This document provides a summary of best practice in relation to ED access, patient and staff safety huddles. The summary has been created to support staff during the Sunshine Hospital Emergency Department Redevelopment transition and early post-move period, and has been endorsed by the ED Leadership Team.
This QRG aims to provide Emergency Department staff with an overview of the ED Access, Patient & Staff Safety huddle processes.
The ED Access, Patient & Staff Safety huddles aim to highlight and address areas of concern in the ED that impacts patient flow, access to care, patient and staff safety.
The ED Access, Patient & Staff Safety huddles brings together a multi—disciplinary team, to problem solve against the issues of the moment within each department. These huddles are to be collaborative with a focus on problem-solving, and the development of actions that achieve better patient care outcomes.
This QRG applies to staff working in all WH Emergency Departments as well as other stakeholders identified in the huddle framework.
It is the responsibility of the ED NUM’s and Medical Directors to ensure all relevant staff are appropriately orientated and educated to the content of this QRG and their respective responsibilities
Campus |
Times |
| Sunshine | 0830, 1200, 1600 & 2200 |
| Footscray | 0830, 1400 & 2030 |
| Williamstown | 0800, 1500 |
| Footscray | Sunshine | Williamstown |
| · ED&SSU MO I/C
· ED&SSU NIC · AHA/Access Manager · ACE Representative · EMH Representative |
· ED&SSU NIC
· ED&SSU MO I/C · Paed MO I/C · PSA Supervisor/I/C · AHA/Access Manager · ACE representative, · EMH representative |
· ED NIC
· ED MO · AHA/Access Manager |
The huddles are to focus on the combination of issues from each area and any impact of patient and staff safety.
Access Management in the SHED QRG
Ambulance Victoria Arrivals – Patient Flow Processes QRG
Patient Streaming – SHED QRG
| Title: | Emergency Department (ED) Access, Patient & Staff Safety Huddles | |
| Version: | 1.0 | |
| Date Published: | February, 2021 | |
| Date of scheduled review: | February, 2022 | |
| Author: | Approver: | |
| ED Leadership Team | ED Leadership Team | |
| NEAT | |
| SSU NEAT | |
| HOME NEAT | |
| BED REQUEST NEAT | |
| AV OFFLOAD | |
| INPATIENT LOAD | |
| NUMBER OF INPATIENTS | |
| LONGEST INPATIENT LOS | |
| BEDS ALLOCATED/READY | |
| SSU | |
| PATIENTS IN SSU | |
| SSU PENDING | |
| ED DEMAND | |
| WAITING | |
| WAITING ABOVE 2 HOURS | |
| AV RAMPED ABOVE 40 MINUTES
|
|
| MENTAL HEALTH | |
| NUMBER INVOL/VOL | |
| NUMBER WAITING ASSESSMENT |
| HUDDLE LEAD SCRIPT | |
| PERFORMANCE TRACKER | |
| · Is there anything we can reflect on regarding yesterday’s performance? | |
| LOOKING FORWARD | |
| · How is staffing?
|
> If vacancies, are they filled? YES/NO
> If unfilled, is this a) not required b) advertised c) unable
|
| · What is our inpatient demand? | |
| · What is our SSU demand? | |
| · What is our ED demand? | |
| · What is the hospital bed availability? | |
| · What is our mental health demand?
· Any restraint use? |
|
| · Is there any clinical risk? | |
| · Are there any equipment, IT or environmental issues? | |
| · Anything else to mention? | |
| ISSUES LOG | |
| · Are there any outstanding issues that need resolution? | |
| OVERALL STATUS | |
| · Where are our pressure points?
o Staff o Service o Standards o Environment |
Refer to escalation criteria |
| ESCALATION DETAILS | |
| · Are there any issues that require escalation? | |
| ACTIONS | |
| · How do we address domains with amber and red status? | |
| · How can we best meet demand right now? | |
| · Should we ask for help to fix something? > Yes – escalate via Huddle Text | |
| · Does anything need an FYI to management? > Yes – notify via Huddle Text | |
