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Kim Pentreath - Bendigo Health
- 2. Moving hospital § Overview of Bendigo Health § Old Hospital § New Hospital § Challenges & Issues § Staff Training § Preparing to move § Move day and beyond
- 3. Bendigo Health § Victoria’s leading regional health service for acute, sub acute and community based care § Serving the Loddon Mallee region for more than 160 years § Over 3,400 staff and 280 volunteers across all services § Performs more than 12,600 surgical procedures per year § Delivers more than 1,300 babies annually Not a small country hospital!
- 4. Bendigo Health Services include: § Emergency § Maternity & women’s health § Medical Imaging § Pathology § Rehabilitation § Community services § Psychiatric care § Community dental § Hospice/palliative care § Cardiology § Cancer services § Renal dialysis Education partnerships with La Trobe & Monash Universities
- 5. Old Bendigo Hospital Perioperative Department (Interventional Suite) § 5 main theatres • Major surgery § 1 minor theatre • Endoscopy
- 6. Old Department Very old department : § 6 theatres § 10 Bays Pacu stage 1 § 4 PACU stage 2 bays § PACU stage 3 with 16 chairs A very busy department!
- 9. New Bendigo Hospital Features include: § 372 inpatient unit beds § 72 same-day acute beds § 11 operating theatres, 2 cath labs, ect/toe room § A regional integrated cancer centre § An 80-bed integrated psychiatric inpatient unit, including a parent- infant unit § Retail shops and cafes
- 11. New Bendigo Hospital A Victorian Government funded project § Bendigo Health Project Team § Department of Health § Lend Lease § Spotless § Exemplar Health Public Private Partnership (PPP)
- 12. Challenges & Issues § Many parties involved § Knowledge & experience § Standards, guidelines & best practice § Design § Workflow § Storage
- 14. Order of Business • Equipment Training, we have 90% new equipment, commenced in November 2016. • General Orientation commenced mid November post technical completion. • Specific Area Orientation, challenging with old site continued operation at 100%. • Induction, emergency procedures etc.
- 15. Training – How did we cope? • Clinical corporate trainers, experts in everything!! One per area. 1 only in interventional suite. • Super user training, nominated people. • End user training, everyone including Medical staff.
- 16. Staff Training Training in the new hospital commenced mid October 2016 § Still a building site – appropriate PPE § Still operating at full capacity in old site until xmas § New equipment – number of companies. § Super users
- 18. Code Testing
- 19. Validation of the New Department Performance Qualification (PQ): § Steam sterilisers § Low temperature sterilisers § Washers disinfectors § Ultrasonic cleaners § Trolley cart washers § Heat sealers § Endoscope reprocessors § Scope drying cabinets § Drying cabinets All equipment involved in reprocessing RMD’s must undergo PQ
- 20. Issues with Validation § Timeframe to validate all equipment § Power & water outages – still a building site § Water Quality – poor quality potable water § Staffing levels
- 23. Staff Training
- 26. Electronic Tracking System § New to BH § Traceability § Scanning § Electronic records
- 27. Top 5 Stressful Situations 1. Death of a loved one 2. Divorce 3. Moving house 4. Major illness 5. Job loss
- 28. Top 5 Stressful Situations 1. Death of a loved one 2. Divorce 3. Moving house 4. Major illness 5. Job loss 1. Moving hospital
- 29. “Any disruption of your routine causes stress” § Over 600 pieces of new equipment § 8 more procedure rooms § 3 x the amount of floor space Life was about to become a lot different..!
- 30. Pre-move day Two weeks prior to the move, the plan was: § New Department clinically cleaned § Familiarisation for staff § Transportation of RMD’s from old to new § Begin to reprocess RMD’s
- 31. Pre-move day Two weeks prior to the move: § Works still continuing in parts of department § 5 days without water § Reprocessed over 3,000 items in 9 days in cssd
- 32. • Stock Levels to accommodate new department. • Organising new sterile and non sterile stores, a turf war!! • Staff to stock new speciality trolleys.
- 36. Move day (or was it D-Day?) January 24th 2017 § Staffing at both sites § Coordination of equipment at both sites §
- 38. Stage 2
- 39. Where are we now? State of the art Interventional Suite: § Latest Technology & Equipment § 11 operating theatres § 2 cardiac cath lab § 1 ECT/TOE procedure room § 1st, 2nd & 3rd stage recovery § Sterilising department § Day of surgery admissions
- 40. What have we learnt..? § Communication § Teamwork § Establish processes § Workflow § Spotless
- 41. Thank you!