Ryde Newsletter
Message from Executive
2023 Issue 9
Thank you all for the warm welcome. It is wonderful to be back at Ryde for the next 12 months whilst Heather is on secondment to RNSH. The celebrations in Graythwaite of the 10th anniversary of the opening of the centre were a highlight as well as hearing about the history of Graythwaite before it came to Ryde. It is wonderful to note that we have had a statistically signif- icant reduction in the Hospital Acquired Complication (HAC) rate for the hospital (page 3). Thank you all for the work that has gone into this improvement. The rate of falls still remains a key area of action, and you may have seen the team wearing orange each week for Falls Awareness Friday. Thank you all for participating in the Patient Safety Culture Survey and the People Matters Employee survey. I appreci- ate the time taken to complete these and the important infor- mation they provide us. We are planning a thank you next
September 2023
month so watch this space. Jenny McConnell, A/General Manager
Graythwaite Rehab Centre 10th Anniversary
On 19 September Graythwaite Reha- bilitation Centre cel- ebrated it ’ s 10th birthday. Celebrations were attended by past and present staff, and patients. There were heart warming speeches from the Chief Executive, Dr Jenny Mann, Al- lanah Brown, and Jo - Ann Wigan. No birthday party would be complete without a birthday cake. ( see photo gallery)
Inside this issue:
Redevelopment at Ryde
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Upcoming Events
Quality & Safety Corner
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PSCS Survey Prize Winners
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1 Oct - International Day of Older Persons
Spiritual Care Stall
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2 Oct - Labour Day (Public Holiday)
People Matters Employee Survey (PMES)
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Life in the Blue Gum Lodge
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14 Oct - Allied Health Professionals Day
Kindness Wave
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Smiles & Cuddles Bags
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15 to 21 Oct - National Carers Week
Focus on Allied Health — Pharmacy
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27 Oct - World Occupational Therapy Day
Possum with no name….
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Welcome to Ryde
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31 Oct - Halloween
Speech Pathology Week
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Spring into Action for Falls Prevention
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R U OK? Day
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Newsletter is for Ryde by Ryde. Please email items of interest to:
Library Update
Disability Inclusion
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Steptember Challenge
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Catherine.jones3@health.nsw.gov.au
Just for Fun
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Photo Gallery
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Redevelopment at Ryde
The PRP Imaging pathway is under construction with a section of the path to be completed within the next two weeks. The team lodged the second development application last week and is now on public exhibition. You can view the plans and have your say here: Ryde Hospital Redevelopment Stage 2 | Planning Portal - Department of Planning and Environment (nsw.gov.au)
The works in the Blue Gum High Forest are progressing well. Sub- stantial clearing of weeds and lantana is almost complete. The Community Aged Care and Rehabilitation Service (CAReS) building has now been demolished.
Graythwaite Rehabilitation Centre
Grannie Smith Festival
The Granny Smith Festival is being held on Saturday 21 October at Eastwood.
Ryde Hospital will have a stall to promote its clinical services and create awareness about the redevelopment.
To find out more about the festival, visit: https://www.ryde.nsw.gov.au/Events/Granny - Smith - Festival
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Quality & Safety Corner
Reduction of Hospital Acquired Complications Congratulations and thank you to all clinicians who continuously strive to provide the best possible care and reduce preventable harm for pa- tients. There has been a statistically significant reduction in the overall rate of HACs between Nov - 22 and Jul - 23. There is ongoing implementa- tion of several HAC improvement initiatives which collectively, have con- tributed to the reduced overall HAC rate. Initiatives include; oral hygiene project, falls prevention, HAC pneumonia audit, delirium management, and the C - ART working group (to name just a few). Thank you and keep up the great work!
3 Points of Patient ID Remember 3 points of ID whenever you discuss pa- tients. At handovers or huddles. Pa- tient ID can include:
Patient ’ s Full Name
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Patient ’ s Age
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Patient ’ s Gender
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Patient ’ s Date of Birth
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Patient ’ s MRN
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Patient ’ s Address
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Bed numbers can not be used for the 3 points of ID as they can change!
E.g. at morning huddles simply state the patient name, age and gender for all patients.
Voluntary Assisted Dying From 28 November 2023, Voluntary Assisted Dying (VAD) is a choice that will be available to eligible people in NSW who are approaching the end of their life. This will be in addition to other choices that patients may make about their end - of - life care, including palliative care. The NSLHD VAD Team are running information sessions for all staff, with the next session scheduled for 2 pm on 5 October 2023. Details on information sessions and other VAD resources can be found HERE.
Telemetry Procedure Telemetry Monitoring at Ryde on Ward 8 Procedure has been published and can be accessed here. This was developed in consulta-
PSCS Survey Prize Winners
Congratulations to GR4 and GR5, and pharmacy who were each winners of one of twelve prizes of $1000 for their exceptional 2023 Patient Safety Culture Survey (PSCS) response rates. In June/July 2023 NSLHD ran the PSCS for all staff across services and facilities in NSLHD. This initiative is highly valuable in our continual efforts to improve patient safety, enabling us to identify in detail what we do well and where we can improve at all levels of the organisation.
The Chief Executive, Anthony Schembri wrote say a massive congratulations to the Graythwaite Inpatient Wards and Pharmacy Department for achieving an exceptional response rate in this year's survey, and that this exemplifies the strong commitment across your teams towards creating a safe, supportive culture for both staff and patients, as well as your shared focus on consistently improving standards of quality and safety of care. Acknowledging that that responding to surveys such as these take considerable time for staff and that the prize is a small way to say thank you for their efforts and contribution to the District.
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Spiritual Care Stall
The Ryde Hospital Chaplaincy Working Group put together a stall to inform staff and the community about spiritual care. The stall was held on Monday 25 September. Staff were invited to come along and learn about:
• Plans for the Multi Faith Room in the new build
• Pick up some printed material from various faiths. • Find out how spiritual care contributes to healthcare. • Meet the Chaplaincy Working Group. The Chaplaincy Working Group was set up by the GM to reinvigorate the chaplaincy service in the hospital. We are working towards the appointment of a coordinator who will develop a team of volun- tary chaplains.
People Matters Employee Survey (PMES)
The NSW Public Sector Employee Survey 2023 was took place this month, known as the People Matter Employee Survey (PMES). The annual survey asks NSW public sector employees about their experience and perceptions of a range of workplace issues and practices, including management and leadership, service delivery, employee engagement, diversity and inclusion, public sector values, and unac- ceptable conduct. The results help to identify elements of good practice and areas in need of further improvement. Ryde Hospital had another year with fantastic participa- tion rates across all sectors.
• Allied Health - 82% • Nursing - 61% • Medical - 21% • Exec - 90% • Non Clinical Divisions - 61%
The overall participation rate for Ryde was 500 staff from Ryde, which is about 52%. A massive thank you to all those who ’ s enthusiasm and support helped so many to have their say.
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Life in the Blue Gum Lodge
It has been a couple of months since the wardspersons and environmental staff moved into the Blue Gum Lodge. The lodge is a temporary base for them during the redevelopment of Ryde Hospital. The staff are enjoying their new base with its staff area, kitchen, and change facilities as well as a great view of the Blue Gum Forest. They also have a resident bush turkey who thinks he is part of the team.
The Kindness Wave
Kindness Belongs Here - The Kindness Wave has arrived at Ryde Hospital. Spreading kindness is a strength that has the power to change lives for the better. It can have a healing effect and improve our mental wellbeing as well as enrich our connection with others. What can you do to spread kindness in the workplace? • Kind gestures matter— Spreading kindness starts with positive actions. Small gestures that have a ripple effect can unite us • Say Thankyou—Showing gratitude is one example of how you can express kindness to others • Smile—a simple smile can go a long way. You may be the sun- shine in someone ’ s day without realising it. The beauty of a smile is that you are likely to get one in return. Life is like an echo—you get back what you give out. • Listening—The importance of listening cannot be underestimat- ed as an act of kindness. When we are present for others, it shows empathy and respect. • Be inclusive—try and include someone new into your conversa- tions or networks. Some people may find social situations diffi- cult so being welcomed by others can make a big difference.
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Smile & Cuddles Bags
A big thank you to the North Shore Mums who donate smile and cuddles bags, that have been very well received at Ryde emer- gency department. The bags contain books, colouring, pencils and activities for the chil- dren who present to the emergency depart- ment. Sarah Artup, NUM ED said, “ These distrac- tion bags help kids of all ages and decrease the stress of the ED environment and bring joy to the kids during such a stressful time. ” Aisake can often be seen giving them to children in the ED waiting room.
Focus on Allied Health—Pharmacy
Parkinson ’ s disease clinic. Pharmacy supports medication stewardship to improve patient outcomes through ensuring the best possible use of medications. This involves working with patients and the health team to ensure that patients are receiving the optimal medication therapy including the most appropriate medication(s) and dose for effective therapy and minimising potential side effects. Medical Products We ensure equitable access to medicines and vaccines of assured quality, safety and efficacy, and their scientifically sound and cost effective use. The pharma- cists ensure that medication use is in line with the new NSW Medicines Formulary. An approach for evaluating and ap- proving the use of medicines reduces unnecessary clinical variation, improves safety, and enables a state - based ap- proach to the procurement of those medicines. Financing. The pharmacy service is funded to provide the medication management service to the hospital which in- cludes the clinical service as well as inventory management. We are responsible for the adherence to the NSW Pharma- ceutical contracts when purchasing medications. Leadership and governance . Strong health systems need effective policies, oversight and accountability, with atten- tion to system design and appropriate regulation. The phar- macists participate in the frameworks that advance the deliv- ery of effective and safe healthcare and ensure access to high quality medicines. The Ryde Pharmacy Manager chairs the Ryde Medication Safety and Quality Committee (membership includes Senior Pharmacist & Antimicrobial Stewardship pharmacist), and it part of the NSLHD Drug and Therapeutics Committee, Sustainable Future commit- tee, the NSCC Electronic Medicines Management Advisory Group, the Whole of Hospital committee, the Communi- cating for Safety Committee, and the NSLHD Antimicrobial Stewardship Committee. Pharmacists are involved in creating and reviewing policies, procedures, guidelines and protocols in relation to medica- tion use, and participate in working groups as required such as the Anaphylaxis Clinical Care Standard working group and the Voluntary Assisted Dying working group. They contribute to the work which is required for the hospital to meet its obligations under the National Safety and Quality Health Service (NSQHS) Standards - Medication Safety Standard, and the Clinical Care Standards.
What do we do? “ Supply drugs of course ” you say. Well not just that these days! Everyone would be aware of the responsi- bility of the Pharmacy service to supply medications to the pa- tients in our hospital, during their inpatient stay as well as on discharge. But did you know that the pharmacy contribution to the hospital extends beyond that now. September 25 was World Pharmacists Day and the theme for 2023 was “ Pharmacy strengthening health systems ”. This theme encapsulates the contribution pharmacy makes now to health systems. According to the World Health Organization, strong health systems are built on six blocks - Service delivery; Health workforce; Information; Medical Products; Financing; and Leadership and governance.
Service delivery. Pharmacists deliver effective, safe, quality health interventions to those that need them, when and where they are needed. At Ryde, we supply medications to patients on the ward via their imprest system as well as individually dis- pensing medications to inpatients and on discharge. The phar- macists work a little differently to other Allied Health profes- sionals in that they do not operate on a referral basis but see all patients admitted onto the wards. All inpatient wards have a pharmacist rostered to cover that ward and can be contacted via pager. The pharmacists help document a patient ’ s Best Possible Medication History and complete Medication Reconciliation on admission to hospital and at discharge (which is the process of ensuring patients receive all intended medications and that medication information is accurately communicated at transi- tions of care). Health workforce. At Ryde the service consists of pharmacists, pharmacy technicians, an assistant and an intern pharmacist. The pharmacists supervise and train the intern pharmacist in their postgraduate training year and prepare them for their end of year Pharmacy Board exams. We take pharmacy student placements throughout the year from various NSW universities. Information– We provide medicine information, patient and staff education. The pharmacists present education sessions to nursing and medical, as well as to such outpatient groups as the Cardiac Rehabilitation program, the Balance group and the
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Possum with no name …...
Our resident brush tailed possum needs a name …….
They can often be found in the native gardens near Denistone House so maybe they should be called Denis or Denise?
Welcome to Ryde
Ryde Hospital also welcomed the following staff this month:
James Chen, Enrolled Nurse
Supriya Barahi, Enrolled Nurse
Veronica Mok, Dietitian
Carrie Ho, Dietitian
Siobhan Delahunty, Social Worker
David Chiu, Sterilisation Technician
Esther Gewargis, Clinical Nurse Consultant
Hugh Bokenham, Hospital Assistant
Ammie Ding, Registered Nurse
Lauren Badman, Administration Officer
Speech Pathology Week
Ryde Hospital celebrated speech pathology week. At their stall in the main foyer at Ryde., many staff came by to;
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try thickened fluids,
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watch some FEES videos and complete a speech patholo- gy quiz.
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The winner of the quiz was Barb Scott from palliative care - she got a perfect score of 10/10 and now can be an honorary speech pathologist! The speech pathology team also met with the new CE for NSLHD, Anthony Schembri, for a morning tea at RNSH as part of the celebrations.
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Nursing News - Spring into Action for Falls Prevention
This month saw the start of Falls Fridays at Ryde. During the past few months Ryde has had a high number of patients experiencing a fall while in Hospital. As a result, there has been strategies put into place to promote falls awareness and prevention across Ryde hospital. One strategy is Falls Friday where Nurse Managers, NUM and CNE are wearing the bright orange falls T - Shirts while at work to encourage conversations, around falls prevention with patients, carer, and staff. The bright or- ange T - shirt is a simple visual reminder to all staff of the importance of falls prevention and the role we can all play to keep patients safe in hospital, and prevent patients suffering a fall whilst in hospital.
This coincided with the launch of the NSLHD Spring into Action campaign, which encourages people to stay active as part of reducing their falls risk. Spring is a great time to get active and take action against falls. The warmer weather and longer days make it easier to get outside and move around. Did you know research has shown doing exercise can reduce falls risk in older adults by 23%? This September, NSLHD Population Health Pro- motion and Falls Prevention Committees encour- age everyone to 'Spring into Action' to reduce risk of falls by increasing their physical activity. Below you'll find information on local physical activity programs available to older adults and falls pre- vention resources to help reduce the risk of a fall. Information available at Spring Into Action
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Dear All,
R U OK? is a public health promotion charity that encourages people to s conversations that can help others through difficult times in their liv
R U OK? Day
RU OK? is a public health promotion charity that en- courages people to stay connected and have conver- sations that can help others through difficult times in their lives. Asking the question, 'are you OK?' can make a real impact in the workplace. As employers or staff, we can all create a culture where people feel confident asking and answering this simple yet important question. Asking the question, 'are you OK?' can make a real impact in the work staff, we can all create a culture where people feel confident asking an yet important question. Besides our legal responsibility of providin workplace, these conversations can make a real difference to staff goin Besides our legal responsibility of providing a safe and healthy workplace, these conversations can make a real difference to staff going through a tough time. EAP Services are available to all staff and there are a range of internal and external crisis support numbers in the attached document. EAP Services are available to all staff and there are a range of internal an numbers in the attached document. Ryde Hospital will be promoting RU OK? on Thursday 14 September w the hospital foyer. There will also be an email broadcast at each site Ryde promoted RU OK? on 14 September with a stand in the main foyer.
Kind regards, Burnout: A Guide to Identifying Burnout and Path- ways to Recovery / Gordon Parker, Gabriela Tavella, & Kerrie Eyers Burnout is widespread among high achievers in the workplace, and the problem is only becoming more relevant and profound. This book contains new evi- dence - based tools for readers to work out for them- selves whether they have burnout and generate a plan for recovery based on their personal situation. Positive Psychology for Healthcare Professionals: A Toolkit for Improving Wellbeing / Jan Macfarlane & Jerome Carson Heather Gough, General Manager, Ryde Hospital Library Update asks: R U OK? Thursday 14 September was R U OK? Day, a Na- tional Day of Action towards suicide prevention. To compliment the resources already provided by the General Manager, Ryde Hospital Library would like to draw your attention to just a few of the wellbeing resources available from NSLHD Libraries. This toolkit for improving wellbeing provides a more holistic roadmap to increase self - awareness of staff abilities, potential talents, and positive charac- teristics, through a strengths - based approach. The mental health and wellbeing of healthcare prac- titioners : research and practice / edited by Esther Murray, Jo Brown
This year the theme is the RU OK message - I’m here to hear . provement within the healthcare system through a range of practical examples and cases.
The book also explores the possibilities available to professionals to talk about their mental health using “ borrowed ” words and concepts, and uncovers struc- tural and social concerns that prevent practitioners from accessing the time and space they need to ad- dress their mental health concerns.
For any further assistance, please contact NSLHD Libraries. We are here to help.
An insightful exploration of the theoretical and prac- tical aspects of implementing mental health im-
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Disability Inclusion
STeptember Challenge
Congratulations to all those at Ryde who participated I the STeptember challenge this month. Ryde teams included the; Quick Step Protocol, Ward 3 Walkers, 7B Questers and the Happy Questers. Ryde Steppers: Sonia Feng, Breanna Frendo, Patrick Law, John Walton, Sarah Huang, Linta Manuvel, Michelle Wong, Leizl Dagoc De Jesus, Ra- chel Anderson, Esther Ng, Jessica O'Brien, Jacqueline Young, Allison Aer- nie, Sally Han, Timothy Hough, Quyen Le, Taiyo Orino, Janette Pittorino, Safal Pokharel, Rebecca Sen, Sumi Shrestha and James Wighton.
Just for Fun
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Photo Gallery
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Photo Gallery
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