Clinical nurse specialists at Imperial College Healthcare Trust are promoting their role and helping train other nurses using an initiative borrowed from medicine.
“Grand rounds” usually consist of presentations on medical case studies to an audience of doctors. But Katy Odedra and Jan Hitchcock, co-chairs of the trust’s CNS forum, have adapted the idea for nursing.
They are the first in the UK to introduce a “grand round for nursing”, in which nurses meet to discuss patient case studies, such as transfusion errors, and give examples of best practice. CNSs present two clinical case studies at each session, followed by discussion. Unlike medical grand rounds, they are open to all clinical staff at the hospital including consultants.
The CNS forum has also produced a register including each of the trust’s 250 CNSs and their specialty, which they hope will help nurses notify them more quickly when a relevant patient is admitted and encourage consultants to refer more patients on to them.
Ms Hitchcock, an outpatient antibiotic therapy CNS, said: “Ultimately this should improve the quality of patient care by encouraging clinicians to refer patients to the right clinical nurse specialist in a timely manner.”
Ms Odedra, an asthma and allergy CNS, added: “It’s about promoting our role and showing our skills and knowledge. This is not something we’ve heard of before in the UK.”
She said they had held two nursing grand rounds so far at St Mary’s Hospital and that the idea would be piloted for three months, after which it would be decided whether to expand it to Imperial’s other sites.
She told Nursing Times the grand rounds had been positively received by nurses doctors. “The medical side has been really positive,” she said. “The CNSs love it because they are promoting what they do.”
|Imperial College Healhcare Trust Grand Round|
|Aims and Objectives|
To provide a professional forum for Imperial College Healthcare NHS Trust Registered Nurses to continue to develop their clinical and professional expertise in providing quality and evidence based care.