Volume 11 Issue 38 Spring 2016 Rotunda WxÄ|äxÜç The Official Newsletter of The Rotunda Hospital News Thank You 2 Management Team New Beginnings 3 Friends of the Rotunda News and Events 4 Over to You The Inca Trail 5 Birth of a Nation 1916 Easter Rising Commemoration Exhibition 6 Quality and Safety Surveillance: Discovering and Recording Infections in the Rotunda 7 Birth of a Nation Round Up Audit Day Winners, Shared Vision, Retirements, Appointments, Competition Prof Fergal Malone (left) with Mrs Sabina Higgins (centre) and Ms Anne M. O’Byrne (right) at the launch of Rotunda: Birth of a Nation 8 n March 6th, 2016, the Rotunda Hospital, launched Rotunda: Birth of a Nation, a commemorative 1916 centenary exhibition. The evening was attended by staff, family and specially invited guests including Guest of Honour, Mrs Sabina Higgins, who formally opened the exhibition. The exhibition showcases the lives of five extraordinary medical women at the Rotunda Hospital during 1916, and acknowledges their role and that of hospital staff during this historic period in the history of Dublin city. Mrs Higgins formally opened the exhibition. With the Master, Professor Fergal Malone, she was brought through the finely crafted commemorative wall hangings and memorabilia which were specifically selected from private collections. Mrs Higgins and guests viewed specially commissioned video footage and newly O exhibited photographs held by the Rotunda, all of which are on display for the duration of the exhibition which runs 7th March to 31st March. The evening included an array of guest speakers who presented inspiring talks on the history of 1916 and the role of the hospital. Ms Sinead McCoole, Curatorial Advisor to the project, commenced the evening lectures with a captivating talk on Women and the Birth of the Nation, followed by Anne MacLellan and Stephen Ferguson, who spoke on Dorothy Stopford Price and the working connections of the GPO and the Rotunda Rink. The underlying theme was the tenacity of the workers during a period of turmoil and strife in Dublin and the desperate social conditions which affected the mothers of the time. The evening closed with a canapé reception and was a fitting start to an exhibition to be remembered. For more information on Rotunda: Birth of a Nation see page 6. elcome to the first Rotunda Delivery for 2016. Since our last publication there have been many developments both here at the Rotunda and within the RCSI Hospital Group. The most significant from the Rotunda’s perspective is that our new Master, Professor Fergal Malone, has taken up his new role and we look forward to supporting him. Dr John Loughrey has been appointed as Clinical Director and Dr Peter McKenna takes on the role of Assistant Clinical Director for Women and Children within the RCSI Hospital Group. Mr Ian Carter has been appointed as RCSI Hospital Group CEO and we wish him well in his new role. The Rotunda was privileged to have Mrs Sabina Higgins as the Guest of Honour to open our commemorative 1916 centenary exhibition, Rotunda: Birth of a Nation in the Pillar Room on 6th March. As 1916 and the events of the Easter Rising fundamentally changed Ireland as a nation its importance is being commemorated here at The Rotunda by this exhibition and a series of lunchtime talks including the role of the hospital, its staff and medical women throughout 1916. The Executive Management Team provide us with an update on key issues such as the Rotunda relocation to the Connolly Hospital campus and the work being undertaken by the relocation project steering committee. The Friends of the Rotunda provide an update on their many recent fundraising activities. In the Over to You section, Pauline Murtagh, a member of the Catering Department, shares with us her account of a truly cultural family holiday to Peru. Pauline had the opportunity to experience Peruvian culture, walk the Inca trail and visit the Colca Canyon. I have no doubt Pauline’s dream of a holiday of lifetime has come true and that she has experienced a holiday that is the envy of any hill walker. In Quality and Safety we include an article in relation to surveillance, discovering and recording infections in the Rotunda Hospital. The article emphasises the important role staff play in such prevention. Remember, this is your newsletter we are always looking for staff to share their stories. W Kieran Slevin Editor Letters to the Editor If you’d like to send a letter to the Editor, suggest a subject to be covered in our next issue or even write an article for us, please contact Kieran Slevin at [email protected] or at ext 1777 or email [email protected] 2 News “ I wish to say a huge “ Message From the Editor Thank You Received from a Mother after the birth of her daughter in October 2015 o Dr Sam Coulter-Smith and all the Rotunda staff that I met during my pregnancy and after the birth of my daughter, in the Rotunda on the 25th of July, 2015, I wish to say a huge thank you. Right from the moment you step inside the front doors of the Rotunda there is a lovely atmosphere and attitude from the ladies working on the reception desk and the security guards. This great attitute and atmosphere follow through to all parts of the Rotunda that we attended. The care I received in the semi private clinic was outstanding. I was nervous throughout my pregnancy due to a terrible hospital experience in 2010 (not in the Rotunda!) when our first daughter was born and a number of unfortunate, but unavoidable, issues that arose in 2013 when our second daughter, was born in the Rotunda. On this third pregnancy several suggestions were made to us to try and ensure I would be in good mental health after our baby was born. Thank you to Ursula for helping me deal with my anxiety during the pregnancy, for introducing me to mindfulness techniques that I continue to use and for guiding me through preparing a birth plan to cover all eventualities. Thank you to Hazel for the yoga classes. I felt completely refreshed and relaxed leaving class every Monday. Thank you to Sarah for the brilliant hypnobirthing classes. Myself and my husband, found these so much more useful and informative than any antenatal class we ever attended. Special thanks to Eileen, Jeannine and in particular Sarah for looking after us when my anxiety levels soared during some of the classes. Sarah really went above and beyond to accomodate myself and my husband. She was fantastic. Thank you to all the midwives, doctors, admin staff and other staff that we met in the semi private clinic during my pregnancy. Every one of you had a fantastic attitude and the clinic itself has a warm, calm atmosphere making appointments all the nicer to attend. We never felt rushed at any of our appointments and we were always given enough time to discuss any concerns we had. Thanks to doctors Donal and Mark who we met towards the end of the pregnancy. Thank you for affording me every opportunity to avoid induction while at the same time clearly explaining to us what courses of action might become medically necessary to ensure my safety and the safety of our baby. Thanks to midwife Michelle on the day ward for providing calm and reassurance during the last few days of my pregnancy. Thankfully our baby decided to arrive slightly early and I was able to spend the first part of my labour in the comfort of my own home, unlike my previous pregnancies where I was admitted to hospital prior to going into labour. Huge thanks to Pauline who looked after us on the pre labour ward when we were admitted and Aisling who looked after us in the delivery suite that night. You both played a big role in making this third labour and birth such a good experience (as did our baby who behaved so well and did not go into distress like her sisters before her!). We are sure that all of the preparation and care we received during the pregnancy helped a great deal in ensuring we had such a positive experience. The post natal care was also great. Particular thanks to Cathy for taking time to help me to feed and to hand express ensuring that our baby had enough milk. We were delighted that she did not require a neonatal admission due to low blood sugars as happened with both our previous daughters. While thankfully they had a very minor issue compared to most of the other little patients, the 24 hour separation from them played a part in my low mood after their births. Myself and my husband are so grateful to you all that I am finally experiencing the happiness of bringing home a newborn baby and feeling like my usual confident self and not the shell of myself that I felt after having our first baby and the anxious mum I felt after having our second baby. It has only been twelve weeks since our daughter was born, but already it feels like she has been part of our family for a lot longer. They have been twelve very happy weeks and we look forward to so many more happy years with our family. Thank you so much for all your hard work in delivering a happy mammy to look after our three beautiful daughters. It has meant a world of difference to us, and no doubt to our daughters too, to have a happy, healthy mummy in the house. T The Rotunda Hospital accepts no responsibility for errors, omissions or views expressed herein. © 2016 Rotunda Hospital. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means without prior permission of the Editor and the Publishers. Rotunda Delivery is produced by Geraldine Walsh of the Rotunda Hospital Library and Information Service. Published by Rotunda Hospital, Parnell Square, Dublin 1. Tel: 01 8171700. Fax: 01 8726523. www.rotunda.ie Management Team he EMT is delighted to have this opportunity to communicate with you through Rotunda Delivery in its first edition of 2016. In particular the Rotunda’s new Master, Professor Fergal Malone, is very happy to have this forum as one of many to communicate with you. We hope that this year will give us an opportunity to not only continue with the long and excellent history of care to women and babies but will also see an expansion of our services in the wider RCSI Hospitals Group setting. T New Beginnings Rotunda Relocation to Connolly The Minister for Health announced in 2015 that the Rotunda Hospital would co-locate with Connolly Hospital and the Rotunda has established a Relocation Project Steering Committee to enable the move. Issues that need to be considered include: best location on the Connolly Campus for the new Rotunda; what services can be shared and how those shared services will be governed; what is the model of care to be planned for; what community supports will be required; what staff resources are required. We intend to have regular communications with staff to keep you appraised on the progress. L - R: Ms Margaret Philbin, Prof Fergal Malone and Ms Pauline Treanor Transitional Planning The timeframe to achieving re-location is 5 to 7 years. In the interim there is an urgent requirement to maximise the use of existing campus and resources to ensure the delivery of safe and quality care, while transitioning to a re-located site. We have to consider the recommendations of the recently published Maternity Strategy and areas such as model of care, staffing (levels and skill mix), facilities (configuration of space), and opportunities for shared services. All planning must consider recommendations emerging from HIQA and HSE reviews in Galway and Portlaoise. We have conducted a review of existing services and staffing and it is evident that considerable staff and skill mix shortages remain at the Hospital. While a more detailed workforce plan is required that will be aligned with recommendations from the National Maternity Strategy. We are progressing the recruitment of three new Rotunda-Connolly OBGYN consultants, two new RotundaConnolly anaesthesia consultants, and a new RCSI-Rotunda academic OBGYN post. We have also identified significant additional midwife, theatre nurse, and NICU nurse recruitment needs as well as other admin and support services requirements. Prof Fergal Malone Master RCSI Hospitals Group Dr Peter McKenna has been appointed as Assistant Clinical Director for the Women and Children’s Directorate within the Group and we wish him well in that role. In this role the Group Clinical Directorate will take a lead advisory/leadership role for maternity, neonatal and benign gynaecology services within the Group. We welcome the new RCSI Hospitals Group CEO, Mr Ian Carter and look forward to working with him in the continued development of the Group objectives. Rotunda Clinical Director Dr John Loughrey has taken over as the Rotunda Clinical Director and we wish him well in that role. John’s focus for this year will be on assisting the Master to implement a full clinical handover system and to address the medical EWTD compliance across the hospital. Budget 2016 We have received an initial allocation of €45.984m which represents a 4.5% (€2.203m) reduction from final out turn expenditure in 2015. The income target for 2016 (€19.125m) is way in excess of what was internally Ms Margaret Philbin Director of Midwifery/Nursing projected and represents an uplift of 6% on 2015 which is unrealistic and is a serious concern. We have represented our concerns to the CEO of the RCSI Hospitals Group. Quality, Safety and Risk We are delighted to advise that we frequently get extremely good feedback from patients on their experience in the Rotunda as evidenced by a letter from a patient in this edition. However communication difficulties is the most common theme when we review complaints and this is consistent with the evidence of maternity service users throughout the country as reported in the Maternity Strategy. We will be focusing on a number of approaches to assist staff manage patient communication better. The objective is to improve the patient experience and reduce stress for staff in responding to a complaint or other issues. The Rotunda manages and fulfils its requirements in respect to national guidelines on Serious Reportable Events and we are reviewing the process for managing such reviews to ensure efficiency and to encourage learning not only in the Rotunda but at wider Group and national level. Ms Pauline Treanor Secretary/Group General Manager 3 Friends of the Rotunda Fundraise for the Rotunda Fundraisers Eleanor Curran and Shane Ó’Foghlú have so far raised an incredible €23,671.43 in loving memory of their twins Aidan and Donnachadh to support the Rotunda's Bereavement Support Service. Our sincere thanks to the 4th Year Pupils of Our Lady's School, Terenure, for sending us donations of brand new baby clothes in support of the Rotunda Hospital's Medical Social Work team. Congratulations to our fundraiser Adrian McEneaney (centre) and his friends Chris Dillon (left) and Cathal McShane (right) before their Charity 5K run at Christmas to raise €215.50 in aid of NICU. Give as You Earn We in BT have a Give As You Earn scheme where employees give a monthly amount to a Charity fund which the company match. This month we had a cake sale for Friends of the Rotunda to support a friend who used your services recently. The cake sale raised €600 and the Charity scheme matched this to give €1,200. Your charity provided great support to parents in their time of need and it was our pleasure to support. Pádraic Ó Conchúir - Commercial Finance, BT Ireland 4 Over To You The Inca Trail By Pauline Murtagh Catering Officer W reached the Salkantay Pass. He invited us to join him in the ancient ceremony. We held three coco leaves and faced the sun, then recited a prayer and blew the leaves while making a wish. It was very emotional especially because of the reverence Joeyll had for the mountains. As a group member finished reciting his prayer an avalanche began. The sounds of the falling debris were both frightening and beautiful as if the gods were answering our prayers. We hiked for a further three days until we “ arrived at Calientes. From there we climbed 1422 steps up to the site of Machu Picchu, reaching the temple just as the sun began to rise. This ancient wonder had endured the conquistadors due to its inaccessibility. The intricate design of high stone structures was dedicated to the God of the Mountain. Machu Picchu is the greatest lasting achievement of the Incan Empire. To complete the Incan Trail was a dream come true for my family and myself. A dream I will never forget. My husband, Harry, offered the boatman a shot of whiskey, he slipped a drop overboard dedicating it to Pacha Mama, the God of the Sea, who provides him with water and his livelihood. “ e arrived in Arequipa, Peru, not knowing what to expect. As my family and I stood in the town square we were astonished by our first taste of Peruvian culture. The square was filled with colourful characters, all wearing traditional Peruvian garb. They proudly celebrate their heritage and spirituality. However, the El Misti Mountain in the background dominates the scenery. This mountain holds historic importance to the natives, as it was an ancient sacrificial site. The rest of our group consisted of three Americans and a Canadian. This terrific group of people, each looking out for one another, made our journey an unforgettable experience. This was the first stage of the Inca trail. Our next stop was the Colca Canyon, which towers 3120 meters above sea level; this is a test of altitude tolerance and it’s effects on the group. The high altitude has a strange effect with breathing becoming shallow and legs becoming heavy and cumbersome. Colca Canyon is also famous for its condors and we were fortunate enough to observe two of these magnificent birds. From there we hiked to Lake Titicaca, the highest navigable lake in the world at 3856m above sea level. The lake is a glistening sea of azure blue that holds several islands, each island with it’s own individual identity. The spirituality of the Peruvians is evident everywhere. My husband, Harry, offered the boatman a shot of whiskey, he slipped a drop overboard dedicating it to Pacha Mama, the God of the Sea, who provides him with water and his livelihood. The people came to these islands circa 1200 A.D. to escape the various invasions of the Spanish conquistadors. Each island was different. Uros was a man made floating island built on a foundation of dried reeds. Amandari was fertile and green and covered in terraced buildings. Our final island was Tequila, famous for its hand made textiles. All the inhabitants could be seen knitting and weaving wool. The next stage was a five-day hike to Machu Picchu via the Salkantay Mountain. On the second day our Peruvian guide, Joeyll, performed an Incan ritual once we 5 Rotunda 1916 Exhibition “ Birth of a “ Nation We are delighted to be part of this story and invite you all to share in it’s role in these centenary celebrations. - Anne M. O’Byrne By Anne M. O’Byrne Librarian 016 is an historic year in Irish history marking the centenary of the Easter Rising and as such is being honoured by Government organisations throughout Ireland. The Rotunda Hospital is well placed to mark this occasion and has done so by the development of its own exhibition - Rotunda: Birth of a Nation. The exhibition, which was launched on March 6th in the Rotunda Pillar Room, acknowledges the role of the hospital, its staff and five prominent medical women throughout the events of 1916. Through a series of never before seen images, diaries and specially commissioned video footage, the public are introduced to the women of the Rising at the Rotunda who went on to become prominent figures in Irish history. They are Bridget Lyons Thornton, Kathleen Lynn, Dorothy Stopford Price, Mary O’Shea and the Hon Albinia Brodrick. It offers an intriguing insight into these women, from the well known Kathleen Lynn, a member of the Irish Citizen’s Army whom she herself described as a “Red Cross doctor and belligerent” to the little known Mary O’Shea. Mary, originally from County Laois, witnessed the surrender of the leaders of the Rising on the grounds of the Rotunda. Through the exhibition patrons are welcome to experience the desperate social conditions experienced by mothers and babies of Dublin City and the remarkable women who cared for them in the “district service”. A weekly series of lunchtime talks are also free to the public during the exhibition following the theme of medicine in 1916. A joint effort, the exhibition has been collated by a multidisciplinary group of Rotunda Staff under the lead of Head Librarian, Anne O’Byrne and the curatorial advise of historian Sinead McCoole. 2 Mrs Higgins (centre) with the 1916 Commemoration Committee at the launch of Rotunda: Birth of a Nation Georgina Miller portraying Mary O’Shea at the launch of Rotunda: Birth of a Nation Rotunda: Birth of a Nation runs until Thursday, 31st of March. The exhibition is free of charge and open to the public. Mrs Higgins (left) and Anne O’Byrne (right) exploring the exhibition The Exhibition is open Monday to Friday - 10am to 4pm Saturday & Sunday - 10am to 5pm until 31st of March, 2016. Also Open on St Patricks Day and throughout Easter. Admission Free. Contact [email protected] for more information. 6 Quality & Safety Surveillance By Marian Brennan ADOM/N, Infection Prevention and Control he control of infections in a hospital is very necessary and requires the support of all staff. There are many strategies involved in ensuring that infection is prevented. One of them is surveillance of infections. The word surveillance comes from a French phrase for watching over - sur means from above and veiller means to watch. The Oxford English Dictionary states Surveillance is the monitoring of the behavior, activities, or other changing information, usually of people for the purpose of influencing, managing, directing, or protecting them. Surveillance of infection in a hospital is done for the following reasons: • To detect changes in the pattern of disease and measure outcome; • To reduce the amount of avoidable infection and to identify high-risk patients so that selective measures can be introduced, and to ensure that control efforts have their most cost-effective outcome. • To recognize, by any unusual level or change in level of incidence, the existence or impending spread of an outbreak, and to identify the appearance of any particularly dangerous organism; • To assess the efficacy of the regular preventative measures in use in the hospital and to provide information for planning. Surveillance consists of the following Data collection; Analysis of the data; Feedback of the results to medical, midwifery and nursing staff and others involved in decision making. The surveillance of infections in the Rotunda is done by the Consultant Microbiologist, the Microbiology Scientists and the infection prevention and control (IPC) midwives Discovering & Recording Infections in the Rotunda T Data Collection The data is collected by reviewing laboratory records and routine visits to the wards. Reviewing the laboratory results: • Specific alert organisms are highlighted. This would include organisms which are likely to spread and could cause an outbreak and infections which are particularly severe or difficult to treat, such as meningitis or blood stream infections (bacteremias). • Organisms which are resistant to certain antibiotics such as MRSA • All infections from the neonatal unit • Communicable diseases including blood borne viruses, sexually transmitted diseases, food poisoning and childhood infectious diseases (e.g. chicken-pox, slapped cheek) Routine visits to the wards by the IPC midwives. • The IPC midwives visits the wards and takes details about the patients with infections. They also review the patients from the laboratory list and checks if the patient has a true clinical infection. They also determine if the infection is from the community or if it was acquired in hospital. • They also review the patients with severe wound infections and check with the laboratory if there are any samples from them. • The also collect information about the surgery such as was it planned or emergency and if the woman had other risk factors e.g. overweight, diabetic. Analysis of the data The data is analyzed by the IPC team and the number of cases of each type of infection noted. This is often presented using graphs. Comparisons can be made from one three month period to another. Common factors are reviewed and potential risk factors identified. The number of cases occurring in a particular group at a given time is known as the prevalence. The prevalence for different infections from other hospitals is often published and the rates of infection can be compared with other hospitals. Feedback Information on infections is presented to the infection prevention and control committee (IPCC) every three months and to the medical and midwifery teams at in service and training lectures. When risk factors are identified the IPCC may recommend some changes in practice to try and reduce the risk of infection. 7 Round Up Up Round Audit Day Winners Congratulations to all Audit Day Winners. Retirements Kathleen Walsh, MCA, retired after nearly 21 years service in the Rotunda Hospital. Kathleen was a stylish addition to our staff and was extremely popular with all staff in the hospital. We wish her a very happy and enjoyable retirement. Congratulations to Mary Cairns who retired after 17 loyal years service to the Rotunda Hospital. She will be missed by all of her colleagues. We wish Mary health and happiness in her retirement with her family and four legged friends. Ellen Davis retired in January after 34 years in the Rotunda Hospital. Her dedication and loyalty to the hospital was outstanding and we send our very best wishes to Ellen for the future. We say goodbye to Kathleen O’Donoghue after 3 years working as a member of the Mental Health Team in the hospital and send our best wishes for her retirement. Anne McHugh has recently retired after 8 years working to develop and improve Sexual Assault Treatment Services and Forensic Nurse Education throughout the country. Anne’s commitment to this specialised area was without equal and we congratulate her and wish her well for the future. 1st Prize Mary O’Reilly ADOM Practice Development Audit of IMEWS Completion 2nd Prize Dr Claire Connellan SHO Paediatrics Documentation - Stick it, Write it, Sign it, Stamp it 3rd Prize Dr Sean Fitzpatrick SHO Paediatrics Audit to Assess Timing of Ultrasound Screening for DDH Prize winners pictured with Dr Sharon Cooley and Neil Power - Abbvie Appointments Ms Laura Kelly has joined the staff of the Hospital as our new Senior Dietitian. Some years ago Laura worked with us on a locum basis and has returned to us. We hope Laura has a long and happy time here in the Rotunda Rotunda Hospital Research Study Day Date: 2nd June 2016 Venue: The Pillar Room, Rotunda Hospital Join us for this full day conference and event; a showcase for the depth and breadth of exciting research being conducted in the Rotunda Hospital today – research that improves the lives of parents and children in Dublin, in Ireland and around the world. Contact Cormac at [email protected] for more information Well done to Elizabeth Iredale, Out-Patients, winner of the competition in the Winter issue. Win To be in with a chance of winning a fabulous break in any Irish Country Hotel for two with an evening meal simply answer the following question: Q: Name one of the five moments for Hand Hygiene? Send your answers to Kieran Slevin, HR Dept, Rotunda Hospital, Dublin 1. Closing date 29th April 2016. One entry per person. Terms & Conditions apply. www.irishcountryhotels.com Answer: Name: No: 8 A Shared Vision By Venerable Gordon Linney Rotunda Board of Governors A s a member of the Hospital Board I welcome the opportunity to contribute to this edition of Rotunda Delivery which fulfils such an important communications role within the Rotunda. In such a busy place it can be difficult getting to know people especially for Board members who attend meetings usually in late afternoon and rarely have an opportunity to meet staff. The morning coffee meetings held in the Hall have helped to some extent. Throughout my time on the Board I have always felt that while we have the ultimate responsibility for the hospital, its patients and staff, our day job is to ensure as best we can that the professionals have the means to give optimum care to women and babies. An important dimension of the Board’s work, together with the executive team, is to represent the hospital and its patients to outside bodies such as HSE and Government, especially in these challenging times. Board members, all of whom are unpaid, bring various professional skills and experiences to their work. As well as attending Board meetings some serve on sub committees and working groups. Their reward is the satisfaction of giving something back to society and doing so in a prestigious and forward looking institution. In looking to the future the important thing is to have a shared vision: a new state of the art hospital on a new site. That vision is entirely consistent with spirit of the charter and the thinking of our founder Bartholomew Mosse who, having begun his work in a disused theatre in George’s lane, did not rest until he had provided what was in his day a building ahead of its time.
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