pediatric Intensive Care Guidelines • MIMS and more can be downloaded on to your tablet or mobile phone.
Check out newer Apps such as Access- by McGraw Hill, Lippincott Advisor and Lippincott Procedures. To find Mobile Apps go to Springboard and click on the Mobile Apps image, or alternatively go to CIAP and select >Quick Links >Mobile Apps. Sign up for a Springboard account to access all NSLHD Library services and resources.
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Aboriginal Liaison Officers
Aboriginal Liaison Officers are available for Aboriginal and Torres Strait Islander patients and families. Their availability and contact numbers are:
Monday to Friday, 7am to 3pm 0447 149 635 (call or text) Thursday to Monday, 2pm to 10pm 0417 655 551 (call or text)
• Integrated Team Care Aboriginal Outreach Worker (M to F) 0408 183 395 • NSLHD Aboriginal & Torres Strait Islander Health Service (M to F) 9462 9017 • Bungee Bidgel Aboriginal & Torres Strait Islander Health Clinic at Hornsby (M to F) 9485 6200 • 13YARN (13 92 76) – 24/7 confidential support service delivered by Lifeline
Just For Fun Did You Know…
Australia is wider than the moon.
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• Lego mini-figures have the largest population on Earth! • Allodoxaphobia is the fear of other people's opinions. • We spend a year on the toilet in our lifetime. • Human teeth are the only part of the body that cannot heal themselves.
Comedy Wildlife Pictures
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Photo Gallery
Falls Day Fun
Falls Day Quiz Winners
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ANZAC Day Service
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Noticeboard
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Respecting the Difference: Be the Difference face-to-face training 2024 Hornsby Program Overview Respecting the Difference – Aboriginal and Torres Strait Islander
Royal North Shore Hospital Auditorium and Wallace Freeborn - level 5 Kolling Building • Thurs 2 May: Wallace Freeborn - 9am to 1pm
Cultural awareness training enhances our organisation’s capacity to provide respectful, responsive, and culturally safe services. It is designed to build upon staff knowledge and skills. The face-to-face session is presented in a relaxed interactive workshop style, where conversations and questions about Aboriginality, culture, urban myths, and beliefs can be openly discussed. The session follows on from the Respecting the Difference e-learning module. Target Audience: Mandatory for all NSLHD Employees Duration of Program: 4 hours
• Thurs 9 May: Auditorium - 9am to 1pm
• Thurs 23 May: Auditorium - 9am to 1pm
• Thurs 13 June: Wallace Freeborn – 9am to 1pm
• Thurs 25 July: Auditorium – 9am to 1pm
• Thurs 1 Aug: Wallace Freeborn – 9am to 1pm
• Thurs 8 Aug: Wallace Freeborn – 9am to 1pm
• Thurs 15 Aug: Auditorium – 9am to 1pm
Enrol via My Health Learning
• Thurs 22 Aug: Auditorium – 9am to 1pm
• Thurs 29 Aug: Auditorium – 9am to 1pm
ENQUIRIES: NSLHD-DACinfo@health.nsw.gov.au
• Thurs 5 Sep: Norman Nock Room – 9am to 1pm
Macquarie Hospital – Emily’s Cottage on Manning R • Thurs 16 May: 12pm to 4pm
• Thurs 10 Oct: Auditorium – 9am to 1pm
• Thurs 17 Oct: Auditorium – 9am to 1pm
• Wed 10 July: 12pm to 4pm
• Thurs 31 Oct: Auditorium – 9am to 1pm
• Wed 4 Sept: 12pm to 4pm
• Thurs 28 Nov: Auditorium – 9am to 1pm
• Thurs 7 Nov: 9am to 1pm
• Thurs 5 Dec: Wallace Freeborn – 9am to 1pm
• Thurs 12 Dec: Wallace Freeborn – 9am to 1pm
Mona Vale Hospital – Beachside Resort Unit- Large Room • Wed 15 May: 9am to 1pm
• Thurs 19 Dec: Wallace Freeborn – 9am to 1pm
• Wed 14 August: 9am to 1pm
Ryde Hospital Dates – ELCA Training Room • Tue 30 Apr: 12pm to 4pm
Hornsby-Ku-ring-gai Hospital - Level 5 - Meeting room 1 • Wed 17 Apr: 12pm to 4pm
• Wed 22 May: 12pm to 4pm
• Thurs 27 June: 9am to 1pm
• Wed 29 May: 9am to 1pm
• Wed 24 July: 12 to 4pm
• Wed 26 June: 12pm to 4pm
• Wed 21 Aug: 9 to 1pm
• Wed 31 July: 9am to 1pm
• Wed 18 Sep: 12 to 4pm
• Wed 28 Aug: 9am to 1pm
• Tue 29 Oct: 9 to 1pm
• Wed 25 Sep: 9am to 1pm
• Tue 19 Nov: 12 to 4pm
• Wed 30 Oct: 12 pm to 4pm
• Wed 11 Dec: 9am to 1pm
Enrolments via My Health Learning
12 For information on other available courses, visit the Intranet and the NSLHD Course Calendar Cost: NSLHD employees Nil
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1.
The most common risk factor for falls is: (a) Age (b) Cognitive impairment (c) Frailty (d) Opioids and sedatives
2. Do you know where most inpatient falls occur in the Hospital? (a) In the bathrooms?
(b) By the bedside? (c) In the hallways?
3. What are most patients doing when they have a fall? (a) Having a shower? (b) Making their way to the toilet (c) Walking to the Nurses Station? (d) Walking with their visitors?
4. When a patient is identified at risk of a fall , what form must we complete? (a) Goals of Care in Comprehensive Care Plan (or eFRAMP where used)? (b) IMS+? (c) Post-Fall Management plan? (d) None? 5. When a patient is identified at risk of a fall , who do we tell? (a) The ward staff? (b) The patient? (c) The family/Carer? (d) Other staff the patient interacts with? (e) All of the above 6. If a patient is found on the floor after a fall – what do you do? (a) Pick them up off the floor as fast as possible? (b) Stop and follow the Immediate Post-Fall Injury Assessment?
(c) Take them to the toilet? (d) Get them a cup of tea?
7. Overall, research has demonstrated participating in exercise can reduce falls risk in older adults by how many percent?
(a) 10% (b) 15% (c) 23%
8. For older adult (>65yrs), in addition to general physical activity participation, which other types of exercise are recommended for falls prevention? (a) Stretching and joint mobility exercise (b) Functional strength exercise and exercise with high balance challenge. (c) Aqua (water-based) exercise
9. What % of adults (<65yrs) complete sufficient weekly physical activity & muscle strengthening activities? (a) 40% (b) 20% (c) 13%
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