TEN (Trauma East News) Check out what we've been up to |
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Welcome to our newsletter! You are among the first to hear the most important news and updates happening across the East of England Trauma Network. Newsletters will be issued every two months. (Volume 2 / Issue 3) |
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Paediatric Trauma Nursing Study Day - Thursday 16th September 2021 The East of England Trauma and Paediatric Critical Care Networks are delighted to present a joint study day aimed at all nurses involved in caring for children across the spectrum of trauma care. |
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The programme has been designed to offer varied and interesting topics pertinent to all areas of paediatric trauma care, and will include: - Introduction to the EoE Trauma Network
- Preparing for a paediatric trauma call
- Human Factors considerations during a paediatric trauma call
- Case Study of a Major Trauma patient cared for in Peterborough and Addenbrookes
- Time Critical Transfers
- Clinical Guidelines Update – Magnet Ingestion
- Clinical Focus – Burns Management
- Impact of sudden trauma on children and families
- Paediatric Rehabilitation
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Radiology SAG - Tuesday, 28th September 2021 The Trauma Network has successfully created a Radiology Specialist Advisory Group with the aim of providing specialist advice and learning opportunities on radiology. Open to all clinicians and operational staff involved in trauma radiology in the region. The group meets every six months and our next Radiology SAG meeting is scheduled for Tuesday, 28th September 2021 14:00 - 16:00 Should you be interested in joining or require further information, please contact your Trauma Lead or email us at trauma.east@nhs.net | | |
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Meet Helen, our Trauma Rehabilitation Co-ordinator My name is Helen Young, and I am the Trauma Rehabilitation Coordinator for the Trauma Network. I am a nurse by profession, and my clinical background is in rehabilitation. I have been a qualified nurse for 27 years. |
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After I married in 1990, as a result of my husbands work, I lived, and trained as a nurse in Swindon, in Wiltshire. After qualifying was extremely lucky to secure a post on an elderly medicine rehabilitation ward. It was here that my love of all things rehab started. During my time in Swindon I progressed to junior sister level, having opportunities to work in both the acute hospital and community hospital settings, and my true ‘calling’ of nursing in neurological rehabilitation was realised.
In 2003 my husband I relocated to Bedfordshire to live closer to our families. I was extremely fortunate to get a junior sister role on The Lewin at Addenbrooke’s Hospital in Cambridge, a stroke and neurological rehabilitation ward.
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Continuing my learning and development, I moved on to other posts. Initially a manager of community neuroogical rehabilitation teams across Bedfordshire, then the opportunity to work as a team manager at the London Spinal Cord injury Centre at the Royal National Orthopaedic Hospital, Stanmore. In late 2011, I was contacted by one of the consultants I had previously worked for, and encouraged to apply for the post of Trauma Rehabilitation Coordinator in the newly forming East of England Trauma Network. Nine and a half years later, I think that I am truly fortunate to have worked with some incredible forward thinking people who share my passion for rehabilitation. By working together, the East of England Trauma Network has been able to pioneer innovation and improve the rehabilitation journey for East of England trauma patients |
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Trauma East Voices The next meeting of our Patient and Public Involvement Group – Trauma East Voices – is Tuesday, 7th September 2021. All Trauma Units and the Major Trauma Centre, as well as many rehabilitation settings and specialist nursing homes, should now have received advertising leaflets and posters to display, and they are available for download via our website. We are keen to increase the group membership of Trauma East Voices, and so ensuring that patients, loved ones and carers are aware of it is vital. If you require further supplies of posters and leaflets, or more information regarding the group, please contact us on trauma.east@nhs.net |
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In our last issue of TEN we explained the valuable role of Peer Reviews in quality assuring trauma care. After a recent peer review visit, Mr Kar Teoh, Trauma Lead at Princess Alexandra Hospital Harlow, shares with us his top tips for getting it right. Top tips for peer review visits With the COVID19 pandemic, face to face visits to hospitals were suspended. As easing of restrictions occurred, Princess Alexandra Hospital hosted a peer review visit of our Major Trauma services by the EOE trauma network in May 2021. I will share some of our top tips learnt from preparing for the peer review process. |
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1) Build a working group to prepare for the peer review visit and engage the wider team The major trauma services in every trauma unit involves multiple specialities. Engage lead clinicians and service managers of all these specialities early to obtain the relevant evidence for the EoE Trauma Unit Self-Assessment Declaration. It will not be possible to do it all yourself as the evidence required is wide ranging. They will also be able to effect changes quickly if needed. 2) Virtual meetings With virtual meetings a common practice in the NHS now, using Teams is an effective way to set up a regular working group. This maximises attendance compared to a face-to-face meeting. A doodle poll is also useful as well to work out the best date and times for these meetings. 3) Inform the executive team early and lock in the peer review date in their diary Contact their PAs and make sure they are able to attend. Having the executive team attend the peer review visit is important. This shows that the trust is engaged in the process. They are usually able to answer the more challenging questions such as funding issues, management issues, etc. 4) Task and Finish group and action log A smaller Task and Finish group as in contrast to the bigger working group will makes it easier to keep track of the in-depth work needed to be done. Keeping an action log (with deadlines and the responsible person) will ensure accountability and track progress. I also found it useful to track progress of each trauma unit quality indicator using a traffic light system. 5) Create a Trauma ‘Peer review network visit’ intranet folder drive I found it useful to have sub folders of each trauma unit quality indicator and ‘bank’ the evidence in there once I received it from the relevant people and update my traffic light system. The folders should be set up in the same format for uploading the evidence into the EOE trauma network NHS Onedrive when submitting it. This makes the evidence submission effortless when required to do so. 6) TARN reports Part of the required evidence are the latest TARN clinical themed report and TARN Major Trauma dashboard report. These can be downloaded from the TARN website. I found it helpful to scrutinise the report especially for those indicators where the trust seemed to be performing below national standards. You will be able to get the TARN case numbers from the TARN website or TARN itself for the indicators and do an in-depth analysis of the reasons. Sometimes, it could just be a data issue. If it was a true issue, acknowledge it and set up an action plan going forwards. Look at these reports early as the investigative process takes a lot of time! |
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7) Update the trust intranet and standard operating policies The peer review trauma network visit is an excellent time to revisit all the trauma SOPs currently in place. Ensure they are still up to date on the intranet and relevant to current clinical practice. Make use of this opportunity to engage the trust in revisiting the Major Trauma Services. 8) National Major Trauma Nursing Group (NMTNG) - Trauma Peer review audit tool - Emergency Trauma Nurse/ AHP quality indicator This is one of the hardest quality indicators to meet. Ensure you send the excel sheet early to BOTH the adult and paediatric nursing trauma leads to fill in. If you struggle to meet this indicator, meet up with the chief nurse and work out an action plan. Sian Cross, Network Education lead, is an excellent contact for this quality indicator. 9) Creating a report for the Trauma Unit Self-Assessment Declaration Although the Trauma Unit Self-Assessment Declaration excel sheet is used to submit the self-assessment and is very useful to help calculate the self-assessment compliance, it can be difficult to type in comments and justify your own self-assessment. I found it much easier to present the data as a report for the peer review team. The report will allow the trauma unit to explain how you have met the standard or reasons for the deviation from the required standard, and if not met, the action plan from the trust. Collating the report is time consuming. As the trauma lead, I found it much easier to prepare the contents of the report myself to have oversight of the whole peer review process. However, you will need some form of administration help especially to format the report to trust standards and make it look professional e.g. from the communication department/TARN coordinator. A big plus would be linking the stated evidence in the pdf report to the mapped location of the evidence on Onedrive. This will make the peer reviewers’ life a lot easier. 10) Combination of virtual and face to face attendance for the peer review visit With partial COVID restrictions in place when the peer review visit happened, it was hard to get a room big enough for the whole wider team to be there physically. We set up a Teams meeting where the wider team dialled in while the executive team and the trust trauma lead were in the same room as the peer review visit team. This system seemed to work really well and everyone was able to contribute to the process to make it a meaningful exercise. Remember to get refreshments for the peer review team! The Peer Review Trauma Network visit can be daunting for new Trauma Lead like me who have never been through the process. However, I found the experience very fulfilling as it has made a significant improvement to my trust’s Major Trauma Services. Most importantly, the trauma network is always here to help rather than beat us up on what we are doing badly. |
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TARN Training Opportunity Considering the high demand for TARN training, the Trauma Network in conjunction with TARN organised a FREE, virtual ad-hoc training session for TARN Co-ordinators in the region. We have already held the Foundation Course but are yet to schedule the "Reporting and Data Validation Course". This session is suitable for starters and those refreshing. If you are interested in participating, or require more information please email us at trauma.east@nhs.net or contact directly Kitti Czegledi (Network Administrator). |
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Dates for your diary As life slowly starts to return to normal, we are planning to resume some of our training courses and group meetings. Have a look at our new calendar for future dates, that might be of your interest. We are continuously adding new events, so please keep an eye on them. Additional information on courses can be accessed on the 'Training/Courses' page. Should you have an specific interest in a course or meeting or would like to join any of them, please don't hesitate to contact us at trauma.east@nhs.net | | |
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How to get involved? From injury prevention to rehabilitation, trauma care covers all interests. Get involved with your local Trauma Committee or send us in your ideas. We will be developing more ways for you to get involved with our Specialist Advisory Groups and with your patients through Trauma East Voices. | | |
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