\u2018Appalling\u2019 rise in abuse against NHS Shetland staff condemned<\/a><\/p>\n<\/p>\nAnd inspectors urged NHS Shetland to improve hand hygiene across the hospital, saying that \u201cmissed hand hygiene opportunities\u201d were witnessed in several departments.<\/p>\n
\u201cWithin one inpatient area we observed a lack of availability of alcohol- based hand rub dispensers in the patient bays,\u201d they said.<\/p>\n
\u201cSeveral medical and allied healthcare professionals were observed not complying with bare below the elbows guidance with the wearing of wrist watches.<\/p>\n
\u201cAdhering with bare below the elbows is essential to support effective hand hygiene.<\/p>\n
\u201cStaff told us that patients should be offered hand hygiene prior to their meal, with the provision of hand wipes. However, this was not observed by the inspectors.\u201d<\/p>\n
However inspectors reserved special praise for the NHS staff as a while, saying that patients were seen to be \u201ctreated kindly with respect and compassion\u201d.<\/p>\n
\u201cAll interactions between staff and patients were positive with patients speaking highly of the staff and the care they received.<\/p>\n
\u201cTen student nurses provided feedback from their experience of their placement and 100% of these were very satisfied with their learning experience.\u201d<\/p>\n
The maternity department was also inspected and found to be \u201cclean, organised and maintained to a high standard\u201d.<\/p>\n
\u201cRespectful\u201d team communication was witnessed by inspectors, with efforts ongoing to \u201csupport a positive working culture within the unit and improve staff morale\u201d.<\/p>\n
Major works are ongoing at the Gilbert Bain Hospital. Photo: Shetland News<\/p>\n
While some staff in the unit felt they could raise concerns about understaffing or increased acuity to managers, this was \u201cnot the experience for all staff\u201d.<\/p>\n
The department was praised for its support to mothers in the isle, with the service \u201cable to be flexible and accommodating to the needs of women and their families living on the islands\u201d.<\/p>\n
However several areas for improvement were also required, including a call for a \u201cconsistent approach to helping women make informed decisions about their care\u201d.<\/p>\n
Healthcare Improvement Scotland said there should also be a standardised method of communication between NHS Shetland and other health boards when there were neonatal emergencies and a mother had to be flown south.<\/p>\n
Trauma informed training and bereavement care training for staff were also areas recommended for improvement.<\/p>\n
Chief inspector Donna Maclean said they had written to NHS Shetland in July with their findings, with the health board since providing an improvement plan for all the notices served.<\/p>\n
NHS Shetland\u2019s director of nursing and acute services Professor Kathleen Carolan said they were pleased that inspectors had recognised the high standard of care being delivered by workers at the Gilbert Bain Hospital.<\/p>\n
\u201cWe are committed to ensuring that the required improvements are fully implemented and that we continue to provide, safe, effective and high-quality care in Shetland,\u201d she said.<\/p>\n
Of the report into the maternity service, Professor Carolan said there was a \u201cclear improvement plan in place\u201d.<\/p>\n
\u201cMany of the actions are already underway and we remain committed to continuous improvement and ensuring women and their families receive the highest quality care possible.\u201d<\/p>\n
NHS Shetland chief executive Brian Chittick said the report into acute services \u201creflects the professionalism, dedication and compassion shown by our teams.<\/p>\n
\u201cI am pleased that these strengths have been recognised.<\/p>\n
\u201cMy thanks again to staff for their hard work in sustaining acute services in Shetland, sometimes at the most pressured of times, in service of our community.\u201d<\/p>\n
He said the maternity department team were going \u201cabove and beyond to make unique connections with the community\u201d every day.<\/p>\n
Chief midwife Jacquie Whitaker thanked the maternity team for their support during the inspection.<\/p>\n
\u201cThe inspectors recognised the kind and responsive care the team provides, and this is something to be celebrated,\u201d she said.<\/p>\n
\u201cMy thanks also go to the members of the Maternity Voices Partnership and Shetland Sands for their valued contribution and continued partnership in helping us provide safe, effective care that meets the needs of women and families across Shetland.\u201d<\/p>\n
Your membership helps us report the stories that matter to Shetland \u2014 and keep them free for everyone to read.<\/p>\n
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