Two frontline nurses are spearheading a drive to make Hull’s A&E department a friendlier place for patients with dementia and their families.

Carers are now able to stay with relatives when they are rushed to the Emergency Department at Hull Royal Infirmary after staff nurses Lisa Branston and Beca Trewhitt made it their mission to improve the experience for patients and their families.

Families are also asked to list their relative’s likes and dislikes, what makes them anxious, what equipment they need such as glasses or walking sticks and what staff can do to make the patient feel safer and less anxious during their stay in hospital.

The questionnaire is then passed on to other departments and wards in Hull University Teaching Hospitals NHS Trust and is kept on file for future reference if they need to be brought to hospital again.

Beca Trewhitt and Lisa Branston with their questionnaire

Lisa, who has worked at the trust for four years, said: “In the past, relatives would often say they felt like no one was telling them anything because we were busy delivering the care while they were in the waiting area.

“We’ve also had patients brought in from care homes with no one with them so we don’t know anything about their needs and just had to work it out.

“We realised having relatives with their loved ones helped not just our patients feel less anxious, the relatives were involved in helping our staff look after their loved one.

“Asking the questions as soon as they arrive at hospital means ED can pass on vital information to other wards and departments so the patient and family have the very best experience we can offer.”

The Butterfly Scheme, where patients living with dementia are identified by a butterfly on their notes, was also extended in ED.

Now, butterflies are drawn on the outside of rooms in the majors area and a butterfly sticker is placed on their wristband so staff can see instantly that the patient may be confused or anxious.

Beca said: “This means that nurses and health care assistants are immediately aware that the patient has dementia and will adapt their nursing skills accordingly.”

As well as answering the survey, families are also given an information pack explaining the system now in operation and including a list of dementia organisations and services, vital tips on keeping older people well and details of local support groups.

The nurses say allowing main carers to stay with patients, in line with best practice in John’s Campaign, is making a huge difference in the department, which has treated increasing numbers of frail and elderly patients this year.

Lisa said: “Usually, when we go into a patient’s cubicle, we will ask the family members to leave so we can carry out procedures. Identifying the main carer means we know they can stay with the patient and they are a great help in keeping them calmer.

“Sometimes, patients would become really anxious and try to clamber off the trolleys and the demands on the service mean we can’t stay by someone’s bed every minute they are in the department.

“The families are a massive help to us and they feel the benefit too because they’re playing an active role in their loved one’s care.”

Helen Hudson, Senior Matron in Emergency Medicine, said: “Coming into hospital can be an anxious time for everyone and that’s multiplied when it’s an emergency and is an unexpected admission.

“Lisa and Beca have instigated changes which will make a massive difference, not just to our patients but to their families as well. We’re very proud of them and thank them for work which can only enhance our service and patient care.”

Antenatal classes just for dads are being set up to ensure men are ready for the arrival of their new babies.

The HEY Baby team at Hull Women and Children’s Hospital is launching the special dads-only antenatal class at its Carousel event this month.

Midwife Melanie Lee, who is part of the HEY Baby team, said: “We want to show dads they have a crucial role to play right the way through their partners’ pregnancy, during labour and birth and right from the start of their baby’s life.

“In the past, men were resigned to waiting in corridors for their babies to be born and the hands-on practical tasks of bringing up a baby were mainly left to women.

“Thankfully, times have changed and men now play a much bigger part in their child’s life. These classes are all about equipping them with the skills and confidence they will need, especially in those first few weeks.”

The HEY Baby team will hold its first dads-only antenatal class at its Carousel event at Hull Women and Children’s Hospital on Wednesday, September 26, between 6pm and 8pm.

Men wishing to attend the event should email hyp-tr.hey.baby@nhs.net to confirm their place.

Birth educators will talk them through their roles throughout their partners’ pregnancy, how they can ensure the best start in life for their baby by adopting healthy lifestyles with their partners such as taking up exercise, giving up smoking and eating more healthy foods.

They will be shown techniques for staying calm during labour, with midwives explaining what is likely to happen at each stage leading to the birth of their baby.

They will also be given practical demonstrations of changing a nappy, how to help their baby to sleep safely and what they can do to support their partners in those first few days and weeks.

Infant feeding co-ordinators will also explain how a man can assist the baby’s mother, even if she is breast-feeding, by getting her everything she needs to feed their baby.

Melanie Lee said: “It’s about giving the man confidence to care for their baby as soon as they are born, from that very first minute.

“We will talk to them about any anxiety they feel in the run-up to the birth in a safe environment where they will be with other men who are likely to be feeling the same emotions.

“We’re here to help the fathers as well as the mothers as bringing up a baby is a joint effort.”

Epilepsy nurse specialist, Karen Evans, bows out after 40 years’ service to the NHS

The country’s first Sapphire Nurse has retired from her role at Hull Royal Infirmary.

Karen Evans, Epilepsy Nurse Specialist, has completed her last clinic and said farewell to colleagues after 40 years’ service in the NHS.

Karen started her career at St Thomas’ Hospital in London in 1978, and after a spell working in Birmingham, moved to Hull in 1993 with her consultant neuro-radiologist husband, Chris.

In 1995, Karen was appointed as the first of twelve new ‘Sapphire Nurses’, pump primed by the charity, Epilepsy Action, to further improve the quality of care provided to people with epilepsy across the country.

The term ‘sapphire’ was chosen to mark Epilepsy Action’s 45^th anniversary which the charity celebrated in 1995.

Sapphire Nurses provide important services to patients such as specialist epilepsy clinics, advice and counselling. They also work to develop better understanding of epilepsy throughout the health service, as well as among education providers and employers.

The longest serving staff member in Hull University Teaching Hospitals NHS Trust’s neurology department, Karen has been described by colleagues as ‘enormously important’ to the service and her contribution to epilepsy care is said to have been ‘immeasurable’.

Karen was presented with flowers and leaving gifts including a pair of Whitby Jet earrings from her co-workers.

Karen said: “I’ve enjoyed my time working in Hull and I have lots of special memories, but I’m happy to be moving on with my life.

“I’ll miss the people, the company and the intellectual stimulation, although I’m a very resourceful person so I’ll be sure to find something else!”

But Karen won’t be taking it easy just yet; she already has plenty lined up for the coming months including an upholstery course and trips to Rotterdam and Peru. Karen also took up cycling in 2011 and, having previously taken part in Coast to Coast and London to Paris cycle rides, she intends to spend a fair proportion of her time on two wheels too.

Seriously ill patients are to be protected from bad weather after a new £80,000 canopy built over the entrance to Hull Royal Infirmary’s Emergency Department.

Hull University Teaching Hospitals NHS Trust has commissioned the bespoke polycarbonate and steel structure to shelter patients from wind, rain and snow as they arrive in ambulances.

Duncan Taylor, Director of Estates, Facilities and Development, said: “Our main aim is to protect patients coming out of ambulances into the hospital.

“The last thing we want is for our poorly patients to be unloaded from ambulances and exposed to torrential rain and high winds so this new canopy provides some shelter.

“It’s also protection for health staff as they go about their jobs so it’s an improvement for everyone.”

The canopy was designed by Sussex-based firm Fordingbridge to the trust’s specifications and is a self-supporting structure built on a concrete foundation laid around 900mm underneath the tarmac.

Crews from Yorkshire Ambulance Service will be able to drive right up to the back entrance of the Emergency Department, with patients sheltered from the elements from the moment the back doors of the vehicles are opened.

Mr Taylor said: “The new canopy also means patients who have to be taken out of the department for MRI scans will also be protected at the start of their journeys instead of being taken out into bad weather for essential treatment.

“This development is all about enhancing and improving the experience for our patients when they need to come into hospital.”

Patients waiting for life-saving transplants are dying because two-thirds of people in Hull have not told their families they want to donate their organs in the event of their deaths.

The organ donation team based at Hull Royal Infirmary and Castle Hill Hospital said time runs out for some patients because people forget to share their wishes to donate organs with their loved ones.

Today, at the start of Organ Donation Week, Specialist Nurse Alex Wray says only one third of the people in Hull who have signed the register have told their families.

She said: “Telling your family what you want to happen in the event of your death can protect them from having to try and guess what you would have wanted to do at the worst time of their lives.

“Talking about this now as a family will not only spare them additional grief, it will also mean something good can come out of your death and another family will be spared the heart-breaking loss of a loved one.”

Hull University Teaching Hospitals NHS Trust is celebrating its most successful year, with 60 transplants carried out after 33 families agreed their loved one’s organs could be used to save a life.

Trust staff also referred more patients to the organ donation team than other hospitals in the country, achieving a referral rate of 95 per cent compared to a national rate of 90 per cent.

In the last year, 1,574 people around the country donated their organs after their deaths and a further 1,051 became living donors. Together, they helped to save or transform the lives of 5,090 people.

However, 6,000 people are still waiting for an organ donation and three of those will die every day because there just aren’t enough donors.

Each person who agrees to donate their organs has the potential to save the lives of nine people.

Alex Wray said only a small percentage of the 25m people who have signed the register will actually die in circumstances which would make them suitable for organ donation.

However, hospitals still need the consent of your family even if you’d agreed to organ donation and have signed the register.

She said: “Many don’t realise we have to have permission from your family, even if this is something you have said you wanted. So, it is essential that you talk to your family so they are aware of your wishes and can act on your behalf when you can no longer express your own wishes and intentions.

“Don’t leave your family guessing what you want to happen. Spare them the agony of having to decide by having that conversation now.”

Sick babies, children and young people are set to benefit from the refurbishment of the paediatric department at Hull Royal Infirmary.

Hull University Teaching Hospitals NHS Trust, supported by the WISHH charity, has begun the first phase of a project to revamp the two wards on the 13^th floor of the tower block caring for children and young people, including some with cancer or mental health problems.

Junior sister Helen Lyon came up with the idea of decorating cubicles, corridors, bays and the playroom at the end of Ward 130 in sea themes to embrace the city’s fishing heritage and reflect the success of The Deep.

She said: “Some of the children who come to us stay with us for two weeks at a time and they and their families deserve a nice, friendly and welcoming environment.

“We’re seeing more children of 13 and 14 now with mental health problems so we need a calm environment for them where they can feel safe.

“We can’t paint artwork on our walls because of infection control so we’re having wipe-clean transfers attached instead.”

The department has received some funding as part of the trust’s newly developed Arts Strategy to paint over the current red woodwork in more calming blue and pastel colours and decorate cubicles with artwork including dolphins and penguin transfers. Those used by older children will also have sunflowers and trees.

Cubicles used to look after children with cancer and long-term conditions will also be fitted with entertainment systems featuring TVs, DVDs and games consoles after the ward received funding from children’s charity Candle-lighters.

The playroom is also being decorated and the clinical room where children undergo procedures is also going to be refurbished over the coming months.

Helen Lyon said: “We appreciate there isn’t a lot of money in the NHS so we’re doing what we can with the funds we have available.

“We’re holding fundraising events to collect as much as we can to put towards the work and we’re hoping businesses in the city will support us.”

Hull Women and Children’s Hospital looks set to become the first in the world to use virtual reality (VR) to give parents-to-be an immersive experience of labour and birth.

Pregnant women and their partners are road-testing VR headsets to “enter” the Fatima Allam Birth Centre where a woman is using one of the birthing pools in labour, supported by the baby’s father.

Women can also “enter” the operating theatre where a mother is undergoing a caesarean section so they can see what happens and learn the roles of people there.

Prospective parents have been road-testing the VR headsets at the HEY Baby Carousel events, with the next one taking place tonight (Wednesday, August 29) between 6pm and 8pm.

Janet Cairns, Head of Midwifery at Hull University Teaching Hospitals NHS Trust, said: “The headsets mean people feel like they are in the room, seeing the facilities all around them and watching how midwives interact with mothers and partners during labour.

“We already offer a video tour of the hospital so people can familiarise themselves with their surroundings before they come in.

“However, we want to give prospective parents as much information in as many different formats as we can so they can make choices that are right for them and their babies.”

The midwifery team worked with the Hull Institute of Learning and Simulation (HILS) team, based in the Clinical Skills building at Hull Royal Infirmary, to record 360-degree footage for the VR headsets.

The teams are also looking at how VR can be used in staff training and to provide other virtual experiences for women and their partners.

HILS Senior Technician Chris Gay said the team scoured the market to purchase three Oculus VR headsets which offered an affordable set-up suiting the trust’s needs and ambitions, costing around £800 for the equipment and software.

He said: “We have to use technology to offer something different to what people can already get. The video showing people the hospital is already there so we wanted to use VR so people could “feel” what it was like to be in the birth centre, on the labour ward or in the operating theatre.”

Although VR has been used to help  parents relive the birth of their own children or “be” there when they were unable to attend in the flesh, the Hull headsets are thought to be the first practical application of virtual reality in a maternity patient setting.

Parents-to-be have been testing out the headsets at the HEY Baby Carousel events, held on the last Wednesday of every month at Hull Women and Children’s Hospital to provide them with all the information they’ll need about pregnancy, birth and those first few weeks with their babies.

The HILS team has been evaluating the feedback from 130 people, with 94 per cent saying the experience overall helped them feel better prepared for the birth of their babies.

Young people from Hull aged 15 to 17 have been rolling up their sleeves at an East Yorkshire hospital to help improve the surroundings for patients, staff and visitors alike.

Forty five teenagers taking part in the National Citizen Service (NCS) with Hymers College have redeveloped previously unused green space at Castle Hill Hospital and tidied other areas in need of attention.

The group has spent a week clearing an area near to ‘The Folly’ of weeds and debris to transform it into a beautiful wildlife garden retreat. They will also be sprucing up a special garden near to ward 9 designed for the enjoyment of patients with dementia and their relatives, giving it a welcome injection of colour, and developing a courtyard area facing on to wards 10 and 11.

Their community work is part of a three-week National Citizen Service (NCS) programme, which sees young people taking part in outdoor activities, developing skills such as budgeting and cooking, visiting the fire service, and undertaking fundraising and projects to help their local community.

This summer, through the EFL Trust, thousands of teenagers from Yorkshire and Humber have taken part in the NCS, making a positive difference in their local community.

The NCS programme is delivered locally by Hymers College through the English Football League Trust (EFL Trust), providing teenagers with the opportunity to experience new things, meet new people, learn new skills and give back to their community.

Alan Parry, Estates Officer for Hull University Teaching Hospitals NHS Trust says:

“The support and the enthusiasm of all the young people to help us create and maintain a pleasant, calming environment for patients and visitors has been incredible. In recent weeks, they have already helped to transform previously disused parts of the Castle Hill site with new plants and design ideas, and well as tidying up others which were in need of a bit of TLC. It’s great to see them giving their time to their local community in this way.

“No one really wants to be in hospital, but for those patients who do find themselves here, a nice view from the window or the opportunity to go outside and enjoy the fresh air in nice green surroundings can make a world of difference to their well-being and their recovery.”

Kris Walmsley, NCS Manager and Tom Geary, NCS Officer with Hymers College, have been coordinating the students across all seven participating schools. Tom says:

“NCS at Hymers has gone from delivering to 90 participants to 209 in the space of a year. With the increase in numbers, we needed new relationships with local charities and trusts in order to provide opportunities for the young people to really make a difference in their community.

“Thanks to Alan and all the Castle Hill team, we have seen more than 70 young people come in over the summer and transform areas for everyone who is involved in the hospital environment. The staff here have been wonderful and made the participants feel at ease which has led to some fantastic projects thus far.

“As part of their Social Action Project, the groups have also carried out fundraising activities, with all the groups raising over £2000 to go towards the gardens. Any leftover donations will be given to the wards. We hope to continue such a great partnership with future groups and we can’t thank the participants or Castle Hill staff enough for helping them achieve their projects which are very personal to a lot of us involved.”

A woman has thanked two nurses for helping her husband send her a wedding anniversary card hours before he died.

Mark Murrell, 51, was rushed into the respiratory high dependency unit on Ward 5 at Hull Royal Infirmary in the final stages of idiopathic pulmonary fibrosis (IPF), an incurable, progressive condition which leads to a decline in lung function.

He told staff nurses Sam Quiney and Hannah North  he was about to celebrate his 29th wedding anniversary that weekend but had been too ill to buy his wife Wendy a card.

Sam and Hannah bought him a card and posted it to Wendy, arriving just hours after his death and the day before their anniversary.

Now, Wendy has nominated the two nurses for a Moments of Magic award run by Hull University Teaching Hospitals NHS Trust to recognise individual members of staff for going beyond their normal duties to help colleagues or patients.

Wendy said: “They were absolutely amazing. You couldn’t have asked for two more amazing caring compassionate nurses who gave 100 per cent to their patients.

“He’d been so poorly that neither of us had been able to get a card. Mark told them he hadn’t been able to get me an anniversary card and they got it for him. What they did for us just touched my heart.

“He died the next day and I received the card the day before our anniversary. It gave me so much comfort knowing he still thought of me right to the end. But that was just Mark.”

Mark suffered a heart attack when he was just 34 and underwent a heart bypass when he was 37.

After he was diagnosed with IPF in 2016, the couple, who had three children and nine grandchildren, were able to spend the following year making memories before Mark’s health declined and he was admitted to hospital.

Sam Quiney, who is a Band 5 staff nurse on Ward 5, and Hannah North, who had been seconded to the ward from the Intensive Care Unit for three months, were on night shift when Mark was rushed onto the ward, with Wendy by his side.

Sam said: “The gentleman was very poorly when he was admitted and was deteriorating quite rapidly.

“They were such a lovely couple and we could see how much they loved each other.

“Throughout the night, they were telling us about themselves and when we were alone with the patient, he told us it was his wedding anniversary but he hadn’t been able to buy his wife a card. The way he spoke about his wife was just so lovely.

“Hannah asked if we could get him a card for him and he was really pleased and asked if it would be too much trouble. We told him it wouldn’t and got it for him after our shifts and posted it to his wife.

“We didn’t know she had received it after he passed away until she contacted the trust and we were so touched by what she said.”

Hannah said: “It was important to us to make Mark as comfortable as possible, along with providing the support for his wife Wendy.

“Sam and I spent time chatting to them both throughout the night. You could see how much it meant to Mark when asking him if he wanted us to get him an anniversary card.

“It’s lovely to hear how much receiving this card meant to Wendy.”

In a message to the nurses, Wendy said: “Keep giving the great care you do. I will always remember you both as angels for looking after my husband the way you did.”