Information About the Patient Experience of Observation Survey 2015/2016

Thursday, April 21, 2016 - 15:19 by nigel.groves

Thank you to all patients who took part in the Patient Experience of Observation Survey. 28 out of 44 patients completed the survey and this gave us some very helpful information. What you told us:· The results showed that overall, 22 of the patients that responded to the survey understood the reasons they were on increased observations and more than half agreed with the reasons given.  · 19 of the patients said they felt safe during the increased observations. · A large number of patients said the level of activity they could access when on increased observations was either poor or very poor. · More than half of the patients said they found the increased level of observation a good and helpful experience for them. · 19 patients said they had a care plan and 14 said they had helped to develop it. · 17  patients said they were included in the review of observation levels. · 16 patients said the lack of privacy and personal space helped make increased observations better · 13 patients were included in discussions to reduce the observation levels. · 13 patients said they had sometimes struggled when their observation levels were reduced. · Most of the patients said they did feel supported when their observation levels were reduced.What have we done about it? Staff who work on the wards at Rampton have been sent an information sheet. This has let them know of the results of the survey. They have been told that they need to make sure that when you are put on increased levels of observation they tell you why. They have been reminded that they need to involve you in the observation care plan and that you need to be asked to sign it. Staff have also been reminded about the standards that they have to follow which are clearly written in the observation procedure.What does the procedure say?As per the Rampton Observations Procedure staff have been reminded that they must:· Try to make conversation with the patient they are observing.· Show that they are willing to listen to the patient they are observing.· Engage with the patient and find out their preference what they do in time spent together.· Consider environmental factors with special regard to areas where the patient can be isolated and ensure that the appropriate steps are taken to safeguard the patient and others.· Consider the patient’s dignity in the context of their gender, age and cultural background, and take steps to ensure dignity is maintained without compromising safety.· Ensure that any tools or instruments that could be used to self-harm or harm others are removed. If it is necessary to search the patient this should be done in a sensitive manner in line with local search procedures.· Consider the general safety issues of the patient being observed.· Ensure the patient remains the sole focus of the observation intervention by limiting contact with other patients, staff and visitors.· Promote the patient’s basic needs within the confines of observation, for example refreshments, social interaction and if appropriate, access to fresh air.