The document describes a proposed "Buddy" system to support district nurses. The system includes a smartphone, smart card, patient pack, and modular kit bag. The kit bag contains supplies and equipment to aid nurses in patient care. The system is intended to improve communication, ensure best practices, and automate processes like stock tracking and record keeping. It allows nurses to efficiently plan routes, access patient information, and complete documentation.

1. budd
your partner in community care

2. The system for district nurses,
budd provides nurses with the
products and services they need,
when they need them.
Hannah Church | 08021759 | May 2011

3. The system comprises of the following
components...
smartphone smart card patient pack kit bag
multi device
These are supported by a combination of new and old services to
aid communication and ensure best practice.

4. smartphone
Application Proposition for the NHS Buddy Proposal
Route Planner to interact with Caseload
Diary, pull postcode from patient le.
Caseload Diary to interact with RiO software,
pull patient name from daily schedule.
budd
your portal to community care
QR Code Reader to view information held
within code or direct to webpage.
Route Map
28 Caseload Diary
PCR Scan Procurement application to read barcodes
budd Procurement and hold the information in a database to be
DN Forum uploaded to an inhouse ordering system.
Record Access
GP Portal DN Forum to act as a portal to a website.
Patient Portal
Record Access to act as a portal to the RiO
iPhone application currently under
Home Page development.
GP Portal to act as a portal to the GP system
emis. Awaiting iPhone development.
Patient Portal to serve as a simple portal to
the relevant website.

5. smart card
multi device
An existing device that enables smart card reading to achieve level 2 security access, thermal printing for patient care records
to be updated without re-writing of notes and barcode scanning to aid in a more automated stock control system.

6. patient pack

7. patient pack
A simple pack containing a communication sheet, feedback postcards and NHS Healthspace login cards to be shared with
close family or trust friends to aid communication between community care workers, patients and family or friends that share
in the care of the patient. A second option is also available, designed specifically for patients out of a 3G receoption zone, or
that would simply prefer a written record of their care.

8. kit bag
A modular kit bag structure enabling the option to carry all or only
some kit with ease.
Fully wipeable and many components dishwashable.
Provides a clean and safe surface to work from.
2D layout aids organisation and easy stock handling.

13. Buddy system can be made bespoke to each nurse and their particular
patient’s needs through personal management of the modules.
One or all components can be used.

14. A day in the life of a BUDDY
District Nurse...

15. John is a District Nurse. He lives in a small house with his wife and two children.
Every morning before his shift begins he takes his Buddy Kit out to the car and
pops it in the boot in one trip.

16. John then drives in to HQ where he has a brief meeting with the rest of the nurses on shift
that day, it’s good to start the morning with the team .

17. John then downloads his schedule for the day, amends the order and updates so the
admin sta can access it in the case of an emergency or query.

18. Once John knows his patient list for the day he checks his personal inventory and
replenishes his Buddy Kit from the stockroom if he needs to.

19. John scans the code on the stock box when choosing an item so the order system and his
personal inventory are updated, making stock handling easier and ensuring everything is
always available.

20. All stocked up and ready to go John quickly plans his route so he can just plug it in and
drive once he’s back in the car.

21. John sets o the day knowing he has all the stock he needs and that if there are any
problems HQ can see where he might be on his route.

22. Once John arrives at his rst patient he can decide which combination of the Buddy Kit to
take. In this case he needs the whole system.

23. John has all his kit with him for this visit at a resiential home but only needs one hand to
transport it all. Leaving the other free to close the boot and lock the car without placing
his bags on the oor.

24. John arrives at the home and rings the doorbell, no balancing act or multiple trips.

25. There is a patient he has not seen before so he scans the patient’s QR code and makes
sure there is nothing important he needs to know before starting treatment.

26. John opens up his Buddy Kit and prepares the dressings on the surface available. It’s
smooth and easy to wipe down before and after he has completed the treatment. The 2D
format means he can see all of his kit clearly.

27. John’s second patient has requested a paper record of their care rather than accessing it
online. John simply plugs his smartphone into the smartcard device and prints out a
summary of the treatment information he has entered for the Patient Care Record.

28. John now leaves the residence and packs the Buddy Kit back into the boot of his car.
Everything is back in the case and clean to use for the next patient.

29. John makes a verbal record of some observations he made whilst completing the last
patients care that he did not want to record in front of the patient as well as a note to
pack a di erent dressing next time. He can later transcribe this using software,
or manually.

30. John can now head back to HQ at the end of his shift. Some of his PCR’s were pushed
during his lunch when he had access to wi- but there are still a few to do once
he gets back.

31. Once back at HQ John uses the smart card reader device and pushes through the new
Patient Care Records so they can be uploaded and saves him having to login and
transcribe like he used to.

32. John and the other members of the team all sit down for their meeting. Members out of
o ce are sent the agenda and minutes using the district forum.

33. Due to an outbreak of MRSA at the residential home John has decided to pop the Buddy
case in the dishwasher. This will prevent any cross-infection with other patients or when
taking his kit home.

34. WIth a clean kit bag and no paperwork to do, John heads home.

35. blueprint
PHYSICAL Buddy RiO O ine Personal Sat Nav QR Code Blank PCR Buddy Buddy Completed Patient Personal Button / Forum / Forum Agenda /
EVIDENCE Kit Bag Schedule Stock Inv. O ine Buddy PP* Kit Bag Surface PCR Copy Notes Update Ack. Board Posts Minutes
Pack Bag Drive to Download Replenish Scan in Plot Route Drive to Unload Carry Ring Enter Greet Establish Make Select Set up Carry out Packaway Complete Print notes * Conclude Depart Load Make Drive to Push PCR’s Break / Real / Team Wash Bag Drive Unload Keep bag
USER ACTION
in Car HO Schedule STock Patient Equipment Equipment Doorbell Residence Patient Situation Notes Equipment Clean Area Treatment Equipment Notes and save Visit Residence Equipment Notes HO Downtime Virtual Chat Meeting Home Bag in home
Line of Interaction
Smart Card Smart Card
Swipe Swipe
Buddy Bag Replenish Bar Coded Download PP’s QR Code Device Forum Update Uploaded Dishwasher
FRONTSTAGE
Maintened Stockroom Stock Route Available Printed in PP Maintained Updated Blogs Agenda etc Avilable
Line of Visibility
Order Case Upload Check + Update Order PP’s Provision Update Update Replace / Download Moderate Write Blog Record /
BACKSTAGE PCR’s Push Info.
/ Parts Schedule Push Order Files of PP Application Security Service Forum
Internal Interaction
Maintain Enable
Design / Manage Manage Implement Design / QR Code Software Encription Device Buddy Create Create Maintain
Smart Card Secure
Manu. RiO System Stock Sys. Software Manu. System edit iPhone Software Contract Software Forum Blog
System Blog
PP = Patient Packs * Option for non 3G catchment area / QR opt out patients

36. For more information about BUD ...
hello@hannahchurch.co.uk +44 (0) 7595 549 422