As a Consultant Nurse in Acute Care and Resuscitation at the Royal Free London, I am part of a specialized team known as the Patient At Risk and Resuscitation Team. Traditionally referred to as Outreach Nurses, our team consists of nurses who are responsible for identifying patients who are at risk of deteriorating due to various health conditions such as sepsis or acute kidney injury.

Understanding how the kidneys work is crucial in our line of work. The kidneys play a vital role in filtering waste products from the blood and producing urine. However, when there is an interruption in this process, known as Acute Kidney Injury (AKI), it can have severe consequences. What's alarming is that AKI can occur suddenly, without any noticeable symptoms, and by the time they manifest, the damage may already be done.

As a healthcare professional, I can attest to how quickly things can change in a patient's condition. A person might feel perfectly fine one moment, only to experience significant deterioration hours later. This is why it's essential to identify AKI as soon as possible and initiate treatment promptly. In our case, the cause of AKI in most referrals is related to sepsis or AKI itself.

The Royal Free London has been at the forefront of implementing a revolutionary approach to managing patient data, known as Streams. This technology has transformed the way we work, allowing us to access all relevant clinical information in one place. No longer do I have to search through multiple sources, including patient notes and computer records, to gather the necessary details about a patient's condition.

The impact of Streams on our team has been nothing short of revolutionary. We can now make expert clinical decisions quickly, using the most important information first – not just location-based data or other irrelevant details. By doing so, we can ensure that the right clinician sees the right patient at the right time, significantly improving patient outcomes.

As someone who is familiar with Streams from both personal and professional experiences, I can attest to its seamless integration into our workflow. It's as if Streams has become an extension of how we think and plan our work. The technology flows effortlessly with our existing processes, allowing us to focus on what matters most – providing high-quality care.

In our line of work, time is of the essence. When it comes to AKI or sepsis, every minute counts. That's why we need access to accurate and relevant clinical information in a timely manner. Streams has enabled us to achieve just that, empowering us to make informed decisions quickly and effectively.

The benefits of Streams extend beyond our immediate work environment. By putting data in one place, we can ensure that all healthcare professionals involved in a patient's care are on the same page. This collaborative approach to care is essential for delivering optimal patient outcomes.

"WEBVTTKind: captionsLanguage: enmy name is Sarah Stanley I'm a consultant nurse in the acute care and resuscitation and I lead the patient at risk and resuscitation team here at the Royal Free London the patient at risk of resuscitation team are a team of nurses traditionally called outreach nurses and we see patients who are at risk of deteriorating often with signs of low blood pressure or high heart rate and the cause of that can in the majority of our referrals be related to sepsis or and/or acute kidney injury so you need to understand how the kidneys work they are an essential organ that produced urine that takes away toxins and wastes and acute kidney injury is when that flow of urine is interrupted in some way the issue is that you and I could have acute kidney injury as we sit here today we don't know that it's based on a blood result and initially you can feel very well and it's only hours later you might physically feel unwell but by that stage the damage to the kidney may have occurred so as knowing as soon as possible that that blood result is abnormal and treating it is essential to returning that kidney function to normal seems that the Royal Free is hugely important in terms of putting data in one place so we currently have access to all of that data I can look it up on a computer I can look it up in the patient's notes but often I have to look in four or five different places to be able to get the whole picture of what's going on with that patient the true benefit of streams has been having that information in a useful way in one place and being able to make sort of expert clinical decisions in a relatively short space of time so from our perspective that's quite revolutionary in terms of getting the right clinician to see the right patient in the right time it's technology we're familiar with out of work as well as in work it flows with the way that you think it flows with the way that you're planning your work so I want to know the most important information first off not necessarily things like the GPS details and the patient where they live they're obviously essential bits of information but not for what we're using it for we want clinical information in a relevant format which means that you you can build this picture very quickly in a matter of sort of seconds to a minute and make your decisions about what treatments you think they need and if we're saying acute kidney injury is an emergency much like sepsis it needs treatment within the hour within minutes whatever and this sort of asila tates that style of workingmy name is Sarah Stanley I'm a consultant nurse in the acute care and resuscitation and I lead the patient at risk and resuscitation team here at the Royal Free London the patient at risk of resuscitation team are a team of nurses traditionally called outreach nurses and we see patients who are at risk of deteriorating often with signs of low blood pressure or high heart rate and the cause of that can in the majority of our referrals be related to sepsis or and/or acute kidney injury so you need to understand how the kidneys work they are an essential organ that produced urine that takes away toxins and wastes and acute kidney injury is when that flow of urine is interrupted in some way the issue is that you and I could have acute kidney injury as we sit here today we don't know that it's based on a blood result and initially you can feel very well and it's only hours later you might physically feel unwell but by that stage the damage to the kidney may have occurred so as knowing as soon as possible that that blood result is abnormal and treating it is essential to returning that kidney function to normal seems that the Royal Free is hugely important in terms of putting data in one place so we currently have access to all of that data I can look it up on a computer I can look it up in the patient's notes but often I have to look in four or five different places to be able to get the whole picture of what's going on with that patient the true benefit of streams has been having that information in a useful way in one place and being able to make sort of expert clinical decisions in a relatively short space of time so from our perspective that's quite revolutionary in terms of getting the right clinician to see the right patient in the right time it's technology we're familiar with out of work as well as in work it flows with the way that you think it flows with the way that you're planning your work so I want to know the most important information first off not necessarily things like the GPS details and the patient where they live they're obviously essential bits of information but not for what we're using it for we want clinical information in a relevant format which means that you you can build this picture very quickly in a matter of sort of seconds to a minute and make your decisions about what treatments you think they need and if we're saying acute kidney injury is an emergency much like sepsis it needs treatment within the hour within minutes whatever and this sort of asila tates that style of working\n"