Presentation slides from the UKMSSNA's skills development workshop for MS nurses

1. MS NURSES
SKILLS DEVELOPMENT
WORKSHOP
Helen Rutherford
Sarah White
Emma Matthews
UKMSSNA Committee members

2. Aims of the session
• To provide some practical tips to managing
communication & consultations effectively
• How to keep on top of the admin!
• How and what to audit
• How to develop and maintain being a specialist
• Where to find support

3. Typical problems
experienced

4. How can we
manage these
problems
effectively?

5. Can the patient comeCan the patient come
to clinic?to clinic?
Is a HomeIs a Home
VisitVisit
Necessary?Necessary?
Can it be dealt withCan it be dealt with
on the telephone?on the telephone?
What about ward visits?What about ward visits?

6. Managing Consultation
Time
How do we getHow do we get
pts to bepts to be
focussed?focussed?
Should weShould we
make pts awaremake pts aware
of how muchof how much
time there is?time there is?
Can lists beCan lists be
useful?useful?
Can youCan you
realisticallyrealistically
addressaddress
everything?everything?
WhenWhen
should weshould we
seesee
complexcomplex
pts?pts?
Refer toRefer to
others?others?

7. Things to think about
• Setting limits in clinic – we have x amount of time
• What’s the most important symptom…
• We have 5 minutes left …
• Bring a list?
• Can you do a full assessment?
• New pts ? Double slot ? HV

8. Things to think about
• Ask specific questions.
• Stop consultation at relevant points?
• Can I just take us back to your point about …?
• Being more specific … Type of pain …Frequency …
Duration … How much of a problem?
• Feeding back to the patient - Have I understood
correctly…?
• Agreed course of action

9. Dependence
• How do pts contact you?
• Can we become “too” available?
• Do we create dependence?
• How can we reduce dependency?

10. How can we reduce
dependence?
• Promoting Self Management at onset
• Realistic expectations

11. Managing Expectations
• Building the Relationship
• Gaining Trust
• Honesty
• Education
• Dispelling Myths
• Appropriate Support
• Shared Decision Making
• Sometimes saying “No”

12. End of Consultation
• Shared Decision Making
• Agreement
• Management Plan

13. KEYPOINTS
• Can we be too available?
• Can we promote self
management?
• Shared Decision Making
• Prioritize appropriately
• Manage our time effectively
• Plan treatment in agreement
with patient
• Get pts to be specific
• Get them back on track
• Work within our own roles
and know when to refer on
and to whom
• End the consultation on a
positive note
• Build the relationship
• Be reflective practitioners
• Know when to ask for
help/advice
• Say “NO”
• Know which consultation slot
is most appropriate
• Balance between building
trust and not creating
dependence

14. Managing the
Admin.

16. “Organisation is like
exercise, its not very
effective if you do it only
once. You have to keep at it”
(Jill Pollack
2011)

17. Tips to becoming an organised
Specialist
• Remember you cannot add hours to the day
• Set your goals
• Prioritise
• ? Benefits of multi-tasking
• Delegate where possible
• Don’t suffer from inbox congestion
• Treat phone calls like meetings
• Know yourself
(www.totaljobs.com (2011)

18. MS NURSES SKILLS
DEVELOPMENT WORKSHOP
Sarah White
MS Specialist Nurse
St George’s Hospital, London

19. Audit

20. Audit
• nursing audit is the systematic evaluation of nursing
which results in an improvement in the quality of
patient care.
• Florence Nightingale undertook one of the first
nursing audits during the Crimean War
• Different types of audit:
- standards-based audit
- patient surveys

22. What to audit and why?
• Patient satisfaction
• Service standards
e.g. response times
• Service against
national guidelines
or standards
• MS patient
admissions
• Identifies good
practice and
demonstrates
effective service
• Lead to service
improvements
• Improve working
relationships

23. Changing Landscape
• Increase in demand for our time
• Reducing cost but improving quality
• Need to think differently about how we do things

25. Changing Landscape
• Increase in demand for our time
• Reducing cost but improving quality
• Need to think differently about how we do things

26. Building Personal and
Professional Development
Emma Matthews

27. Personal and
Professional
Development
• MS Trust / MS Society Study Days
• Journals
• Competencies
• Degree modules - Liverpool and Birmingham
• Pharma Sponsored Courses
• Neuro skills assessment course Manchester
• Non medical prescribing
• MS Nurse International Certification Exam

28. Using modern
technology
• RSS feeds
• Apps for smart phones
• Twitter/Facebook/social media

29. Sources of Support
UKMSSNA
MS
Trust
MS Society
Regional
meetings
Work
colleagues
Line
manager
Clinical
supervision
NMC
guidance

30. Some Useful websites
• www.ukmssna.org.uk
• www.mstrust.org.uk
• www.mssociety.org.uk
• www.nice.org.uk
• www.dh.gov.uk/en/index.htm
• www.msif.org/en/
• www.msactivesource.co.uk/
• www.atlasofms.org

31. Any questions?