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Community Nurse In-reach (CNIR)

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Community Nurse In-reach (CNIR) Providing safe & effective nursing discharges across the Hospital & Community Interface. – PowerPoint PPT presentation

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Title: Community Nurse In-reach (CNIR)


1
Community Nurse In-reach (CNIR)
  • Providing safe effective nursing discharges
    across the Hospital Community Interface.

2
Background
  • Experience of the Case finder Project
    (2003-2004).
  • Evidence of the Berkshire High Tech Team.
  • District Nursing Modernisation (2004-2006).
  • CNIR team appointed Feb 2006.
  • Two WTE DN Sister Band 6, One at the BCH and one
    UHD.(2006)
  • Four WTE DN Sisters Band 6 and WTE Band7 Team
    Leader/Lead Nurse (2013)

3
Community Nurse In-reach (CNIR)
  • Team Aims
  • To prevent unnecessary admission to hospital
  • To facilitate early supported discharge

4
CNIR Roles to meet the Targets
  • Case finder
  • Facilitator
  • Consultative/Educator
  • Advocacy

5
Case finder
  • Patient selection is key to safe service
    provision
  • Attend daily bed meetings
  • Hospital Based
  • Visible presence in A/E, AMAU, Outpatients and
    Wards

6
Facilitator
  • Provides knowledge of and access to the community
    service menu.
  • Acts as a conduit between hospital and community.
  • Work in partnership to facilitate discharges
    through a more structured, co-ordinated and
    standardised approach.
  • Establishes good sustainable links between the
    primary and secondary care.
  • Identifies community alternatives and seeks
    patient consent

7
Consultative/ Educator
  • Identify and advise on new development potential.
  • Provides professional and clinical leadership in
    the implementation of service development.
  • Identifies service development potential and
    associated training needs of community staff.
  • Develop policies, guidelines and protocols to
    introduce new procedures or initiatives.
  • Carry out joint visits with District Nurses to
    support and supervise practice if required.

8
Advocacy
  • Promotes mutual understanding across primary and
    secondary interface.
  • Patient care is provided in an environment that
    is essentially their own, where they feel at ease
    with the potential for a faster recovery.
  • Family and carers are more involved in the care.
  • Reduces the risk of hospital acquired infections

9
Learning Development
  • What has been achieved
  • Intravenous Therapy- OPHAT (Wards, O/P A/E)
  • Community Midline service
  • Expediting delayed discharges- fast tracking
    equipment
  • Dehydration issues in Nursing Homes
  • Increased number of complex palliative patients
    now supported at Home
  • Enhanced early discharge Colorectal and Breast
    Care patients
  • Participating in Community Urgent Care Pilot

10
Measured Outcomes
  • Jan-Dec 2007 Referrals 777 Bed Days saved
    2293
  • Jan-Dec 2008 Referrals 729 Bed Days saved
    3473
  • Jan-Dec 2009 Referrals 1129 Bed Days saved
    4822
  • Jan-Dec2010 Referrals 1365 Bed Days saved
    6195
  • Jan-Dec2011 Referrals 1342 bed days saved
    7118
  • Jan-Dec2012 Referrals 1805 Bed Days saved
    9512

11
Any Questions?
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