Date post: | 16-Apr-2017 |
Category: |
Health & Medicine |
Upload: | ms-trust |
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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
Can the patient come Can the patient come to clinic?to clinic?
Is a Home Is a Home Visit Visit
Necessary?Necessary?Can it be dealt with Can it be dealt with on the telephone?on the telephone?
What about ward visits?What about ward visits?
Managing Consultation Time
How do we get How do we get pts to be pts to be
focussed?focussed?
Should we Should we make pts aware make pts aware
of how much of how much time there is?time there is?
Can lists be Can lists be useful?useful?
Can you Can you realistically realistically
address address everything?everything?
When When should we should we
see see complex complex
pts?pts?
Refer to Refer to others?others?
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
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
Dependence
• How do pts contact you?
• Can we become “too” available?
• Do we create dependence?
• How can we reduce dependency?
Managing Expectations
• Building the Relationship• Gaining Trust• Honesty• Education• Dispelling Myths• Appropriate Support• Shared Decision Making• Sometimes saying “No”
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
“Organisation is like exercise, its not very effective if you do it only once. You have to keep at it” (Jill Pollack 2011)
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)
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
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
Changing Landscape
• Increase in demand for our time
• Reducing cost but improving quality
• Need to think differently about how we do things
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
Sources of SupportUKMSSNA
MSTrust
MS Society
Regional meetingsWork
colleagues
Line manager
Clinical supervisio
n
NMCguidance
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