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Luke Brown

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About Luke Brown

  • Rank
    Starter

Profile Information

  • First name
    Luke
  • Last name
    Brown
  • Country
    United Kingdom

About me

  • About me
    Senior Staff Nurse in London, that has a parallel role of sourcing, developing and distributing a digital health tech app that will increase patient safety and care with the collaboration of BD and PB
  • Organisation
    Homerton University Hospital
  • Role
    Senior Charge Nurse

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  1. Community Post
    During the COVID pandemic, it was clear that Emergency Departments across the UK needed to adapt and quickly, with my trust not exempt from this. We have increased capacity, increased our nursing and doctors on the shop floor, obviously with nurse in charge being responsible for all areas. We have different admission wards in terms of symptoms that the patient has, but also have a different type of flow, which i am getting my head around to be able to share I have seen departments split into 2 and various other ideas coming out from various trusts. Which got me thinking about patient safety and how well this is managed. So.... How is your department responding to the pandemic? Do you have any patient safety initiatives as a result of the response? Is there a long term plan? The reason why i am asking this, is so we can share practice and identify individual trust responses.
  2. Community Post
    During the COVID pandemic, it was clear that Emergency Departments across the UK needed to adapt and quickly, with my trust not exempt from this. We have increased capacity, increased our nursing and doctors on the shop floor, obviously with nurse in charge being responsible for all areas. I have seen departments split into 2 and various other ideas coming out from various trusts. Which got me thinking about patient safety and how well this is managed. So.... How is your department responding to the pandemic? Do you have any patient safety initiatives as a result of the response? Is there a long term plan? The reason why i am asking this, is so we can share practice and identify individual trust responses.
  3. Content Article Comment
    What a fantastic read. If I had a pound for every time this was said to me. To me, if people use the "I'm going to DATIX you" line, I feel that there is an unresolved issue, to which could be dealt with there and then. From experience 9/10 these issues to prompt the threat, are minor at the very most and can be dealt with by talking and understanding. Of course, I am not shying away from incident reporting, but I feel a but of humanity and understanding would go a long way.
  4. Community Post
    I think there is a couple of strands here, There is one element as identified above about not receiving feedback from the incident reported. I know from personal experience, there is an option for this now when the DATIX is closed which is brilliant. But in an age of computers and technology, sometimes the feedback is not as desired, so would recommend a face to face meeting (obviously social distanced). Also I do think there is a culture of fear from completing DATIX's. Even now, I worry when I see a incident report regarding a patient I have looked after. Firstly thinking about the patient and then moving on to, what is going to happen to me? These are natural feelings and I think this can be a barrier to incident reporting. I know there is lots of messages from trusts about being open and honest which we should all strive to be, but in the context of DATIX, I think we need to really home down on the message of DATIX is for learning and areas to improve. I work for a trust that does take this seriously, and we often have team meetings, discuss and learn from these incidents, but doesn't stop the mind doing over time. I think the messaging and a showing of learning practices due to DATIX would actually go a long way!
  5. Community Post
    Hi All, I think your video identifies key areas that would allow us to feel safe at work. What I have found is the lack of clear information being a massive issue, more so during Pandemic times. This is not likely due to the individual trusts, but the change of messages in government on a national basis and the individual trusts adapting as necessary. Although this topic appears very clinical, I feel that members of staff need some certainty in these very uncertain times. Staff are adapting, changing and being flexible with their practices which can be stressful and put a strain on a team & systems. I appreciate that in health care, we constantly change our practices, but this topic is much more personal than previous. This pandemic is indiscriminate, and has the potential to affect staff, staff families, friends, colleagues and so on. When so many health and social care workers have been affected and have died due to this pandemic, the change in practices on top of this, is a lot for people to take in. The problem I fear we have now, is that a lot of staff are "bracing for impact" and I don't know how much reserve particularly the nursing profession has with regards to this. I fear from an economic standpoint, that lockdowns and similar measures would not a be a viable option, therefore approaching Flu season, there is much apprehension regarding Flu vs COVID which is becoming a topic in the back of our minds. Staff Well-Being has definitely been bought forward in recent months, with offers of psychological help and Self Care ideas from larger and local businesses/ apps which has been fantastic. But these are not going to last forever, and if/ when COVID is over, I worry about the aftermath particularly those health and social care practitioners, who may have been in lockdown 2-3 times in certain areas of the UK. I whole-heartedly agree with the 3 you have chosen, but I think there is more. I think having just 3 is a band aid on a gushing wound. I fear we may need a bandage.
  6. Community Post
    I think it’s difficult sometimes to get the balance right, I don’t think it’s a ‘see saw’ I think it’s a balance act of ‘multi-elements’ One one hand the patient who should be our main priority and making sure that Candour and communication of the incident happens. Another side of this would be the investigation itself, which I think people tend to follow the pathway to the letter, however in these pathways, there is no documentation about ‘support for individual’ I have done training linking with this in the past, but there was never a mention of supporting individual, only focusing on the process etc. Then you have your individual who has completed the error, and whether they are suspended/ continuing to work, they are going through an awful time with over analysing the situation, and feeling pressure on the shoulders. So I think it’s much more complex than what many may perceive.... I am sure I’m not the only one to say I have made an error, and I am proud of the nurse who posted the original post! Thank you
  7. Content Article
    We have a new app within Homerton which is featured on the hub. The Homerton University Hospital (HUH) Action Card App is an initiative that aims to bridge the gap between information/processes with clinical members of staff without the need to log into a computer, access the intranet, and finding the long black and white document which is never ending. The Action Card App has easy to read, 1-page coloured documents relating to local and national/local incident trends and Never Events. We entered the Patient Safety Learning Awards on the back of seeing the hub and finding content on there that was incredibly useful on a day to day basis. We genuinely weren't expecting to hear anything back from the Patient Safety Learning team as we are a small trust that not a lot of people know about, and we thought the standard of patient safety initiatives would be high, with many trusts miles ahead of us. I have to say, the team at Patient Safety Learning were nothing but lovely, from the moment the conversation started about the prospect of entering the awards. They all took the time for correspondence and they treated you as a person, as oppose to an entry. When we got the information that we had won the overall prize, we were gobsmacked and elated. The app team were overjoyed with the sense that our hard work had paid off and someone had taken the time to appreciate the work we have been doing at Homerton. We were asked to prepare a presentation prior to the awards, which showcased our work and to share with the attendees of the conference. The day arrived, with so much great work, inspiring talks and a general atmosphere of wanting to do more to keep our patients safe. I would like to thank everyone who heard our presentation (some may say performance) and thank everyone in the Patient Safety Learning team for their help with this process.
  8. Community Post
    Wonderful insight, thank you @Evelyn Prodger, its very easy to get "trapped in a bubble" and not sure about how ither trusts work, particularly as i have expeirence in both, but really flourished in a smaller hospital. As i stated prior, i was very junior in my previous trust and lacked experience. Thank you
  9. Community Post
    I have worked in a large trust in London, but was very junior and didn’t appreciate the enormity of the trust from a management and patient safety perspective. Incredibly, there are further complications for trusts with Community Teams. Very complicated processes, be great if anyone has got any insight into this?
  10. Community Post
    I have been thinking recently about the challenges which is posed towards larger trusts with regards to patient safety. Particularly with getting information disseminated to all staff and being reliant on endless emails. I have recently done some work with our Action Card App which has posed its own challenges particularly with physically getting around the Departments, spreading the word, and assisting people on the app itself. What really helped us iare screen savers, twitter and having those key conversations with stakeholders within the trust. I was wondering what everyone elses perspectives were?
  11. Content Article
    This document charts the story of this journey, the challenges encountered, and also gives my personal perspective. It shows the process of supply and distribution of a smart phone app with its challenges and our achievements as a team.
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