Background:Introduction of Transnasal Oesophagoscopy (TNO) in Outpatient setting
TNO(Transnasal Oesophagoscopy) is a safe and well-tolerated procedure that may be performed in a procedure room in the outpatient setting. It requires a local anaesthetic throat spray and no sedation. It may be used to histologically diagnose or exclude pathology from the nose to the gastro-oesophageal junction. It provides a "one stop" diagnosis service, reducing diagnostic delays, the need for endoscopy under general anaesthesia, barium swallows and follow-up outpatient appointments.
Aim: To utilise outpatient setting for suitable outpatient procedure such as TNO clinic by 40% by August 2023
Drivers for change were to improve acces to environment ,equipment and training and education
PDSA cycles:Weekend theatre session
Outsource patients to other hospital
Developed MUA fractured nose in outpatient service
Key learning:this journey, I felt that I achieved to improve my leadership skills, sharpen my knowledge and recognised my strength and weaknesses as a leader.
Through this experience, it changed me not only as a leader, but also as a person. I have a better understanding on the impact I have on my team in addition it did improve my practice. I felt more confident now because I know that I am more resilient to change.
The connections and networks I made during the RCN leadership course opened my opportunities to learn and share experience. I am inspired to be better, be courageous, resourceful and creative in addition to being kind and empathetic leader.
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