Reflective accounts

Managing resources

A CPD article improved Bing Raz’s knowledge of how to manage resources and reduce waste in healthcare settings

A CPD article improved Bing Raz’s knowledge of how to manage resources and reduce waste in healthcare settings

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What was the nature of the CPD activity, practice-related feedback and/or event and/or experience in your practice?

The article provided information about managing resources and reducing waste in healthcare settings. It has been reported that healthcare organisations in the UK are under significant financial pressure. Therefore, it is important consider ways
to reduce costs and waste.

What did you learn from the CPD activity, feedback and/or event and/or experience in your practice?

Waste from healthcare occurs in every aspect of nursing practice. The article outlined six categories of waste: overuse of medicines, diagnostics, interventions, procedures and treatments; administrative inefficiency in organisational processes, patient-related processes and financial procedures; variable, unnecessary or uncoordinated care; fraud; preventable conditions; and avoidable complications.

Nurses have an important role in reducing waste. For example, complications such as falls or hospital-associated infections commonly occur in healthcare settings, which require further treatment and can increase the length of patients’ hospital stays. By undertaking falls risk assessments and infection control measures, waste could be reduced.

How did you change or improve your practice?

I am aware of the importance of finding ways to manage resources and reduce waste in the stroke unit where I work. The article stated that waste frequently occurs as a result of overuse of medicines. Therefore, I will use the principles of medicines management to ensure that patients are not prescribed unnecessary medicines, and will undertake regular medicines reviews.

Readmissions and delayed discharges are another significant healthcare cost. Patients who have had a stroke often have a complex discharge because of their condition, so they often spend considerable additional time on the ward.

To address this issue, I will work with the discharge coordinator and other members of the multidisciplinary team, such as occupational therapists and physiotherapists, to improve the discharge process. This would ensure that patients can go home as soon as they have completed their rehabilitation, and would save costs and resources.

How is this relevant to the Code? Select one or more themes: Prioritise people, Practise effectively, Preserve safety, Promote professionalism and trust

The article was relevant to The Code theme of promoting professionalism and trust, which states that nurses must identify priorities, and manage time, staff and resources effectively.

This theme also emphasises that nurses must act with honesty and integrity at all times. The article stated that it is important to be aware of the potential for fraud, for example staff over-stating the number of hours worked. Nurses should be honest when reporting their hours, in accordance with The Code.

Bing Raz is an agency nurse based in London

This reflective account is based on NS844 Minogue V, Wells B (2016) Managing resources and reducing waste in healthcare settings. Nursing Standard. 30, 38, 52-58

Write your own reflective account

You can gain a certificate of learning by reading a Nursing Standard CPD article and writing a reflective account. To write a reflective account for Nursing Standard, use the NMC reflective accounts form. Complete the four questions about a CPD article you have read, writing about 700 words in total.

The authors of reflective accounts that are published in Nursing Standard receive a £50 book token. Details of how to submit your reflective account for publication are available here.

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