Standard Operating Procedure (SOP) Neonatal Service Changing bed linen.
|
|
- Mercy Rosalyn Gregory
- 5 years ago
- Views:
Transcription
1 Standard Operating Procedure (SOP) Neonatal Service Changing bed linen. Standard Operating Procedure for the changing of bed Full Title of Guideline: linen in incubators and cots on the Neonatal Intensive Care Unit. Author (include and role): Barbara Howard - Practice Development Matron, Neonatal Service Division & Speciality: Division: Family Health - Children Specialty: Neonatal Version: 1 Ratified by: Scope (Target audience, state if Trust wide): Review date (when this version goes out of date): Explicit definition of patient group to which it applies (e.g. inclusion and exclusion criteria, diagnosis): Changes from previous version (not applicable if this is a new guideline, enter below if extensive): Summary of evidence base this guideline has been created from: Strategic Children s and Neonatal Nursing Group All staff working on the Neonatal Intensive Care Unit 01/10/2019 All babies being cared for on the Neonatal Intensive Care Unit N/A Supports compliance with CQC standards. Consultation undertaken with NUH Infection Prevention and Control and Health and Safety departments. This guideline has been registered with the trust. However, clinical guidelines are guidelines only. The interpretation and application of clinical guidelines will remain the responsibility of the individual clinician. If in doubt contact a senior colleague or expert. Caution is advised when using guidelines after the review date or outside of the Trust. Date 15/09/2016 Version 1.1 Page 1 of 6
2 Nottingham Children s Hospital/Neonatal Service How to write a Standard Operating Procedure Definition: SOP s are a set of step-by-step instructions to achieve a predictable, standardized, desired result often within the context of a longer overall process. Standard operating procedures (SOPs) are written instructions intended to document how to perform a routine activity. They help to ensure consistency and quality of the product. Format: Use the SOP template Complete the front page for document control Approval of SOP s: Children s Hospital/Neonatal Service: SOP s need to be ratified by the Nursing Strategy Group or other relevant group identified by them. Storage of SOP s: SOP s will be stored on the intranet in the guidelines and policies section Departmental Procedures Children s Hospital Standard Operating Procedures or Neonatal Standard Operating Procedures. Reviews: All SOP s will be reviewed within 3 years. Tips: Use the SOP template Use simple English to explain the steps. Remember to involve the stakeholders whenever possible, so that the documented process is the actual process. Ensure document history is documented for every version change. Check if an old version of the SOP exists before you write yours. You may just be able to make a few quick changes. Make sure you still document them, though! Use flowcharts and pictorial representations so that the reader is clear about the process. Check for clarity. Make sure there aren't multiple interpretations. Show the procedure to someone unfamiliar with the process and have them tell you what they think it says; you may be surprised. Get people to review your document before getting approval. Ratified by Strategic Children s and Neonatal Nursing Group on 18 th May 2016 Date 15/09/2016 Version 1.1 Page 2 of 6
3 NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST Documentation Control Title Neonatal Service SOP: Changing Bed Linen Reference Approving Body Neonatal Service SOP: Changing Bed Linen Nursing Strategy Group Date Approved Implementation Date 1/10/2016 Version 1.1 Summary of Changes from Previous Version Supersedes Consultation Undertaken Accreditation Implications Target Audience N/A N/A Neonatal Matron, Neonatal Ward Sisters, Neonatal Practice Development Matron, Neonatal Clinical lead, IPFC, Health & Safety department. Supports compliance with CQC standards. All clinical staff in the neonatal service. Review Date 1/10/2019 Lead Executive Author Lead Manager Barbara Howard Barbara Linley Date 15/09/2016 Version 1.1 Page 3 of 6
4 Further Guidance/Information Nottingham Neonatal Service Nottingham Neonatal Service Standard Operating Procedure Changing Bed Linen Introduction The purpose of this standard operating procedure (SOP) is to ensure all staff in the neonatal service are educated on how to safely change the bed linen in a patient s cot or incubator. The objective of this SOP is to outline the roles and responsibilities expected of clinical staff when changing a patient s bed linen. The method outlined in the SOP should be used at all times. This SOP will apply to any neonatal staff member who undertakes the task of changing a patient s bed linen within the Nottingham Neonatal Service, family health division of Nottinghamshire University Hospitals NHS Trust. The SOP will be widely disseminated and readily accessible. Background During investigation of a Serious Incident it became apparent that there was wide variation in practice with regards to number of people present when changing patients bed linen. At times staff were operating a single person technique for changing bed linen, which has been recognised as a patient safety risk. General Principles This SOP seeks to standardise practice to ensure that every bed linen change is performed with 2 people present. PROCEDURE 01 Assess condition of baby and calculate number of nursing and/ or support staff needed to safely lift baby and change bed linen. Minimum of 2 staff present for this procedure OR one staff and one parent/ carer confident to hold baby or change bed linen 02 Prepare baby for procedure 1. Optimise temperature control 2. Visualise all medical devices attached to the baby ( e.g. respiratory tubing, central and peripheral venous and arterial access lines, nasogastric tubing) 03 Prepare equipment for procedure 1. Clean sheets 2. Linen basket for soiled linen 04 Wear Gloves and Aprons in line with Neonatal Infection Control Guidelines 05 Identify who is lifting baby this person leads the procedure and observes any Date 15/09/2016 Version 1.1 Page 4 of 6
5 medical devices attached to the baby 06 Identify who is changing bed linen - this person leads the procedure and observes any medical devices attached to the baby if a parent/ carer is lifting the baby 07 Lift baby, remove soiled bed linen and replace with clean bed linen 08 Replace baby 09 Place soiled bed linen in linen basket in line with infection control policy 10 Remove gloves and aprons and wash hands Date 15/09/2016 Version 1.1 Page 5 of 6
6 CERTIFICATION OF EMPLOYEE AWARENESS Document Title Neonatal Service SOP: Changing Bed Linen Version (number) 1.1 Version (date) I hereby certify that I have: Identified the staff groups within my area of responsibility to whom this procedure applies. Made arrangements to ensure that such members of staff have had the opportunity to be aware of the existence of this document and have the means to access, read and understand it. Explained the mandatory nature of this procedure to my staff and I have informed them that no staff members should undertake this procedure without appropriate local training. Signature Print name Date Directorate/ Department The manager completing this certification should retain it for audit and/or other purposes for a period of six years (even if subsequent versions of the document are implemented). Date 15/09/2016 Version 1.1 Page 6 of 6
Standard Operating Procedure (SOP) Neonatal Service Using the Sluice on the Neonatal Intensive Care Unit at the City Campus.
Standard Operating Procedure (SOP) Neonatal Service Using the Sluice on the Neonatal Intensive Care Unit at the City Campus. Full Title of Guideline: Standard Operating Procedure for using the Sluice on
More informationThe Role of The Consultant, The Doctor and The Nurse Mr Gary Kitching Consultant in Emergency Medicine Foundation Training Programme Director
The Role of The Consultant, The Doctor and The Nurse Mr Gary Kitching Consultant in Emergency Medicine Foundation Training Programme Director Objective To provide an overview of your role as a junior doctor
More informationCLINICAL GUIDELINES. Toe Nail Care. Matron s Forum May See main references
CLINICAL GUIDELINES Title of guideline: Approving body and date ratified: Toe Nail Care Matron s Forum May 2011 Review date: May 2014 Supersedes: Author and job title: Directorate : Document derivation
More informationAdult Enteral Feeding guidelines
Adult Enteral Feeding guidelines Full Title of Guideline: Adult Enteral Feeding guidelines Section 10.0 Procedure for discharging patients on Home Enteral feeding Author (include email and role): Anne
More informationHANDLING OF LAUNDRY POLICY
HANDLING OF LAUNDRY POLICY Version: 6 Ratified by: Date ratified: November 2015 Title of originator/author: Title of responsible committee/group: Senior Managers Operational Group Facilities Manager Estates
More informationPROCEDURE FOR THE MANAGEMENT OF BODY WASTE AND CLINICAL SAMPLES FROM PATIENTS RECEIVING CYTOTOXIC DRUGS
Procedure for the management of body waste & clinical samples from patients receiving cytotoxic drugs, v2.1.0 PROCEDURE FOR THE MANAGEMENT OF BODY WASTE AND CLINICAL SAMPLES FROM PATIENTS RECEIVING CYTOTOXIC
More informationHand Hygiene Policy. Documentation Control
Documentation Control Reference CL/CGP/039 Approving Body Trust Board Date Approved 3 Implementation date 3 Supersedes NUH Version 2 (May 2009) Consultation undertaken Infection Prevention and Control
More informationDate ratified November Review Date November This Policy supersedes the following document which must now be destroyed:
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Cleaning Policy NTW(O)71 James Duncan Deputy Chief Executive / Executive Director of Finance Steve Blackburn Deputy
More informationAcutely ill patients in hospital
Issue date: July 2007 Acutely ill patients in hospital Recognition of and response to acute illness in adults in hospital Developed by the Centre for Clinical Practice at NICE Contents Key priorities for
More informationLearning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care.
Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care. Associated Policies Being Open and Duty of Candour policy CG10 Clinical incident / near-miss
More informationElmarie Swanepoel 24 th September 2017
MEDICAL EQUIPMENT TRAINING POLICY Policy Register No: 10010 Status: Public Developed in response to: Best practice Contributes to CQC Regulation: 15 Consulted With: Post/Committee/Group: Date: Medical
More informationNOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST MEDICINES CODE OF PRACTICE MEDICINES MANAGEMENT WHEN PATIENTS ARE DISCHARGED FROM HOSPITAL
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST MEDICINES CODE OF PRACTICE MEDICINES MANAGEMENT WHEN PATIENTS ARE DISCHARGED FROM HOSPITAL Reference CL/MM/024 Date approved 13 Approving Body Directors Group
More informationIsolation Care of Patients in Isolation due to Infection or Disease
Infection Prevention and Control Assurance - Standard Operating Procedure 6 (IPC SOP 6) Isolation Care of Patients in Isolation due to Infection or Disease Why we have a procedure? The spread of infection
More informationClinical Practice Guideline Development Manual
Clinical Practice Guideline Development Manual Publication Date: September 2016 Review Date: September 2021 Table of Contents 1. Background... 3 2. NICE accreditation... 3 3. Patient Involvement... 3 4.
More informationCentral Alerting System (CAS) Policy
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified By Central Alerting System (CAS) Policy NTW(O)17 Gary O Hare Executive Director of Nursing and Operations Tony Gray
More informationGUIDELINE FOR PERFORMING A BAXTER CAPD SET CHANGE
GUIDELINE FOR PERFORMING A BAXTER CAPD SET CHANGE Contact Name and Job Title (author) Directorate & Speciality Jr Sr Vanessa Keill Diabetes, Infection, Renal and Cardiovascular Directorate (Renal Transplant)
More informationMULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY
MULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY (To be read in conjunction with Handover Policy) Version: 3 Ratified by: Date ratified: August 2015 Title of originator/author: Title of responsible
More informationStandard Operating Procedure Discharge/Transfer of Patients from St John s Hospice In-Patient Unit
Standard Operating Procedure Discharge/Transfer of Patients from St John s Hospice In-Patient Unit DOCUMENT CONTROL: Version: 1.1 Ratified by: Quality Assurance Sub Committee Date ratified: 2 February
More informationPOLICY ON THE HANDLING OF CHEMOTHERAPY BY STAFF WHO ARE PREGNANT OR BREASTFEEDING
Policy on the handling of chemotherapy by staff who are pregnant/breastfeeding, v2.1 POLICY ON THE HANDLING OF CHEMOTHERAPY BY STAFF WHO ARE PREGNANT OR BREASTFEEDING Version: 2.1 Ratified by: Date ratified:
More informationDelegation to Band 3 and 4 Nursing Unregistered Support Workers Guidance for Staff and Managers. Version No.1 Review: November 2019
Livewell Southwest Delegation to Band 3 and 4 Nursing Unregistered Support Workers Guidance for Staff and Managers Version No.1 Review: November 2019 Notice to staff using a paper copy of this guidance
More informationAppendix 1. Policy on the Dissemination, Implementation and Monitoring of National Clinical Guidance
Appendix 1 Policy on the Dissemination, Implementation and Monitoring of National Clinical Guidance Policy Title: Executive Summary: Policy on the dissemination, implementation and monitoring of national
More informationTrust Policy Linen Services Policy
Trust Policy Linen Services Policy Purpose Date Version February 2014 9 To ensure compliance with CfPP-01-04 Decontamination of linen for health and social care and in so doing to:- Reduce the risk of
More informationMortality Policy. Learning from Deaths
Mortality Policy Learning from Deaths Name of Author and Job Title: Frank Jacobs, Datix project manager Ian Brandon, Head of governance and risk Name of Review/ Development Body: Ratification Body: Mortality
More informationAgenda Item: REPORT TO PUBLIC BOARD MEETING 31 May 2012
Agenda Item: 5.1.1 REPORT TO PUBLIC BOARD MEETING 31 May 2012 Title Lead Director Author(s) Purpose Previously considered by Ratification of the Strategy for the Care of Older People Siobhan Jordan, Director
More informationQuality Surveillance Team. Neonatal Critical Care (NCC) Quality Indicators
Quality Surveillance Team Neonatal Critical Care (NCC) Quality Indicators Neonatal Critical Care Quality Indicators Introduction These neonatal critical care quality indicators have been developed using
More informationMedicines Reconciliation Policy
Medicines Reconciliation Policy Lead executive Medical Director Authors details Senior Clinical Pharmacy Technician - 01244 39 7494 Document level: Trustwide (TW) Code: MP19 Issue number: 3 Type of document
More informationJob Description. Service Delivery Manager. Nurse Manager. Ward Sister. Staff Nurses
Job Description Title: Ward Housekeeper Level: Band 1 Accountable to: Responsible to: Nurse Manager Senior Housekeeper Job Purpose The post-holder will assist Nursing staff in the delivery of non-clinical
More informationEuropean Reference Networks. Guidance on the recognition of Healthcare Providers and UK Oversight of Applications
European Reference Networks Guidance on the recognition of Healthcare Providers and UK Oversight of Applications NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting 16 th November 2017 2. Title of Report: 3. Key Messages: BUPA ceased to be the registered provider of Crawfords Walk Nursing Home in October. The
More informationTHE HANDLING OF BARIATRIC / HEAVY PATIENTS (over 25 stone/160kg) PROCEDURE. Documentation Control
THE HANDLING OF BARIATRIC / HEAVY PATIENTS (over 25 stone/160kg) PROCEDURE Reference Approving Body Implementation date 11 Documentation Control Part of HS/SP/005 Senior Management Team Procedure for the
More informationHoist and Sling for Safer Patient Use Policy
Hoist and Sling for Safer Patient Use Policy DOCUMENT CONTROL: Version: 4 Ratified by: Quality and Safety Sub Committee Date ratified: 30 January 2017 Name of originator/author: Back Care Advisor Name
More informationh. HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST LEARNING FROM DEATHS POLICY. Broad Recommendations / Summary
201 2017.473h. HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST LEARNING FROM DEATHS POLICY Broad Recommendations / Summary In-hospital death occurs. Patient 18 years of age or above. Yes Child Death Review
More informationFM Operations Manager
NORTH BRISTOL NHS TRUST JOB DESCRIPTION SECTION 1 - JOB DETAILS Job Title: Patient Support Team Bank Portering Operative Grade: Band 2 Department: Patient Support Team/ NBT extra Directorate: Facilities
More informationLinen Services Policy
Policy No: IC10 Version: 6.0 Name of Policy: Linen Services Policy Effective From: 18/08/2015 Date Ratified 15/07/2015 Ratified Infection Prevention and Control Committee Review Date 01/07/2017 Sponsor
More informationVisiting Celebrities, VIPs and other Official Visitors
Visiting Celebrities, VIPs and other Official Visitors Who Should Read This Policy Target Audience Healthcare Professionals Executive Team Version 1.0 May 2016 Ref. Contents Page 1.0 Introduction 4 2.0
More informationThe Clatterbridge Cancer Centre. NHS Foundation Trust MRSA. Infection Control. A guide for patients and visitors
The Clatterbridge Cancer Centre NHS Foundation Trust MRSA Infection Control A guide for patients and visitors Contents Information... 1 Symptoms... 1 Diagnosis... 2 Treatment... 2 Prevention of spread...
More informationCARERS POLICY. All Associate Director of Patient Experience. Patient & Carers Experience Committee & Trust Management Committee
CARERS POLICY Department / Service: Originator: All Associate Director of Patient Experience Accountable Director: Chief Nursing Officer Approved by: Patient & Carers Experience Committee & Trust Management
More informationResearch Policy. Date of first issue: Version: 1.0 Date of version issue: 5 th January 2012
Research Policy Author: Caroline Mozley Owner: Sue Holden Publisher: Caroline Mozley Date of first issue: Version: 1.0 Date of version issue: 5 th January 2012 Approved by: Executive Board Date approved:
More informationPROCEDURE FOR TAKING A WOUND SWAB
CLINICAL PROCEDURE PROCEDURE FOR TAKING A WOUND SWAB Issue History Issue Version Purpose of Issue/Description of Change Planned Review Date 2 To provide a standardised process of the fundamental principles
More informationAIRWAY MANAGEMENT IN THE EMERGENCY DEPARTMENT
AIRWAY MANAGEMENT IN THE EMERGENCY DEPARTMENT Document Reference Document status Target Audience [TO BE PROVIDED BY CORPORATE AFFAIRS] Draft All staff Date Ratified Ratified By Release Date Review Date
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet. Nursing & Patient Services Director
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date: 22 nd June 2017 Lead Director National Survey of Inpatients 2016 Nursing & Patient Services Director Agenda Item A5(iv)
More informationHandover of Care (Maternity) Guidelines Author s job title Lead Clinical Midwife Department Ladywell Unit. Comment / Changes / Approval
Document Control Title Author Directorate Surgery Date Version Issued 0.1 Oct 2009 0.2 Nov 2009 1.0 Nov 2009 1.1 Feb 2010 2.0 Feb 2010 2.1 Aug 2011 2.2 Oct 2011 Handover of Care (Maternity) Guidelines
More informationNHSLA Risk Management Standards
NHSLA Risk Management Standards 2012-13 for NHS Trusts providing Acute Services Brighton and Sussex University Hospitals NHS Trust Level 1 October 2012 Contents Executive Summary... 3 Assessment Outcome...
More informationPHARMACIST INDEPENDENT PRESCRIBING MEDICAL PRACTITIONER S HANDBOOK
PHARMACIST INDEPENDENT PRESCRIBING MEDICAL PRACTITIONER S HANDBOOK 0 CONTENTS Course Description Period of Learning in Practice Summary of Competencies Guide to Assessing Competencies Page 2 3 10 14 Course
More informationClinical Audit Policy
Clinical Audit Policy DOCUMENT CONTROL Version: 5 Ratified by: Quality Assurance Group Date ratified: 3 July 2017 Name of originator/author: Clinical Quality Lead Senior Clinical Audit Facilitator Name
More informationJOB DESCRIPTION. Specialist Nurse - Asthma (Paediatrics) Children s Specialist Community Nursing Service (CSCNS)
JOB DESCRIPTION Job Title: Division/Department: Responsible to: Accountable to: Specialist Nurse - Asthma (Paediatrics) Children s Specialist Community Nursing Service (CSCNS) Shabnam Sharma - General
More informationStaff with responsibilities under Section 17 of the Mental Health Act. Section 17, Mental Health Act, authorisation, leave, detained, patients
Policy: Section 17 Mental Health Act - Authorisation of Leave (Detained Patients) Executive or Associate Director lead Policy author/ lead Feedback on implementation to Clive Clarke, Executive Director
More informationSection 132 of the Mental Health Act 1983 Procedure for Informing Detained Patients of their Legal Rights
Section 132 of the Mental Health Act 1983 Procedure for Informing Detained Patients of their Legal Rights DOCUMENT CONTROL: Version: 11 Ratified by: Mental Health Legislation Sub Committee Date ratified:
More informationJOB DESCRIPTION FOR THE POST OF HOTEL SERVICES ASSISTANT IN HOTEL SERVICES
JOB DESCRIPTION FOR THE POST OF HOTEL SERVICES ASSISTANT IN HOTEL SERVICES TITLE: AGENDA FOR CHANGE PAY BAND: DIRECTORATE ACCOUNTABLE TO: REPORTS TO: RESPONSIBLE FOR: Hotel Services Assistant (Generic
More informationInspection Report. Royal Infirmary of Edinburgh. NHS Lothian 18 and 19 January February 2010
Inspection Report Royal Infirmary of Edinburgh NHS Lothian 18 and 19 January 2010 2 February 2010 qüé=eé~äíüå~êé=båîáêçåãéåí=fåëééåíçê~íé=áë=~=é~êí=çñ=kep=nì~äáíó=fãéêçîéãéåí=påçíä~åç= The Healthcare Environment
More informationNOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST. PATIENT ACCESS MANAGEMENT POLICY (Previously known as Waiting List Management Policy) Documentation Control
NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST PATIENT ACCESS MANAGEMENT POLICY (Previously known as Waiting List Management Policy) Documentation Control Reference CL/CGP/026 Approving Body Senior Management
More informationSpecial Measures Action Plan. Norfolk and Suffolk NHS Foundation Trust
Special Measures Action Plan Norfolk and Suffolk NHS Foundation Trust June 2015 KEY Delivered On Track to deliver Some issues narrative disclosure Not on track to deliver 1 Norfolk and Suffolk NHS Foundation
More informationDate of publication:june Date of inspection visit:18 March 2014
Jubilee House Quality Report Medina Road, Portsmouth PO63NH Tel: 02392324034 Date of publication:june 2014 www.solent.nhs.uk Date of inspection visit:18 March 2014 This report describes our judgement of
More informationHealth, Safety and Welfare. Study guide
Health, Safety and Welfare Study guide Health, Safety and Welfare Regulations CQC Outcome 10 Working together to improve health and safety Key health and safety statistics according to the Health and Safety
More informationClinical Audit Strategy
Clinical Audit Strategy Clinical Audit Strategy 2012/15 Document Type Strategy Unique Identifier CL-016 Document Purpose To map out the strategic direction of Clinical Audit within the Trust for the next
More informationNOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST. Documentation Control. Central Alerting System (CAS) Dissemination Procedure
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST Documentation Control Central Alerting System (CAS) Dissemination Procedure Reference HS/SP/001 Approving Body Senior Management Team Date Approved 14 March 2017
More informationNOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST. Hand Hygiene Policy. Documentation Control
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST Documentation Control Reference CL/CGP/039 Approving Body Chief Nurse Date Approved 2 Implementation Date 2 Summary of Changes from Previous Version Updated in
More informationNon Medical Prescribing Policy
Non Medical Prescribing Policy Author: Sponsor/Executive: Responsible committee: Ratified by: Consultation & Approval: (Committee/Groups which signed off the policy, including date) This document replaces:
More informationNOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST. Parenteral Concentrated Potassium and Sodium Policy
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST Parenteral Concentrated Potassium and Sodium Policy Reference CL/MM/025 Approving Body Senior Management Team Date Approved 17 Implementation Date 17 Version 8
More informationColour Coding of Cleaning Materials and Equipment Policy
Colour Coding of Cleaning Materials and Equipment Policy Document Summary To ensure the Trust meets its legal duty to comply with the Food Safety Act 1990 and all subordinate legislation. DOCUMENT NUMBER
More informationJOB DESCRIPTION Safe, compassionate, effective care provided to our communities with a transparent, open approach.
JOB DESCRIPTION Safe, compassionate, effective care provided to our communities with a transparent, open approach. JOB TITLE: GRADE: BASE: MANAGED BY: Advanced Neonatal Nurse Practitioner Band 8a Homerton
More informationJOB DESCRIPTION. 2. To participate in the delivery of medicines administration depending on local need and priorities.
JOB DESCRIPTION JOB TITLE: Clinical Pharmacy Technician PAY BAND: 5 DEPARTMENT/DIVISION: BASED AT: REPORTS TO: PHARMACY/A5 University Hospitals Birmingham Pharmacy Support Manager PROFESSIONALLY RESPONSIBLE
More informationNURSE-LED DISCHARGE POLICY
THE NORTH WEST LONDON HOSPITALS TRUST Name: NURSE-LED DISCHARGE POLICY Communication 1. All staff must be aware of this policy. 2. All first line managers must have read and have a working knowledge of
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines
The Newcastle upon Tyne Hospitals NHS Foundation Trust Implementation Policy for NICE Guidelines Version No.: 5.3 Effective From: 08 May 2017 Expiry Date: 02 March 2019 Date Ratified: 23 February 2017
More informationReview Date 01/07/2014 Director of Nursing, Midwifery and Quality Expiry Date 10/07/2015 Withdrawn Date
Policy No: OP35 Version: 2.0 Name of Policy: Rapid Release of Bodies Effective From: 21/08/2012 Date Ratified 11/07/2012 Ratified SafeCare Committee Review Date 01/07/2014 Sponsor Director of Nursing,
More informationNOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST. Documentation Control PATIENT DATA QUALITY POLICY
Reference NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST Documentation Control PATIENT DATA QUALITY POLICY GG/INF/019 Approving Body Senior Management Team Date Approved 3 Implementation Date 3 Summary of Changes
More informationVisual Communication Alert Symbols Guidelines for Staff. Version 4.0. All Hospital Staff. Care Quality Commission s fundamental standards
Visual Communication Alert Symbols Guidelines for Staff Version 4.0 Purpose: To inform hospital staff of the process for ensuring that patients are treated with dignity and respect through providing visual
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Introduction and Development of New Clinical Interventional Procedures
The Newcastle upon Tyne Hospitals NHS Foundation Trust Introduction and Development of New Clinical Interventional Procedures Version No.: 2.1 Effective From: 27 November 2017 Expiry Date: 7 January 2019
More informationStandard Operating Procedure 3 (SOP 3) Template. Advance Decision To Refuse Treatment &Advance Statement
Standard Operating Procedure 3 (SOP 3) Template Advance Decision To Refuse Treatment &Advance Statement The Mental Capacity Act 2005 (MCA) provides the legal framework to empower and protect people over
More informationStandard Operating Procedure for Point of Care Testing (POCT) using Piccolo Desktop Analyser in Clinical Areas
Standard Operating Procedure for Point of Care Testing (POCT) using Piccolo Desktop Analyser in Clinical Areas Reference No: Version: 1.2 Ratified by: G_CS_56 LCHS Trust Board Date Ratified: 31 st March
More informationClinical Audit Procedure
SH NCP 7 Clinical Audit Procedure Summary: Keywords (minimum of 5): (To assist policy search engine) Target Audience: Clinical audit is the process of health professionals evaluating the quality of care
More informationSection G - Aseptic Technique. Version 5
Section G - Aseptic Technique Version 5 Important: This document can only be considered valid when viewed on the Trust s Intranet. If this document has been printed or saved to another location, you must
More informationRISK MANAGEMENT POLICY FOR MATERNITY. Documentation Control
RISK MANAGEMENT POLICY FOR MATERNITY Documentation Control Reference GG/CM/016 Approving Body Trust Board Date Approved Implementation Date Supersedes NUH Risk Management Strategy for Maternity and Gynaecology
More informationConsulted With Post/Committee/Group Date Amanda Lyes JCNC April 2008 Matrons June 2008 Professionally Approved By. Gwyneth Wilson Director of Nursing
Procedure for preparing a Nursing Duty Roster Developed in response to: Contributes to HCC Core Standard number: Type: Policy Register No: 08061 Status: Public Best Practice Effective use of resources
More informationPolicy Summary. Policy Title: Policy and Procedure for Clinical Coding
Policy Title: Policy and Procedure for Clinical Coding Reference and Version No: IG7 Version 6 Author and Job Title: Caroline Griffin Clinical Coding Manager Executive Lead - Chief Information and Technology
More informationQuality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement
Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary
More informationInformation shared between healthcare providers when a patient moves between sectors is often incomplete and not shared in timely enough fashion.
THE DISCHARGE MEDICINES REVIEW SERVICE Introduction During a stay in hospital a patient s medicines may be changed. Studies show that many patients may experience an error or problem with their medicines
More informationLaundry Policy. DOCUMENT CONTROL: Version: 8 Quality Assurance Sub Committee Date ratified: 30 October 2017 Name of
Laundry Policy DOCUMENT CONTROL: Version: 8 Ratified by: Quality Assurance Sub Committee Date ratified: 30 October 2017 Name of Head of Facilities originator/author: Name of responsible Estates Sub Committee
More informationASSESSING COMPETENCY IN CLINICAL PRACTICE POLICY
ASSESSING COMPETENCY IN CLINICAL PRACTICE POLICY Version: 4 Ratified by: Date ratified: October 2013 Title of originator/author: Title of responsible committee/group: Senior Managers Operational Group
More informationPOLICY ON THE IMPLEMENTATION OF NICE GUID ANCE
POLICY ON THE IMPLEMENTATION OF NICE GUID ANCE Document Type Corporate Policy Unique Identifier CO-019 Document Purpose To outline the process for the implementation and compliance with NICE guidance and
More informationDo Not Attempt Resuscitation Policy
Do Not Attempt Resuscitation Policy PROV 27 March 2009 1 Document Management Title of document Do Not Attempt Resuscitation Policy Type of document Policy PROV 27 Description To ensure that do not resuscitate
More informationS.S.T.S. Adult Inpatient Workload Tool
S.S.T.S. Scottish Standard Time System dult Inpatient Workload Tool User Guide 2015 mended May 2015 1 dult Inpatient Workload Tool on the SSTS Platform Link onto the SSTS website either by using the link
More informationDiagnostic Testing Procedures in Urodynamics V3.0
V3.0 09 01 18 Table of Contents Summary.... 1. Introduction... 3 1.1. Diagnostic testing information... 3 2. Purpose of this Policy/Procedure... 3 2.1. Approved Document Process... 3 3. Scope... 3 3.1.
More informationLearning from the Deaths of Patients in our Care Policy
Learning from the Deaths of Patients in our Care Policy Approved By: Date of Original Approval: UHL Mortality Review Committee UHL Policies & Guidelines Committee September 2017 Trust Reference: B31/2017
More informationHOSPITAL MEDICAL OFFICER
Position Title: Classification: Reports To: Department: Award / Enterprise Agreement: Hospital Medical Officer Hospital Medical Officer HM13 Director of Emergency Services Emergency In accordance with
More informationWhat is this Guide for?
Continuing NHS Healthcare (CHC) is a package of services that is arranged and funded solely by the NHS, for those people who have been assessed as having a primary health need. The issue is one of need.
More informationDiagnostic Testing Procedures in Neurophysiology V1.0
V1.0 10 September 2012 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the
More informationStandard Operating Procedure Template
Standard Operating Procedure Template Title of Standard Operation Procedure: Cleaning Toys, Games and Play Equipment on the Paediatric Ward Reference Number: Version No: 1 Issue Date: Purpose and Background
More informationGuide to the Continuing NHS Healthcare Assessment Process
Guide to the Continuing NHS Healthcare Assessment Process Continuing NHS Healthcare (CHC) is a package of care arranged and funded solely by the NHS, where it has been assessed that the person s primary
More informationVERIFICATION OF LIFE EXTINCT POLICY DECEMBER Verification of Life Extinct Policy December 2009 Page 1 of 18
VERIFICATION OF LIFE EXTINCT POLICY DECEMBER 2009 Page 1 of 18 POLICY TITLE: Verification of Life Extinct Policy POLICY REFERENCE NUMBER: Med01/009 IMPLEMENTATION DATE: December 2009 REVIEW DATE: December
More informationAdvanced Neonatal Nurse Practitioner Medway NHS Foundation Trust
Advanced Neonatal Nurse Practitioner Medway NHS Foundation Trust Come and join us at Medway NHS FT Whether you re a porter or a nurse, a pharmacist or a housekeeper, a doctor or an IT expert, you can have
More informationPolicy for Critical Care Training and Education
Policy for Critical Care Training and Education 1 Policy Title: Executive Summary: Critical Care Policy for Training and Education This policy provides guidance for the management of learning and development
More informationBereavement Policy. 1 Purpose of Policy 2. 2 Background 2. 3 Staff Responsibilities 3. 4 Operational Issues and Local Policies/Protocols/Guidelines 4
Trust Policy and Procedure Bereavement Policy Document Ref. No: PP(16)252 For use in: For use by: For use for: Document owner: Status: All areas of the Trust All Trust staff The dying, their relatives
More informationDIAGNOSTIC CLINICAL TESTS AND SCREENING PROCEDURES MANAGEMENT POLICY
DIAGNOSTIC CLINICAL TESTS AND SCREENING PROCEDURES MANAGEMENT POLICY (To be read in conjunction with Diagnostic Imaging Requesting and Interpreting Radiographs by Non Medical Practitioners Policy, Consent
More informationProtocol for the Prevention and Management of Clostridium difficile.
Protocol for the Prevention and Management of Clostridium difficile. Policy Profile Policy Reference: Clinical care protocol 14. App D Clin 2.0 Version: Version 2.1 Author: Selma Mehdi, Lead Nurse Infection
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Patients Wills Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Version No: 5.0 Effective From: 7 September 2017 Expiry Date: 31 August 2018 Date Ratified: 30 August 2017 Ratified By: Executive Team 1 Introduction
More informationThe Mental Capacity Act 2005 Legislation and Deprivation of Liberties (DOLs) Authorisation Policy
The Mental Capacity Act 2005 Legislation and Deprivation of Liberties (DOLs) Authorisation Policy Version Number 3 Version Date vember 2015 Policy Owner Director of Nursing and Clinical Governance Author
More informationEQuIPNational Survey Planning Tool NSQHSS and EQuIP Actions 4.
Standard 1: Governance for safety and Quality and Standard 2: Partnering with Consumers Section 1 Governance, Policies, Business decision making, Organisational / Strategic planning, Consumer involvement
More informationPOLICY FOR THE MANAGEMENT OF LINEN & LAUNDRY
POLICY FOR THE MANAGEMENT OF LINEN & LAUNDRY Policy Title: Executive Summary: Policy for the Management of Linen & Laundry The aim of this policy is to ensure effective linen and laundry management to
More informationContract of Employment
JOB DESCRIPTION AND PERSON SPECIFICATION FOR Deputy Sister / Deputy Charge Nurse AGENDA FOR CHANGE BAND Band 6 HOURS AND DURATION As specified in the job advertisement and the Contract of Employment AGENDA
More information