Nursing initiative at KEMH in the spotlight at international conference
Friday 9 December 2022: A procedure developed by Bermuda Hospitals Board nurses was presented at the British Geriatrics Society Autumn Conference on 17 November. It will be published in the Society’s Age and Ageing Journal in a few months.
The abstract, ‘A Novel Pressure Injury Care Bundle for Dependent Patients with Pressure Injuries in Bermuda’, details a nurse-driven initiative of King Edward VII Memorial Hospital’s Gordon Long Term Care Unit. It was presented by the unit’s quality and safety team, including registered nurses Girlie Baldonado, Jerry De La Cruz, Bernadette Diaz and Bernadine Edwards, Long Term Care Clinical Educator Katrina Drummond, and Gordon Unit Clinical Manager Maxine Simmons.
“Our unit-based quality and safety team – all nurses – developed a procedure to help us better manage pressure injuries and prevent our patients developing them,” said Ms Simmons. “These are wounds that occur on the skin as a result of sustained pressure. When pressure cuts off the oxygen supply to a particular area, an ulcer or wound can appear.
“Long-term care residents, especially those who are confined to bed, are more susceptible to developing pressure injuries.”
The goal of the initiative is to address severe pressure injury cases in patients who are transferred into long-term care. The team created and implemented a specific set of actions which augments the existing pressure injury management care pathway.
Nurse Jerry De La Cruz spoke at the virtual conference, which included more than 700 professionals in the field of geriatrics from around the world. His video presentation detailed the project and documented how the majority of pressure injuries, even in severe cases, healed significantly. The wounds healed completely in half of the cases.
“We looked at 30 patients who were admitted to the unit in this study,” said Mr De La Cruz.
“The results of introducing this pressure injury bundle have been very encouraging for all of us carers on the unit,” said Ms Simmons. “We worked hard looking at actions we felt would address the problem, and I can’t describe the gratification in seeing that it has worked.”
Chief of Nursing Judy Richardson said: “Providing patient-centred care, where we focus on the needs of the patient first, is a BHB value which our Gordon Unit nurses exemplified when they developed this care plan. BHB is proud of their work. The British Geriatrics Society publishing it in their journal gives international recognition of its importance.”
In November, Karen Grant Simmons, director of mental health services for Bermuda Hospitals Board, presented on telehealth in psychiatry at a virtual meeting of the Nurses Association of the Commonwealth of the Bahamas.
record. The Patient Electronic & Administrative Records Log (PEARL) is the name of the system which went live at both the King Edward VII Memorial Hospital (KEMH) and the Mid-Atlantic Wellness Institute (MWI) over the weekend.
“I had read the article about the hospital moving to electronic record keeping in the media and thought it was a big step and a positive move for the hospital and the island,” said new mother Kaitlin Edwards. “But I never really thought about what it might mean for my child. It is exciting to recognise that she’s the first to have a paperless medical record at the hospital. I was born here, my husband was born here and so was our son, but she’s not just the first in our family to have a digital birth record, she’s the first in the island. It’s a fun fact she can always be proud of.”
“The theme of World Mental Health Day, which was celebrated on 10 October, was Make Mental Health and Wellbeing for All a Bermuda Priority,” said Preston Swan, BHB acting chief operating officer and VP of MWI clinical operations.
“We recognise that for many, there is a stigma associated with physically attending MWI,” said BHB Chief of Psychiatry Dr Anna Neilson-Williams. “The Markel Bermuda gift gave our clients a choice in accessing our services. Being able to attend their sessions from their homes was a welcome change for many of them and in several instances boosted their spirits.
“It is heartening to learn that our gift has had this impact on MWI clients and staff,” said Markel Bermuda Limited HR Business Partner Sarah Randall. “At Markel, we recognise the importance of proactively attending to our mental health and certainly ascribe to the theme set for Mental Health Awareness in Bermuda this year – Make Mental Health and Wellbeing for All a Bermuda Priority. We are pleased our gift has aided the community in this goal.”
“Every second counts when treating someone who is experiencing a stroke,” said BHB consultant neurologist Dr Kehinde Kolapo. “We really need everyone on the island to recognise when someone is having a stroke, and to get them to the hospital right away.
“BE FAST. These two words can really help everyone remember the symptoms.
“We are tackling prevention by educating the public,” said VP KEMH Clinical Operations Sita Ingram, a member of the Primary Stroke Centre Working Group. “BE FAST is the message we need every resident to know and adhere to.
At its peak, 14% of those who experienced a stroke were able to receive a clot-busting drug that increased their chances of fully recovering. Not all stroke patients are eligible to receive the drug.