{"id":3841,"date":"2017-03-22T13:32:35","date_gmt":"2017-03-22T13:32:35","guid":{"rendered":"http:\/\/www.thinkkidneys.nhs.uk\/aki\/?p=3841"},"modified":"2017-03-22T13:32:35","modified_gmt":"2017-03-22T13:32:35","slug":"stockport-nhs-foundation-trust-story-part-3","status":"publish","type":"post","link":"https:\/\/www.thinkkidneys.nhs.uk\/aki\/blog\/stockport-nhs-foundation-trust-story-part-3\/","title":{"rendered":"The Stockport NHS Foundation Trust Story: Part 3"},"content":{"rendered":"<p><strong>Collaboration, Lamination &amp; Adaptation<\/strong><\/p>\n<p>It had been a busy few weeks just finding my way around the hospital, visiting the wards, infiltrating various forums, when I suddenly had a thought\u2026 <em>Where is our AKI care bundle?<\/em> I had a vague recollection of seeing one when I first met Dr Karl Bonnici (Acute Medicine Consultant) at my pre-interview visit to Stockport. \u00a0When I asked him the next day, the conversation went something like this:<\/p>\n<p style=\"padding-left: 30px;\">Me: Oh\u2026 so that\u2019s an AKI care bundle from another hospital?<\/p>\n<p style=\"padding-left: 30px;\">KB:\u00a0 Yeah, that one\u2019s from Wigan, I\u2019ve got this one from Manchester Royal Infirmary and this one\u2019s from\u2026<\/p>\n<p>In fact, Dr Bonnici had several examples and I wondered\u2026 <em>What is the collective noun for AKI care bundles? <\/em><\/p>\n<p style=\"padding-left: 30px;\">Me: So, we don\u2019t <em>actually<\/em> have one for Stockport?<\/p>\n<p style=\"padding-left: 30px;\">KB:\u00a0 Ermm, well no, but these have given me some really great ideas!<\/p>\n<p style=\"padding-left: 30px;\">Me: Okaaay\u2026 so we need to develop our own?<\/p>\n<p style=\"padding-left: 30px;\">KB:\u00a0 That\u2019s right!<\/p>\n<p><em><a href=\"https:\/\/en.oxforddictionaries.com\/definition\/collaboration\">Collaboration <\/a><\/em>\u00a0Not a collective noun but a great noun and what a wonderful word it is &#8211; working with others to produce or create something. Expressed differently: giving us professional permission to <em>pilfer<\/em> the ideas of others! \u00a0I have been genuinely amazed and grateful for the willingness of others to share their experience, wisdom and resources.\u00a0 You only need look around the \u2018Think Kidneys\u2019 website to see real collaboration in action.<\/p>\n<p>We wanted to develop our care bundle as a single document that not only ensured all the basics were covered, whatever the severity of AKI, but also provided guidance for staff when additional investigations were required and a clear process for escalation.\u00a0 Now, if you\u2019ve read my first blog, you will know that I do not possess the greatest IT skills.\u00a0 Let me tell you, the formatting of that A4 document on my laptop was extremely painful. \u00a0Working at the kitchen table was perhaps not the best place, all things Health &amp; Safety considered, however, it was conveniently close to refreshments.\u00a0\u00a0 Countless versions later, it was finally finished, Stockport had a brilliant AKI care bundle (it\u2019s my prerogative to be biased) and I had tennis elbow, which is no joke!<\/p>\n<p>While the care bundle went off to be printed, I made my own training copies for the ward AKI champions.\u00a0 \u00a0You\u2019ve never truly been involved in quality improvement work until you have mastered the art of lamination \u2013 ask any nurse!\u00a0 \u00a0Armed with my expertly laminated care bundles, I met with the ward managers, all enthusiastic and excited about introducing something so fantastic which would really make a difference to patient safety. \u00a0Maybe it was the crazed look in their eyes, the fixed smile or the slump of the shoulders \u2013 you know the look, it\u2019s the one we display when working flat out and someone comes along and asks you to do even more!<\/p>\n<p>It\u2019s not that the ward managers were reluctant to engage with quality improvement, far from it &#8211; their main concern was about releasing staff for training.\u00a0 I quickly realised that I needed a much more flexible approach and the original plan to deliver group training went out of the window.\u00a0 I agreed to deliver training in each ward at a time that would suit them rather than me.<\/p>\n<p>It was essential that each ward had AKI champions trained to use the care bundle but this way was going to take forever. \u00a0Would I get all areas trained prior to the implementation date set for 16<sup>th<\/sup> May, 2016\u2026? Find out in the next gripping instalment\u2026<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Collaboration, Lamination &amp; Adaptation It had been a busy few weeks just finding my way around the hospital, visiting the wards, infiltrating various forums, when I suddenly had a thought\u2026 Where is our AKI care bundle? I had a vague recollection of seeing one when I first met Dr Karl Bonnici (Acute Medicine Consultant) at my pre-interview visit to Stockport. \u00a0When I asked him the next&#8230;<\/p>\n","protected":false},"author":106,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-3841","post","type-post","status-publish","format-standard","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Stockport NHS Foundation Trust Story: Part 3 - Acute Kidney Injury<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.thinkkidneys.nhs.uk\/aki\/blog\/stockport-nhs-foundation-trust-story-part-3\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Stockport NHS Foundation Trust Story: Part 3 - Acute Kidney Injury\" \/>\n<meta property=\"og:description\" content=\"Collaboration, Lamination &amp; Adaptation It had been a busy few weeks just finding my way around the hospital, visiting the wards, infiltrating various forums, when I suddenly had a thought\u2026 Where is our AKI care bundle? 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