Two-person(or 2-elf)checking of medication.Nottingham University Hospitals 2-person check is required for controlled drugs/injections/IVs (except prophylactic enoxaparin) 💊Undertake *separate* drug calculations 💊Observe the preparation 💊Equal responsibility 💊Check 5Rs&rate 💊Sign drug chart

Elf has decided to help Santa with his deliveries again this year, he has: 🛷🎁Completed his level 1 and level 2 manual handling training 🛷🎁Completed a manual handling risk assessment Are you up to date with your training? Contact your local clinical educator if you need help

Elf is checking the fridge temperature! ❄️Check and record medication room and fridge temperatures daily ❄️If out of range - take action to address problem (follow flow chart) ❄️Document the actions you took ❄️For help refer to pharmacy intranet page or speak to pharmacist

Elf’s avoiding an Information Governance (IG) breach by carefully: ✉️Sending letters to ensure they are separated properly 📧Sending via NHS.net email if external(secure) ☎️Checking who is speaking on the phone&who can overhear 🙊Not sharing info without consent!

Elf’s planning for dinner, but everyone likes different things! Nottingham University Hospitals provide multiple menus for people to choose from! 🍴Memory Menu 🍴Renal Menu 🍴Modified Texture 🍴Halal 🍴Kosher 🍴Low Fibre 🍴Allergen Free 🍴Snacks/Soup Speak to catering/NottmDietetics 🏳️‍🌈 for info.

Elf’s monitoring his nutritional status… 🥧MUST assessment weekly 🥧Food Charts 🥧Discuss pt preference 🥧Provide menu options 🥧Refer to NUH Acute SLT if swallowing concerns/NottmDietetics 🏳️‍🌈 for review 🥧Escalate concerns to medics 🥧Refer to nutrition MDT for further advice

Elf is reading the ‘Elf & Safety’ bulletin! To avoid Formalin spills: ensure the pot is on a flat surface when opening, do not overfill! Ensure you wear correct PPE: 🥽glasses,🧤gloves, apron. Slowly lower the sample in the pot to avoid splashing. Further guidance on intranet

Work with those involved in your improvement. Don’t try to write your aim in a sentence straight away. Start by making notes answering each part of SMART. These questions can help. Remember not to include solutions in your aim, describe what will be different as a result.

Elf has noticed a reduction in quality of present wrapping. He is using SEIPs 2.0 to think about the wider system rather than blaming individuals. 🎁Tools&Tech-blunt scissors 🎁Internal Environment-clutter 🎁Person-burnt out elves 🎁Task-complex shapes 🎁Organisation-training

Elf has decided that next time he is providing 1:1 or enhanced supervision he is going to make it more meaningful, by engaging patients in conversations, giving them a pamper, doing activities or playing a game with them. #BeMoreElf!

4 Key steps for inpatient transfers: 🛷Assess patient pre-transfer, including NEWS2 obs 🛷Risk assess transfer, consider appropriate personnel and equipment (Use matrix) 🛷Handover important info and outstanding tasks 🛷Take a ‘STOP’ moment to check safety before leaving.

Elf has been ‘helping’ the #TeamCAS Divisional Leadership team with final preparations before Christmas….

The fabulous Team SRU have updated their infection control board for #HandHygieneAwareness NUH Nursing #TeamCAS

Happy #WorldAdminProfessionals day to our 3 wonderful QRS admin colleagues; and wider admin workforce across #TeamCAS and Nottingham University Hospitals. Thank you for all you do.

Happy Biomedical Science Day! #TeamCAS

On tour today at the #CASconference. Looking forward to meeting staff and talking all things QRS - #TeamCAS