Administration of Intravenous Antibiotics in St. John’s Community Hospital

1. Melissa Kelly A/CNM II Administration of Intravenous Antibiotics in St. John’s Community Hospital

2. How did the initiative come about? • Previously administered in acute hospital settings • Trend now to deliver in home or Community Hospitals • Result of “Out Patient Parentral Antimicrobial Therapy Clinical Care Programme” • No patient receiving IV AB who can be treated out of hospital to remain as an inpatient • Pilot programme for administration of IV AB in the community

3. How Pilot was Introduced • Introduced as part of Joint Implementation Group across the Acute and PCCC Services • Meetings held with: • Discharge Liaison and Senior Project Officer • Medical Consultants • Director of Nursing • Service Manager for Older People • Director of Nurse Education • Clinical pathway introduced • Development of a policy • Staff education • Sourcing of equipment • Follow-up meetings – pilot date determined

4. Pilot Programme Pilot started July 2011 – Nov 2011 Six patients treated within pilot No delay in activation of treatment 29 Acute bed days saved Pilot Reduction in transport costs Positive Service User experience – “only for I could get IV AB in St. John’s, I’d be dead” – B Anderson 20/11/11 Positive Staff experience

5. Acknowledgements • Acting Director of Nursing, St. John’s Community Hospital • Clinical Director • Doctors Paula Hickey, John Doherty and their medical teams • Dr. Sadiq, Medical Officer St. John’s Community Hospital • Frank Morrison, Acting Service Manager for Older People PCCC • Sligo General Hospital • Our Lady’s Hospital, Manorhamilton • Mary Quinn, Discharge Liaison Officer • Senior Projects Officer, Sligo General Hospital • Director of Nurse Education • Maureen Scanlon, IV Training Coordinator Special thanks to the patients and their relatives!

6. Thank You for Listening • Melissa Kelly A/CNM II St John’s Community Hospital Sligo