Pan-London Trauma Nursing Group

Meeting minutes

Thursday 11th February 2016 - 16.00-17.30

4th Floor Southside, 105 Victoria Street, London SW1E 6QT

Present

Robert Pinate (RP)(co-chair) Consultant Nurse, ED, King’s College Hospital (SE)

Elaine Cole (EC)Director of Research and Innovation; London Trauma System, Queen Mary’s University of London (Pan-London)

Helen Lawrence (HL) Clinical Nurse Lead, ED, Ashford and St Peter’s (SW)

Donna Barleycorn (DB) Clinical Educator, Chelsea & Westminster (NW)

Michele Elliot (ME)Senior Nurse for Plastics. Orthopaedics, ENT and Major Trauma, St Mary’s Hospital, Imperial College Healthcare (NW)

Anita West (AW) Trauma Nurse Coordinator, Bart’s Health (NE)

Lorrie Lawton (LL) Consultant Nurse, Paediatric Emergency Medicine, King’s College Hospital (SE)

Amy Macneil (AM) Trauma Ward Manager, Bart’s Health (NE)

  1. Apologies

Lorna Donegan (LD) ODN Lead, NHS England (London)

Matt Targett (MT) Matron, ED, Barnet and Chase Farm (NE)

Trish Burton (TB) Bart’s Health (NE)

Francesca Hole (FH) Royal Surrey Hospital (SW)

Shauna Pitchford (SP) ED, Chelsea & Westminster Hospital.

Sarah Moth (SM) Senior Sister, ED, Ashford and St Peters NHS Trust (SW)

Jackie Thompson (JT) Matron ED, East Surrey Hospital

Jane Tippett (JT) ED Nurse Consultant, King’s College Hospital

Fernando Candal Carballido (FCC) East Kent Hospitals (SE)

Jo Lockwood (JL) Matron, Major Trauma Ward, St Mary’s Hospital, Imperial College Healthcare (NW)

Fiona Stubbs (FS) Adult ICU, St Mary’s Hospital, Imperial College Healthcare

Minutes / Action – by whom / Due Date
  1. Minutes from the last meeting:
Correction – Page 3, Typographical error.
Minutes otherwise agreed as accurate. / RP: Typographical edit x 1editsand re-send to group / End - February 2016
  1. Matters arising not on the agenda:
  • Membership:
-Shauna Pitchford has secured a new position at the Royal Brompton Hospital and will be leaving the group. The PLTNG would like to thank Shauna for all her valuable input to the group.
-A new member has been recommended by Shauna from the ED at Chelsea and Westminster - Denise Lenihan, Sister in the ED.
-DB will also ascertain as to who the current trauma is nursing ‘lead’ in the ED at C&W.
-ME confirmed that James Bird from the ED at St Mary’s had been identified to join this group and the NW trauma nursing group
  • Trauma Development Programme – at the last meeting we did not have time to table the new version. This will be tabled at this meeting – see below.
/ ME: To e-mail James Bird and copy in RP for formal addition to the membership. / End - February 2016
  1. Trauma coordinators role descriptor documents:
MT was not able to attend this meeting and sent his apologies. However RP and MT had been able to hold an e-mail conversation and whilst there was no formal paper to review, RP was able to give a basic outline of what the role description might cover.
Group discussed:
  • The descriptors have been requested by the NHSE (London) Trauma ODN Steering Group to assist Trust’s in developing their trauma coordinator service as required in the TQuINS trauma measures.
  • The trauma measures require:
-A ‘service’ and not just a person/individual
-The service must be 7 days a week at the MTC or Paediatric MTC (if applicable) and personnel at Band 7
-The service must be Mon-Fri in TU’s – no banding is stipulated
-The service can be delivered by nurses or AHPs.
Rough outline as per RP and MT discussion and feedback from the meeting:
Key headings:
  • Reception and resuscitation of trauma patients
-May attend trauma calls as part of the team (dependant on service needs)
-System in place to ensure the trauma coordinator service is aware of all primary trauma patients attending the ED.
  • Trauma patient pathway management:
-Management and oversight of the trauma patient pathway throughout the hospital regardless of speciality.
-Overview of all trauma patients in the Trust at any one time
  • Secondary transfers:
-Acts as single point of contact for liaison with other units to arrange secondary transfers
-Assist with the allocation of patients to speciality
-Ensures patient are transferred back to their unit as per-secondary transfer standards.
-Working with the rehabilitation coordinator (as required in the measures) to ensure rehabilitation prescriptions are in place.
  • Governance:
-Adverse incident/DATIX management
-Member of the Trust’s trauma board/committee
-Represents the Trust art regional/network level
-Participates in trauma M&M/review strategies
-Maintains a Trust trauma risk register
-TARN
  • Dependant on local arrangement – oversight of TARN data with the Network Manager.
  • Generates local reports
  • Leads/participates in local and network wide audits as required of TARN
-Pathways and guidelines:
  • Participates in the development of local guidelines and policies
  • Actively identifies areas of weakness in the patient pathway and seeks to address these as appropriate
-Participates in Peer review to include:
  • Preparation of peer review reports
  • Active role during the peer review visitation
  • Can form part of a peer review team reviewing other networks/sites.
  • Training and education:
-Actively participates/leads educational programmes
-Identifies, via an annual training needs analysis, key educational priorities, programmes and pathways.
  • Research and audit:
-Participates in trauma related audit
-Where applicable, active involvement in trauma research portfolio /
  1. MT to send round draft documents for coordinator services at MTC and TU for comment.
  1. Final draft required by 26th February 2016 for submission to the ODN Trauma Steering Group.
/ By Friday 19th February 2016
  1. Trauma ward nursing competencies:
ME tabled a first draft of the trauma ward nursing competencies. This first draft is intended to outline some of the key competencies with further work acknowledged as being required to develop detail.
All steering group members are requested to review the draft competencies and give feedback to ME directly -
Group feedback and comment at the meeting:
  • LL asked regarding paediatric ward competencies. Group acknowledged that this initial work was focussed on adult ward areas but could be adapted to reflect paediatric ward care later.
  • ME keen not to make the competencies to detailed so as to be unmanageable. ME asked for copies of local policies/competencies which could be inserted into this document.
  • A section on special considerations suggested, to include sub-sections on the care of the:
-Older trauma patient
-Bariatric patient
-Substance dependency
-Mental health
-Pregnancy /
  1. All members: Feedback on first draft to ME directly.
  1. ME:2nd draft for review at next PLTNG meeting on the 5th May 2016
/
  1. End of February 2016.
  1. 5th May 2016

  1. National Major Trauma Nursing Group (NMTNG)– update:
RP briefly updated the group:
  • The trauma equivalence statement has now been approved (sent to group members with agenda for this meeting)
  • NMTNG now seeking endorsement/support from:
  • National Major Trauma CRG
  • RCN
  • RCEM
  • College of paramedics
  • Work with NHSE Quality Surveillance Team - new TQuINS trauma measures:
  • Two meeting held to date with the team to input into the new trauma measures due for release in April 2016.
  • NMTNG will be helping to develop a stand-alone trauma nursing measure for emergency departments.
  • RP acknowledged that whilst it won’t influence this re-iteration, our hope is that in future there would also be detailed measures for trauma critical care and trauma ward nursing.

  1. Major Trauma ODN steering group – Update:
  • EC updated group on the new London Trauma System (LTS) website:
  • RP has been asked to liaise with Nicole Skeltys at the LTS to develop the nursing section.
  • EC invited members to look at the web site and suggest additions to their network sub-sections. Website can be found here:

  • Steering group currently focussed on:
  • Development of ‘local measures’ to supplement the national measures. This includes our work on the trauma coordinators descriptors.
  • Reviewing and preparing for the peer review process for this year, essentially:
  • MTC will self-assess
  • TU’s will be peer reviewed
  • Mass casualty incident Pan-Networks policy – work continues on developing the document.

  1. Network feedback
SW:
Update from HL:
Quarterly network nursing meeting continue.
Recent focus on trauma patient feedback strategies.
SE
RP – Network nursing CRG have struggled to meet. No further update from minutes of the last meeting in November 2015.
NW & NE
ME reported that there is now support from the network to establish a nursing group. This will initially take the form a joint nursing group with the NE and which plans to hold its first meeting on the 23rd February 2016.
This will also lead to the possibility of setting up joint NW & NE M&M meetings.
  1. Trauma development programme:
As detailed in previous minutes the feedback form the Trauma ODN steering group was to review the template programme to improve clarity generally but also vis-à-vis the TQuINS trauma measures.
RP and DB tabled the revised version which they had both been working on for approval.
No edits , amendments required: Quorate – Yes = Approved
It is envisaged that the national work, which is seeking to set out 3 levels of practice, will inform a further revision of the template which will best reflect the three tier structure. / RP to re-send development programme template with these minutes / By end of February 2016
  1. Dates for your diary - 2016:
  1. Trauma Care UK Conference, Staffordshire – Nursing programme – 18th April 2016
  2. 2nd Global Conference on Emergency Nursing and Trauma Care: 22 - 24 September 2016: Melia Sitges, Sitges, Spain

  1. Dates of 2016 meetings:
May 2016:
Thursday 5th – 16:00-17:30 Room 401
August 2016:
Thursday 11th – 16:010 – 17:30 Room 401
November 2016:
Thursday 17th 16.00-1730 Room 403

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