Policy Checklist. Working Group: Administration of Infusion of Intravenous Fluids & Medicines in Neonates (Chairperson: Dr Hogan) YES
|
|
- Kelly King
- 6 years ago
- Views:
Transcription
1 Policy Checklist Name of Policy: Purpose of Policy: Directorate responsible for Policy Name & Title of Author: Does this meet criteria of a Policy? Staff side consultation? Policy for the administration of Infusion of Intravenous Fluids & Medicines in Neonates To ensure that the SHSCT s ANNP s, registered nurses and midwives are aware of their responsibilities and apply the recommended clinical procedures in relation to the prevention of over infusion of intravenous fluids and medicines in neonates as set out in the National Patient Safety Agency (NPSA) Patient Safety Alert RRR015 and the DHSSPS Prevention of over infusion of intravenous fluids and medicines in neonates September Children s and Young Peoples Services Working Group: Administration of Infusion of Intravenous Fluids & Medicines in Neonates (Chairperson: Dr Hogan) YES Yes/No/Not Applicable Equality Screened by: Trust Equality Team Date Policy submitted to 27 May 2011 RM&PC: Members of RM&PC in Attendance: Policy Approved/Rejected/ Approved Amended Communication Plan Yes/no/not applicable required? Training Plan required? Yes/no/not applicable Implementation Plan Yes/no/not applicable required? Any other comments: Date presented to SMT Director Responsible Mr Paul Morgan SMT Approved/Rejected/Amended SMT Comments Page 1 of 22
2 POLICY DOCUMENT VERSION CONTROL SHEET Title Supersedes Title: Policy for the administration of Infusion of Intravenous Fluids & Medicines in Neonates Version: 1_0 Reference number/document name: Supersedes: N/A Description of Amendments(s)/Previous Policy or Version: Originator Name of Author: Working Group: Administration of Infusion of Intravenous Fluids & Medicines in Neonates (Chairperson: Dr Hogan) RM/Policy Committee & SMT approval Title: Policy for the administration of Infusion of Intravenous Fluids & Medicines in Neonates Referred for approval by: Dr Hogan Date of Referral: 27 May 2011 RM/Policy Committee Approval: 13 June 2011 SMT approval: Circulation Issue Date: 01 July 2011 Circulated By: Working Group Issued To: As per circulation List (details below) Review Review Date: June 2013 Responsibility of (Name): Working Group: Administration of Infusion of Intravenous Fluids & Medicines in Neonates (Chairperson: Dr Hogan Neonatologist) Circulation List: Associate Medical Director for CYP Neonatologists within CYP Paediatricians within CYP Assistant Director of Specialist Child Health & Disabilities Head of Service for Paediatrics Lead Nurse for Paediatrics Lead Nurse for Neonates Medicines Governance Pharmacist Page 2 of 22
3 Policy for the administration of Infusion of Intravenous Fluids & Medicines in Neonates Page 3 of 22
4 Contents Page No 1.0 Introduction Aim of Policy Policy Statement Scope of the Policy Responsibilities Chief Executive Director & Senior Management of CYP Medical Staff ANNPs Registered Nurses and Midwives Pharmacy Audit Legislative Compliance, Relevant Policies Equality & Human Rights Considerations Policy training and Education Requirements Alternative Formats Copyright Sources of Advice 10 Supporting Documents Appendices 1 NPSA Alert 2010 Rapid Response Report NPSA Clinical Briefing Sheet for Healthcare Professionals 3 Procedures for Administration of Intravenous Fluids & Medicines 4 Competency Framework (including expected responses) 5 Audit Tool Page 4 of 22
5 1.0 Introduction This policy has been developed in response to the National Patient Safety Agency (NPSA) Patient Safety Alert RRR015 and the DHSSPS Circular HSC (SQSD) 14/2010 (Appendix 1) and its addendum which advises that the administration of Intravenous fluids and medicines to neonates is often an integral part of their care. However, there is a risk of the inadvertent over infusion of these solutions associated with specific intravenous infusion set up procedures or where the safety mechanisms associated with the administration of intravenous fluids and medicines using infusion pumps have been over ridden. This risk has the potential to result in death or severe harm. 2.0 Aim of the policy This policy has been developed to provide assurance that all ANNP s, registered nurses and midwives are aware of their responsibilities and apply the recommended clinical procedures in relation to the administration and monitoring of intravenous fluids and medicines, as set out in the NPSA Patient Safety Alert RRR015 (Appendix 1) and the NPSA Clinical Briefing sheet for health care professionals (Appendix 2). 3.0 Policy Statement The Trust is committed to providing safe, high quality care to all neonates admitted to its neonatal and paediatric facilities. The Trust will ensure that all ANNP s, registered nurses and midwives are supported in delivering safe and effective care to neonates by:- Providing necessary training and updates to ensure all staff are appropriately trained in the administration of infusions of intravenous fluids and medicines in neonates; Clarifying the roles and responsibilities of those involved in the prescription, administration, monitoring and review of infusions of intravenous fluids and medicines to neonates; Setting in place clinical governance arrangements to provide assurance on safe, high quality practice. All adverse events relating to the infusion of intravenous fluids and medicines in neonates must be reported back via the IR1 process to the Trust governance systems for review, learning and action planning. Page 5 of 22
6 4.0 Scope of the Policy This policy applies to all Trust employees who are ANNP s, registered nurses and midwives who may be involved in, administration, monitoring and set up procedures associated with administration of infusions of intravenous fluids and medicines to neonates. Administration of intravenous fluids and medicines by techniques other than infusion (for example bolus injection) should be conducted in accordance with the relevant procedures and are not included within the scope of this policy. For the purpose of this policy the definition of a neonate is taken as any infant aged 0-28 days that may or may not require care on a neonatal unit, or any infant aged over 28 days who is an in-patient in a neonatal unit. 5.0 Responsibilities 5.1 Chief Executive The Trust Chief Executive, as Accountable Officer, has overall responsibility for ensuring the aims of this policy are met. The Chief Executive has devolved operational responsibility for the delivery of this Policy to the Director of Children and Young People (Neonatal and Acute Paediatrics). The Medical Director in respect of his lead role for Clinical and Social Care Governance systems and processes has devolved responsibility to provide assurance to the Chief Executive that this policy is effectively implemented. 5.2 Director and Senior Management of CYP The Director and senior management of CYP have responsibility for ensuring that arrangements are in place within the directorate to evidence compliance with this policy and that resources are available to support nursing and medical supervision, monitoring and reporting processes. 5.3 Medical Staff All doctors involved in the prescribing and reviewing of infusions of intravenous fluids and medicines to neonates must be aware of and adhere to appropriate documentation including the Neonatal/paediatric fluid prescription and fluid balance chart and complete a clinical management plan. Page 6 of 22
7 5.4 Advanced Neonatal Nurse Prescribers (ANNPs) ANNPs involved in the set up and administration of infusions of intravenous fluids and medicines to neonates must adhere to the procedures associated with this policy. These procedures are located at the end of this policy. ANNPs involved in the set up procedures (Appendix 3) and administration of infusions of intravenous fluids and medicines to neonates must attend awareness sessions provided in house. They must satisfy senior nursing staff at ward level of their competence using the framework. A training record will be held with respect to this. All newly appointed ANNPs who will be involved in the set up procedures and administration of infusions of intravenous fluids and medicines to neonates must complete the awareness session within one month of taking up employment. They must satisfy senior nursing staff at ward level of their competence using the framework. A training record will be held with respect to this. ANNPs involved in the prescribing, monitoring and reviewing of infusions of intravenous fluids and medicines to neonates must be aware of and adhere to appropriate documentation including the Neonatal/paediatric fluid prescription and fluid balance chart and complete a clinical management plan. ANNPs involved in the administration of infusions of intravenous fluids and medicines to neonates must facilitate and participate in the audit programme monitoring prevention of over infusion of intravenous fluids and medicines in neonates. ANNPs involved in the administration of infusions of intravenous fluids and medicines to neonates must administer in accordance with the relevant prescription and clinical management plan. Any ambiguities, lack of clarity or doubt as to the accuracy, safety, completeness or appropriateness of a prescription or clinical management plan should be referred to the prescriber or a pharmacist, as appropriate before administration. 5.5 Registered Nurses and Midwives Responsibility Page 7 of 22 Registered Nurses and Midwives involved in the set up and administration of infusions of intravenous fluids and medicines to neonates must adhere to the procedures associated with this policy. Registered Nurses and Midwives involved in the set up procedures and administration of infusions of intravenous fluids and medicines to neonates must attend awareness sessions provided in house. They must satisfy senior nursing staff at ward level of their competence usi. A training record will be held with respect to this.
8 Newly appointed Registered Nurses and Midwives who will be involved in the set up procedures and administration of infusions of intravenous fluids and medicines to neonates must complete the awareness session within one month of taking up employment. They must satisfy senior nursing staff at ward level of their competence using the framework (Appendix 4). A training record will be held with respect to this. Any Registered Nurse or Midwife involved in the administration of infusions of intravenous fluids and medicines to neonates who is not appropriately trained in the administration of infusions of intravenous fluids and medicines to neonates will be prohibited from doing so until appropriate training has taken place. This will include agency or temporary registered nurses and midwives employed by the Southern Trust. Registered Nurses and Midwives involved in the administration of infusions of intravenous fluids and medicines to neonates must facilitate and participate in the audit programme monitoring prevention of over infusion of intravenous fluids and medicines in neonates. Registered Nurses and Midwives involved in the administration of infusions of intravenous fluids and medicines to neonates must administer in accordance with the relevant prescription and clinical management plan. Any ambiguities, lack of clarity or doubt as to the accuracy, safety, completeness or appropriateness of a prescription or clinical management plan should be referred to the prescriber or a pharmacist, as appropriate before administration. 5.6 Pharmacy Responsibilities A clinical pharmacist monitoring or reviewing infusions for neonates must be aware of this policy and associated documents. 5.7 Audit Responsibilities A working group will be convened to undertake an annual organisational audit(appendix 5) within all facilities where neonates are cared for as inpatients which will identify, review and produce recommendations in respect of prevention of over infusion of intravenous fluids and medicines in neonates; The outcome of this work will be shared at directorate /divisional meetings. This will be achieved in conjunction with clinical teams. Page 8 of 22
9 6.0 Legislative Compliance, Relevant Policies and Procedures Staff must take cognisance of relevant professional standards and guidance and other relevant National, regional DHSSPS publications and local procedures. (Local procedures are listed in the Appendices to this policy). This policy should read in conjunction with following: National Patient Safety Agency (2010) Patient Safety Alert RRR015: Prevention of over infusion of intravenous fluids and medicines in neonates. Available at: Department of Health Social Services and Public Safety (2010) Circular HSC (SQSD) 14/2010 NPSA Patient Safety Alert (RRR015/2010) Prevention of Over Infusion of Intravenous Fluids and Medicines in Neonates. Available at: The Royal Marsden Hospital Manual of Clinical Nursing Procedures (7 th edition) 7.0 Equality & Human Rights Considerations This policy has been screened for equality implications as required by Section 75, Schedule 9, of the Northern Ireland Act, Equality Commission for Northern Ireland Guidance states that the purpose of screening is to identify those policies which are likely to have a significant impact on equality of opportunity so that greatest resources can be targeted at them. Using the Equality Commission s screening criteria, no significant equality implications have been identified. This policy will therefore not be subject to an equality impact assessment. This policy has been considered under the terms of the Human Rights Act, 1998, and was deemed to be compatible with the European Convention Rights contained in that Act. This policy will be included in the Trust s register of screening documentation and maintained for inspection whilst it remains in force. This document can be made available on request in alternative formats, e.g. Braille, disc, audio cassette and in other languages to meet the needs of those who are not fluent in English. Page 9 of 22
10 8.0 Policy Training/Educational Requirements A policy implementation and communication plan has been developed to support the circulation of this policy and meet any identified training need. It is the responsibility of the individual practitioner and his/her line manager to identify training needs and to ensure that these are met / facilitated. 9.0 Alternative Formats This document can be made available on request in alternative formats e.g. plain English, Braille, disc, audiocassette and in other languages to meet the needs of those who are not fluent in English Copyright The supply of information under the Freedom of Information does not give the recipient or organisation that receives it automatic right to re-use it in any way that would infringe on copyright. This includes, for example making multiple copies, publishing and issuing copies to the public. Permission to re-use the information must be obtained in advance from the Trust Sources of Advice Line managers should be contacted in the first instance, in relation to specific queries regarding policy content. Line managers should then escalate queries which they are unable to address to the Policy Author. Page 10 of 22
11 Appendix 1: NPSA Rapid Response Report Page 11 of 22
12 Appendix 2: Clinical Briefing Sheet Page 12 of 22
13 Appendix 3: Set Up Procedures SET UP PROCEDURE FOR ADMINISTRATION OF INTRAVENOUS FLUIDS & MEDICINES TO NEONATES Statement: The administration of intravenous fluids and medicines to neonates is often an integral part of their care. However there is a risk of the inadvertent over infusion of these solutions associated with specific intravenous infusion set up procedures or where the safety mechanisms with the administration of intravenous fluids using infusion pumps have been over ridden. The following procedures are also associated with this guidance Procedure for TPN and Intralipid administration Insertion and maintenance bundles for Central venous and peripheral lines Manufacturers operating instructions for infusion pump Equipment: Intravenous infusion pump and associated giving set. Appropriate documentation Clinical management plan Fluid balance chart Infusion identification labels ACTION RATIONALE PRIOR TO COMMENCING EACH INFUSION Interruptions and distractions during preparation and administration of Intravenous fluids should be avoided. Reduces the risk of error during the procedure When using a syringe pump to administer intravenous fluids a bag of fluid should not be left attached to a syringe Where bags of fluid are left connected to a syringe via a 3-way tap during administration of intravenous fluids to neonates, there is a risk of unintentional over infusion. Ensure administration equipment is loaded into the infusion pump correctly before connecting the infusion to the baby Double check the infusion rate and total volume to be infused with another registered nurse and against the prescription. Ensures adherence with the manufacturer s instructions and reduces risk of potential harm Ensures adherence to NMC standards for safe administration of medications. Page 13 of 22
14 MONITORING OF THE INFUSION PUMP, ADMINISTRATION SET AND THE PATIENT DURING THE INFUSION Ensure the infusion pump is plugged in or fully charged Check the settings on the infusion pump hourly alongside documentation on the infants fluid balance chart of the rate and cumulative total volume infused. Record the serial number of the pump on the back of the fluid balance chart Check the intravenous administration set hourly for patency to include observation of the position of clamps. All fluids whether infusing via a syringe or a bag should have a label placed on the syringe or the bag indicating the contents An identical label should be placed on the back of the fluid balance chart All infusion lines should have 2 identification labels: one positioned on the line close to the pump and a second label positioned close to the infant at infusion site. Record rate and cumulative volume infused hourly on the infants fluid balance chart. Double check the infusion rate and total volume to be infused at each rate change. Document rate change on infants fluid chart and in medical/nursing notes Ensures infusion pump has power back up to delivery fluids at set rate and volume Allows ease of track back information in event of infusion error. During the infusion open clamps ensure patency of administration set and appropriate infusion of fluids at the desired rate Ensures staff awareness and monitoring of fluid and additive content of infusion bags or syringes. Ensures staff able to track infusion lines from source to patient and to identify type of infusion line eg central venous, arterial or peripheral venous. Ensures safe administration of fluids in accordance with the infants requirements. Allows monitoring of fluid intake and alerts to possibility of fluid over load Monitor the baby throughout the infusion and record observation for signs of extravasations of the intravenous infusion site hourly or more frequently if required. Note any redness, tracking, blanching or swelling. Check blood glucose within one hour of start of Dextrose /Total Parenteral Nutrition infusions and subsequently in accordance with the clinical management plan for the infant. On the fluid balance chart mark with an asterisk the time when the blood glucose level is due to be checked Allows prompt detection of extravasation injury and prevention of tissue damage through prompt discontinuation of fluids and removal of intravenous line. Allows close monitoring of infants blood sugar and prompt detection and treatment of hypoglycaemia or hyperglycaemia Allows close monitoring of fluid requirements in response to urea and electrolyte results with early detection and treatment of electrolyte Page 14 of 22
15 Check urea and electrolyte parameters daily or more often if clinically indicated in infants clinical management plan imbalance. When using an infusion pump all clamps on the intravenous set must be closed before removing the administration set from the pump or switching the pump off. The clamp should be closed at the patient end and at the point closest to the infusion bag or syringe. Over infusion can occur if an intravenous administration set is removed from an infusion pump or the pump is switched off and the clamp not turned off. This risk applies even if the administration set contains an anti-free flow device. Intravenous fluids and the administration set should be changed every 24 hours or more often if indicated in the infants clinical management plan. AT HANDOVER OF CARE Double check the infusion rate and total volume to be infused with the registered nurse taking over care. For infants receiving Dextrose /Total Parenteral Infusion check the most recent blood sugar level and urea and electrolyte levels are within acceptable limits in accordance with the clinical management plan for that infant. Ensures staff taking over care are aware of infants fluid requirements and rate of infusion which will prompt early detection of /reduce the risk of fluid over load.. Regular monitoring and recording of changes in fluid requirements, blood glucose levels and urea and electrolyte results will ensure clinical management plan is updated in response to these variables Ensure that all discontinued infusions have been disconnected from the infant and removed from the pump and discarded as per unit policy Ensure all deviations from normal are reported to nurse in charge and to medical staff and are documented in the infants clinical management plan. Ensures adherence to NMC standards for record keeping. Alerts medical staff to review clinical management plan in response to any deviations from normal. Page 15 of 22
16 References Prevention of over infusion of intravenous fluid and medicines in neonates DHSSPS A mixed bag: An enquiry into the care of hospital patients receiving parenteral nutrition NCEPOD 2010 Nursing and Midwifery Council (2007) NMC Record Keeping Guidance. London NMC Performance and Ethics for Nurses and Midwives, London, NMC Nursing and Midwifery Council (2008), Standards for Medicines Management, London, NMC Southern Health and Social Care Trust, 2008, Medicines Management Policy SH&SCT Southern Health and Social Care Trust, 2008, Medicines Management Code SH&SCT Royal Marsden 2008 Hospital Manual of Clinical Nursing Procedures 7 th Edition Wiley- Blackwell Page 16 of 22
17 APPENDIX 4: COMPETENCY CHECKLIST FOR SAFE ADMINISTRATION OF INTRAVENOUS FLUIDS AND MEDICINES WITHIN NEONATAL SERVICES SHSCT STAFF MEMBER : Expected response/ rationale for action NAME : Has Read and Signed NPSA Prevention of over infusion of Intravenous Fluids and Medicines in Neonates Has received training in operation of volumetric and syringe infusion pumps yes yes PRIOR TO COMMENCING INFUSION Ensures iv pump is fully charged and switched on To ensure continual source of power to allow equipment to function fully Has loaded the administration equipment safely into the pump before connecting the infusion to the baby If administration set is not loaded safely through the pump before connecting to the baby there is a risk of over infusion which could occur if fluids were connected directly to the patient before loading administration set. Page 17 of 22
18 Ensures infusion syringe/bag has been labelled as per unit policy Bag: label on bag and duplicate label on back of fluid balance chart Syringe: label on syringe and duplicate label on back of fluid balance chart Ensures syringes and bags of fluid are labelled to identify contents, any additives etc. If rate adjustments are required then syringes and bags are clearly identified to ensure right infusion is altered. Duplicate label on fluid balance chart allows traceability of amount/type of fluids administered after infusion bag /syringe is discontinued and discarded. Ensures serial number of pump recorded on back of fluid balance chart Ensures all infusion lines have identification labels :one positioned close to pump and one positioned close to infant at infusion site Double checks the infusion rate and total volume to be infused with prescription chart and another registered nurse prior to commencing infusion Ensures traceability record for investigation purposes in event of pump malfunction /infusion error Ensures staff able to readily identify infusion lines from source to patient and to distinguish between intravenous / arterial/ central venous infusion lines. Facilitates independent check of fluid volumes/rate of infusion against prescription to ensure accuracy. Ensures adherence to NMC safe administration of fluids and medicines guidance Page 18 of 22
19 DURING THE INFUSION Checks and documents the infusion rate and total volume infused hourly Double checks and documents the infusion rate and total volume to be infused against prescription at each rate change Checks Blood Sugar within one hour of commencement of intravenous fluids containing Dextrose If multiple infusions are running ensures all infusion syringes /bags of fluid are labelled as per unit policy Allows continual recording of rate and cumulative fluid volume administered on an hourly basis and alerts staff to changes / discrepancies in rate and volume infused. Facilitates independent check and documentation of fluid volumes/rate of infusion against prescription to ensure accuracy. Ensures adherence to NMC safe administration of fluids and medicines guidance Using an asterisk on the fluid balance chart to highlight when a blood glucose level is due prompts staff to check glucose 1 hour after iv fluids erected and thereafter as indicated on the infants individual care plan. Staff members are alerted to any deviation from normal in blood glucose measurement in response to erection of intravenous fluids and to monitor infant closely for signs of hypoglycaemia or hyperglycaemia. Ensures staff able to readily identify infusion lines from source to patient and to distinguish between intravenous / arterial/ central venous infusion lines. Ensures syringes and bags of fluid are labelled to identify contents, any additives etc. If rate adjustments are required then syringes and bags are clearly identified to ensure right infusion is altered. Checks and records that IV site has been observed hourly for signs of extravasation and is able to articulate signs of extravasation Checks administration set hourly noting position of clamps during infusion Page 19 of 22 Duplicate label on fluid balance chart allows traceability of amount/type of fluids administered after infusion bag /syringe is discontinued and discarded. Allows prompt detection of extravasation and reduces risk of further tissue damage by prompt discontinuation of intravenous fluids and removal of intravenous cannula if necessary. Signs of extravasation: Redness, swelling, blanching, tracking,exudate leakage, discoloration e.g white area if calcium infusing. Alerts staff to visualise and check administration equipment hourly noting patency of administration set, position of clamps, kinks in tubing, air in line, and any other possible obstruction to flow which could lead to unnecessary interruption of intravenous fluids.
20 AT HANDOVER Double checks rate and total volume to be infused with registered nurse taking over care Relates to the most recent blood sugar and U&E and ensures they are within the acceptable limits of the clinical management plan for that infant AT END OF INFUSION Ensures all clamps on administration equipment are closed prior to removal of administration set from the pump Ensures all clamps on administration equipment are closed prior to switching of the pump If multiple infusions are in place ensures all discontinued infusions are clamped off, removed from the pump, disconnected from the infant and residual fluids disposed off as per unit policy Ensures nurse taking over care of infant calculates independently and with another registered nurse, the rate and infusion volume as indicated on the clinical management plan and as set on the infusion pump. Alerts staff taking over care to monitor blood glucose levels as indicated on the fluid balance chart and as documented in the clinical management plan. Alerts staff to follow up on further or outstanding U&E results as indicated in the infants clinical management plan, to alert medical staff to deviations from normal parameters and to ensure clinical management plan reviewed to address same Closing the clamps before removal of administration set from the intravenous pump is a further safety mechanism to prevent inadvertent fluid overload. Closing the clamps before switching off the pump is a further safety mechanism to prevent inadvertent fluid overload. Removal and disposal of intravenous fluids which are discontinued, eliminates the risk of inadvertent infusion of the wrong infusion or adjustment in rate of wrong infusion. Page 20 of 22
21 Appendix 5: Audit Tool Prevention of over infusion of intravenous fluids in Neonates Audit Criteria (C: Compliant NC: Non-Compliant NA : Not Applicable) WARD PRIOR TO COMMENCING INFUSION Date C NC NA SIGN 1. Staff preparing infusion for administration,loading the infusion pump and commencing the fluids are not distracted / interrupted during the procedure 2. When using a syringe pump, a 3 way tap is not used to connect a bag of fluids to the syringe pump and the baby. 3. Administration equipment is loaded into the infusion pump before connecting the infusion to the baby 4. The infusion rate and total volume to be infused is double checked with another registered nurse and against the prescription DURING THE INFUSION 5. The infusion rate and total volume infused is checked and documented hourly 6. At each rate change the infusion rate is documented and double checked with another nurse 7. A Blood Glucose is checked within one hour of the start of a Dextrose infusion The time when the blood glucose is due is highlighted with an asterisk on the fluid balance chart The blood glucose is recorded on the fluid balance chart 8. There is a documented Clinical Management plan indicating the frequency of Blood Glucose monitoring daily fluid requirements infusion rate with weaning plan if oral intake increasing 9. All infusion lines are identified appropriately as per unit policy Page 21 of 22
22 10. The settings on the Infusion pump are checked hourly alongside documentation of hourly infusion rate and total volume infused. 11. The infusion equipment is checked hourly for patency to include observation of clamp positions 12. If for any reason, the administration set has to be removed from the infusion pump or the pump switched off during the infusion all clamps on the infusion set must be closed off. AT HANDOVER OF CARE 13. The infusion rate and total volume to be infused is double checked with the Registered nurse taking over the infants care 14. For babies receiving Dextrose infusions the most recent blood glucose level is checked and is within acceptable limits in accordance with the clinical management plan for that infant AT END OF INFUSION 15. All clamps have been closed prior to removal of an administration set from the infusion device. This includes clamp at appropriate site at patient end and at site near bag/ syringe of fluids 16. All clamps have been closed prior to switching the pump off. 17. If multiple infusions are in place, all discontinued infusions have been clamped off disconnected from the baby and removed from the pump Page 22 of 22
Use of Intravenous devices for administration of fluid therapy in Neonates
This is an official Northern Trust policy and should not be edited in any way Use of Intravenous devices for administration of fluid therapy in Neonates Reference Number: NHSCT/12/534 Target audience:
More informationPolicy on adherence to Clinical Nursing / Midwifery Procedures
Policy on adherence to Clinical Nursing / Midwifery Procedures March 2012 Name of Policy: Purpose of Policy: Directorate responsible for Policy Name and Title of Author: Does this meet criteria of a Policy?
More informationProcedure for the Management of a Patient being Absent without Leave (Absconding) from a Hospital Environment
Procedure for the Management of a Patient being Absent without Leave (Absconding) from a Hospital Environment Name of Procedure: Purpose of Procedure: Directorate responsible for Procedure Name & Title
More informationPolicy Checklist. Nursing Supervision Policy. Executive Director of Nursing. Regional Nursing Supervision Policy Forum
Policy Checklist Name of Policy: Purpose of Policy: Nursing Supervision Policy To ensure that a culture of nursing supervision is embedded in the Southern HSC Trust and that the processes through which
More informationPolicy on Gaining Consent
Policy on Gaining Consent Authors: Roberta Wilson, Governance Lead, Medical Directorate Fiona Wright, Assistant Director Nursing Governance Mary McIntosh, Assistant Director Social Work and Social Care
More informationMedicines Management Policy
Medicines Management Policy Name of Policy: Purpose of Policy: Directorate responsible for Policy Name & Title of Author: Medicines Management Policy The Southern HSC Trust recognises that almost all patients
More informationRight Patient Right Blood Monitoring Compliance Reference Number:
This is an official Northern Trust policy and should not be edited in any way Right Patient Right Blood Monitoring Compliance Reference Number: NHSCT/12/579 Target audience: This policy is directed to
More informationManagement of Reported Medication Errors Policy
Management of Reported Medication Errors Policy Approved By: Policy & Guideline Committee Date of Original 6 October 2008 Approval: Trust Reference: B45/2008 Version: 4 Supersedes: 3 February 2015 Trust
More informationAdministration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure
Administration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Quality and Standards Group Date
More informationApril Authors. Directorate responsible for this Document Date of Issue April 2014 Review Date April 2016 Version 3
ASSESSMENT, ADMISSION AND DISCHARGE POLICY AND PROCEDURES FOR CHILDREN AND YOUNG PEOPLE UNDER THE AGE OF 18 YEARS ABOUT WHOM THERE ARE SAFEGUARDING CONCERNS WITHIN ACUTE SERVICES (Version 3) April 2014
More informationNATIONAL PATIENT SAFETY AGENCY DRAFT PATIENT SAFETY ALERT. Safer Use of Injectable Medicines In Near-Patient Areas
NATIONAL PATIENT SAFETY AGENCY DRAFT PATIENT SAFETY ALERT Safer Use of Injectable Medicines In Near-Patient Areas Wide Stake Holder Consultation January March 2006 The NPSA is undertaking a wide stake
More informationPolicy Checklist. To ensure the Trust acknowledges and accepts its responsibility under the Health and Safety (First Aid) Regulations (NI) 1982.
Policy Checklist Name of Policy: Purpose of Policy: First Aid at Work Procedure To ensure the Trust acknowledges and accepts its responsibility under the Health and Safety (First Aid) Regulations (NI)
More informationDerby Hospitals NHS Foundation Trust. Drug Assessment
Drug Assessment for Preparation and Administration of Oral, Enteral, Ophthalmic, Topical, PR, PV, Inhaled, Subcutaneous and Intramuscular Medicines to Patients (N.B. The preparation and administration
More informationEnsuring our safeguarding arrangements act to help and protect adults PRACTICE GUIDANCE FOR REPORTING MEDICATION INCIDENTS INTO SAFEGUARDING
Ensuring our safeguarding arrangements act to help and protect adults PRACTICE GUIDANCE FOR REPORTING MEDICATION INCIDENTS INTO SAFEGUARDING Contents Page 1.0 Purpose 2 2.0 Definition of medication error
More informationClinical Check of Prescriptions in Ward Areas
Pharmacy Department Standard Operating Procedures SOP Title Clinical Check of Prescriptions in Ward Areas Author name and Gareth Price designation: Deputy Director of Pharmacy Clinical Services Pharmacy
More informationHealth & Social Services
The States of Jersey Department for Health & Social Services AGREED PROCESS FOR COMMUNITY INTRAVENOUS THERAPY Date approved DOCUMENT PROFILE Document Registration Document Purpose Short Title Author Publication
More informationSELF - ADMINISTRATION OF MEDICINES AND ADMINISTRATION OF MEDICINES SUPPORTED BY FAMILY/INFORMAL CARERS OF PATIENTS IN COMMUNITY NURSING
CLINICAL PROTOCOL SELF - ADMINISTRATION OF MEDICINES AND ADMINISTRATION OF MEDICINES SUPPORTED BY FAMILY/INFORMAL CARERS OF PATIENTS IN COMMUNITY NURSING RATIONALE Medication errors can cause unnecessary
More informationNHSGGC CME T34 SYRINGE PUMP COMPETENCY FRAMEWORK for PALLIATIVE CARE in ADULTS PRIMARY CARE
NHSGGC CME T34 SYRINGE PUMP COMPETENCY FRAMEWORK for PALLIATIVE CARE in ADULTS PRIMARY CARE In compliance with professional guidelines, NMC: The Code: standards of conduct, performance and ethics for nurses
More information201 KAR 20:490. Licensed practical nurse intravenous therapy scope of practice.
201 KAR 20:490. Licensed practical nurse intravenous therapy scope of practice. RELATES TO: KRS 314.011(10)(a), (c) STATUTORY AUTHORITY: KRS 314.011(10)(c), 314.131(1), 314.011(10)(c) NECESSITY, FUNCTION,
More informationIntravenous Fluid Administration and Addition of Medicines to Intravenous Fluids (Drug Additives) (In-Patient Facilities) Interim Nursing Procedure
This is an official Northern Trust policy and should not be edited in any way Intravenous Fluid Administration and Addition of Medicines to Intravenous Fluids (Drug Additives) (In-Patient Facilities) Interim
More informationAssistance and Administration of Medication for Domiciliary Care Staff
This is an official Northern Trust policy and should not be edited in any way Assistance and Administration of Medication for Domiciliary Care Staff Reference Number: NHSCT/12/543 Target audience: Domiciliary
More informationPATIENT CARE MANUAL PROCEDURE
PATIENT CARE MANUAL PROCEDURE NUMBER III-130 PAGE 1 OF 5 APPROVED BY: CATEGORY: Vice President and Senior Operating Officer, Rural Health Services & Professional Practice Lead Medication Administration
More informationBlood Transfusion Policy. Version Number: 6.1 Controlled Document Sponsor: Controlled Document Lead: On: December 2014.
Blood Transfusion Policy CONTROLLED DOCUMENT CATEGORY: CLASSIFICATION: PURPOSE Controlled Document Number: Policy Clinical The policy describes the framework and principles required to deliver best transfusion
More informationAdult Patient Controlled Analgesia (PCA)
Contents... 1 Policy... 1 Scope/Audience... 1 Associated Documents... 1 Statement... 2 Criteria... 2 Patient and Whanau Education... 2 Procedural Considerations... 3 Pre Administration... 3 Patient Monitoring...
More informationNUH Medicines Policy: Code of Practice. NUH Intravenous Drug Administration Policy
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST NUH Medicines Policy: Code of Practice Reference CL/MM/036 Approving Body Directors Group Date Approved 5 Implementation Date 5 Summary of n/a Changes from Previous
More informationRoyal Liverpool Children s NHS Trust Alder Hey Rapid Discharge Pathway for End of Life Care
Royal Liverpool Children s NHS Trust Alder Hey Rapid Discharge Pathway for End of Life Care Pathway for patients where a consensus decision has been made by the child s / young person s family & multi-professional
More informationSTANDARD OPERATING PROCEDURE ADMINISTRATION OF HEPARIN FLUSHES VIA CENTRAL INTRAVENOUS ACCESS DEVICES
STANDARD OPERATING PROCEDURE ADMINISTRATION OF HEPARIN FLUSHES VIA CENTRAL INTRAVENOUS ACCESS DEVICES First Issued Issue Version One Purpose of Issue/ Description of Change To promote the safe administration
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 informationCritical Care in Obstetrics Guideline
This is an official Northern Trust policy and should not be edited in any way Critical Care in Obstetrics Guideline Reference Number: NHSCT/12/515 Target audience: This guideline is directed to all obstetricians,
More informationAMPH-PGN-10 (Part of NTW(C)29 Trust Standard for Physical Assessment and Examination Policy
AMPH-PGN-10 Practice Guidance Note Intramuscular Injection (IMI) V01 Date Issued Planned Review PGN No: Issue 1 Sep 2017 Sep 2020 AMPH-PGN-10 (Part of NTW(C)29 Trust Standard for Physical Assessment and
More informationRecommendations from National Patient Safety Agency alerts that remain relevant to the Never Events list 2018
Recommendations from National Patient Safety Agency alerts that remain relevant to the Never Events list 2018 January 2018 We support providers to give patients safe, high quality, compassionate care within
More informationDOCUMENT CONTROL Patient Identification Policy 6 CL001
Title: Version: Reference Number: Scope: DOCUMENT CONTROL Patient Identification Policy 6 CL001 This policy applies to all staff who work in an inpatient setting and staff accessing inpatient wards. Purpose:
More informationChemotherapy Practice Competencies. To be used in conjunction with Teesside University module:
Chemotherapy Practice Competencies To be used in conjunction with Teesside University module: AHH3088-N - Chemotherapy Enhancing Practice in Cancer Care School of Health & Social Care NAME. PLACE OF WORK
More informationIf viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Entity: Fairview Pharmacy Services Department:
More informationRegistration of Health and Social Care Professions
This is an official Northern Trust policy and should not be edited in any way Registration of Health and Social Care Professions Reference Number: NHSCT/12/536 Target audience: Directors, Nursing and Midwifery,
More information1 Numbers in Healthcare
1 Numbers in Healthcare Practice This chapter covers: u The regulator s requirements u Use of calculators and approximation u Self-assessment u Revision of numbers 4 Healthcare students and practitioners
More informationRegistered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework
Registered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework Name: Location: Date commenced: Contents Competency: Page No: Page 1. Core: Introduction Demonstrate knowledge that
More informationTo establish a consistent process for the activity of an independent double-check prior to medication administration, where appropriate.
TITLE INDEPENDENT DOUBLE-CHECK SCOPE Provincial, Clinical DOCUMENT # PS-60-01 APPROVAL LEVEL Senior Operating Officer, Pharmacy Services SPONSOR Provincial Medication Management Committee CATEGORY Patient
More informationSystemic anti-cancer therapy Care Pathway
Network Guidance Document Status: Expiry Date: Version Number: Publication Date: Final July 2013 V2 July 2011 Page 1 of 9 Contents Contents... 2 STANDARDS FOR PREPARATION AND PHARMACY... 3 1.1 Facilities
More informationAdministration of Intrathecal Cytotoxic Chemotherapy in NHS Grampian
Administration of Intrathecal Cytotoxic Chemotherapy in NHS Grampian Lead Author/Coordinator: Jeff Horn / Sarah Howlett Macmillan Haematology CNS/ Pharmacist Reviewer: Gavin Preston Consultant Haematologist
More informationMedicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME
Medicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME The Process What is medicine reconciliation? Medicine reconciliation is an evidence-based process, which has been
More informationPROGRESS WITH NPSA ALERT IMPLEMENTATION
AGENDA ITEM 3.5 4 th September 2013 PROGRESS WITH NPSA ALERT IMPLEMENTATION Executive : Executive Director of Nursing Author: Assistant Director of Patient Safety & Quality Contact Details for further
More informationModified Early Warning Score Policy.
Trust Policy and Procedure Modified Early Warning Score Policy. Document ref. no: PP(15)271 For use in (clinical areas): For use by (staff groups): For use for (patients): Document owner: Status: All clinical
More informationPOLICY FOR ANTICIPATORY PRESCRIBING FOR PATIENTS WITH A TERMINAL ILLNESS Just in Case
POLICY FOR ANTICIPATORY PRESCRIBING FOR PATIENTS WITH A TERMINAL ILLNESS Just in Case DOCUMENT NO: DN116 Lead author/initiator(s): Sarah Woodley Community Health Services Pharmacist sarah.woodley@ccs.nhs.uk
More informationNorthern Ireland Practice and Education Council for Nursing and Midwifery. Impact Measurement Project
Northern Ireland Practice and Education Council for Nursing and Midwifery Impact Measurement Project Children & Young People Safeguarding Competency Framework for Nurses and Midwives Project Plan 1.0 Introduction
More informationHSC Clinical Education Centre
HSC Clinical Education Centre Policy on Validation and Monitoring of Professional Registration December 2014 Review date: Title Operational date Review date Policy on Validation and Monitoring of Professional
More informationThe School Of Nursing And Midwifery. CLINICAL SKILLS PASSPORT
The School Of Nursing And Midwifery. BMedSci Nursing (Adult) CLINICAL SKILLS PASSPORT Student Details NAME: COHORT: I understand that this booklet may be reviewed by my mentor, the programme leader, my
More informationPatient Weighing Scales Policy
Patient Weighing Scales Policy Policy Title: Executive Summary: Patient Weighing Scales Policy East Cheshire NHS Trust is committed to the health safety and welfare of all of the patients it treats. The
More informationIntravenous Infusion Practices and Patient Safety: Insights from ECLIPSE
Intravenous Infusion Practices and Patient Safety: Insights from ECLIPSE Acknowledgement and disclaimer Funding acknowledgement: This project is funded by the National Institute for Health Research Health
More informationIntravenous Medication Administration via a Central Venous Line
Standard Operating Procedure 11 (SOP 11) Intravenous Medication Administration via a Central Venous Line Why we have a procedure? This procedure is to assist/ inform healthcare professionals on how to
More informationPolicy for the Administration of the First Dose of an Intravenous Antibiotic to Adult and Paediatric Patients by Nurses
Policy for the Administration of the First Dose of an Intravenous Antibiotic to Adult and Paediatric Patients by Nurses September 2009 Policy Title: Policy for the Administration of the First Dose of an
More informationNON-MEDICAL PRESCRIBING POLICY
NON-MEDICAL PRESCRIBING POLICY To be read in conjunction with the Medicines Policy, Controlled Drug Policy and the FP10 Prescribing Forms Policy Version: 5 Date of issue: August 2017 Review date: August
More informationGiving Intravenous (IV) Nutrition Through a Central Line with a CADD Pump
Home Care Services Giving Intravenous (IV) Nutrition Through a Central Line with a CADD Pump Receiving medicine and supplies When you receive a shipment, make sure you have the correct medicine and supplies.
More informationDecontamination of Medical and Laboratory Equipment Prior to Maintenance or Transportation
Decontamination of Medical and Laboratory Equipment Prior to Maintenance or Transportation Version 4.0 Date to be reviewed January 2020 To be reviewed by Medical Engineering Manager Policy Title: Decontamination
More informationWYOMING STATE BOARD OF NURSING ADVISORY OPINION INTRAVENOUS THERAPY BY LICENSED PRACTICAL NURSES
WYOMING STATE BOARD OF NURSING ADVISORY OPINION INTRAVENOUS THERAPY BY LICENSED PRACTICAL NURSES Advisory Opinion Number: 03-123 Board Meeting Date: April 28-May 1, 2003 January 7-10, 2008 February 18,
More informationReducing the Harm Caused by Misplaced Nasogastric & Orogastric Feeding Tubes Policy April 2017
Reducing the Harm Caused by Misplaced Nasogastric & Orogastric Feeding Tubes Policy April 2017 Page 1 of 12 Title Author(s) Reducing the Harm Caused by Misplaced Nasogastric & Orogastric Feeding Tubes
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Injectable Medicines Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Injectable Medicines Policy Version No.: 4.3 Effective From: 24 March 2017 Expiry Date: 21 January 2019 Date Ratified: 11 January 2017 Ratified By:
More informationUnless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version
Policy No: OP49 Version: 4.0 Name of Policy: Patient Controlled Analgesia in Adult Patients Effective From: 28/11/2017 Date Ratified 21/09/2017 Ratified Medicines Group Review Date 01/09/2019 Sponsor Director
More informationAdministration of Medication IV Push to Neonatal/Paediatric & Adult Patients Self-Learning Package
Administration of Medication IV Push to Neonatal/Paediatric & Adult Patients Self-Learning Package Prepared by Cheryl Owen, CPL Medicine, Rose Owen CPL NICU/SCN; Jan. 2008 Revised by Rose Owen CPL NICU/SCN;
More informationImproving compliance with oral methotrexate guidelines. Action for the NHS
Patient safety alert 13 Alert Immediate action Action Update Information request Ref: NPSA/2006/13 Improving compliance with oral methotrexate guidelines Oral methotrexate is a safe and effective medication
More informationWyoming STATE BOARD OF NURSING
David D. Freudenthal Governor Wyoming STATE BOARD OF NURSING Mary Kay Goetter, PhD, RNC, NEA-BC Executive Director 1810 Pioneer Avenue Cheyenne, Wyoming 82002 Phone: 307-777-7601 FAX: 307-777-3519 http://nursing.state.wy.us
More informationReconciliation of Medicines on Admission to Hospital
Reconciliation of Medicines on Admission to Hospital Policy Title State previous title where relevant. State if Policy New or Revised Policy Strand Org, HR, Clinical, H&S, Infection Control, Finance For
More informationMedicines Governance Service to Care Homes (Care Home Service)
Medicines Governance Service to Care Homes (Care Home Service) Locally Enhanced Service Authors: Ruth Buchan, Senior Pharmacist Medicines Management 4th Floor F Mill Dean Clough Halifax HX3 5AX Tel-01422
More informationHIQA s Medication Safety Monitoring Programme in Public Acute Hospitals. One Year Later
HIQA s Medication Safety Monitoring Programme in Public Acute Hospitals One Year Later Sean Egan Head of Healthcare Regulation Health Information and Quality Authority Presentation outline Recap on the
More informationGo! Guide: Medication Administration
Go! Guide: Medication Administration Introduction Medication administration is one of the most important aspects of safe patient care. The EHR assists health care professionals with safety by providing
More informationClinical Skills Validation: Alaris Pump System
Clinical Skills Validation: Alaris Pump System These documents are intended for use by CW Nurse Clinical Leadership Team. The method used to implement the validation of the Alaris Pump System is unit specific.
More informationNottingham Neonatal Service Guidelines
Title: Administration of Intravenous Medicines to Neonates Version: 11: V10 Sept 11; V9 Jan 2011; V8 June 2010; V7 Nov 2008; V6 Oct 2003; V5 March 2001; V4 May 1999; V3 Nov 1999; V2 1997; V1 1992 Ratification
More informationJOB DESCRIPTION. The hospital has been consistently growing over the past few years, almost doubling since 2008.
JOB DESCRIPTION JOB TITLE: Clinical Pharmacist CLINICAL UNIT: Pharmacy BASE: The Portland Hospital for Women and Children MANAGED BY: Pharmacy Manager ACCOUNTABLE TO: Pharmacy Manager HOSPITAL PROFILE
More informationAppendix 1 MORTALITY GOVERNANCE POLICY
Appendix 1 MORTALITY GOVERNANCE POLICY 1 Policy Title: Executive Summary: Mortality Governance Policy For many people death under the care of the NHS is an inevitable outcome and they experience excellent
More informationDISCIPLINE COMMITTEE OF THE COLLEGE OF NURSES OF ONTARIO. PANEL: Joanne Furletti, RN Chairperson Rosalie Woods, RPN Member
DISCIPLINE COMMITTEE OF THE COLLEGE OF NURSES OF ONTARIO PANEL: Joanne Furletti, RN Chairperson Rosalie Woods, RPN Member Gino Cucchi Public Member John Bald Public Member BETWEEN: COLLEGE OF NURSES OF
More informationAccreditation Program: Long Term Care
ccreditation Program: Long Term are National Patient Safety Goals indicates scoring category ; indicates scoring category ; indicates situational decision rules apply; indicates 2009 The Joint ommission
More informationAdministration of Intravenous Medication by Adults & Children s Services in the Community Setting and Adult Bed Based Units Policy
High Value Health Care Administration of Intravenous Medication by Adults & Children s Services in the Community Setting and Adult Bed Based Units Policy (Reference No. CP53 8016) Version: Version 5, July
More informationStudent Nurse/Midwife Responsibilities with Fluid and Medication Management
Contents Purpose... 2 Scope/Audience... 2 Definitions... 2 Direct Direction... 2 Associated documents... 3 General Responsibilities for all staff and students in :... 3 Clinical Lecturer/Academic Liaison
More informationMcKinley T34 Ambulatory syringe pump Used in the provision of adult palliative and end of life care
Health Guidance McKinley T34 Ambulatory syringe pump Used in the provision of adult palliative and end of life care Publication Code: HCR-0214-083 Publication date: 26 February 2014 Page 1 of 7 Health
More informationProcedure to Allow Nursing Staff to Dispense Leave and Discharge Medication
Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication Version 2 minor update June 2013 Procedure Number Replaces Policy No. Ratifying Committee N/a PPPF Date Ratified April 2009 Minor
More informationTo provide protocol for medication and solution labeling to ensure safe medication administration. Unofficial Copy
SUBJECT: MEDICATION / SOLUTION CONTAINER LABELING PURPOSE: To provide protocol for medication and solution labeling to ensure safe medication administration. POLICY: All medications, medication containers
More informationDESCRIPTION/OVERVIEW This document standardizes the transfusion of packed red blood cells and/or other blood components.
Applies To: UNM Hospitals & UNMCC Responsible Department: Blood Bank Revised: 5/2017 Procedure Patient Age Group: ( ) N/A (X) All Ages ( ) Newborns ( ) Pediatric ( ) Adult DESCRIPTION/OVERVIEW This document
More informationDOCUMENT CONTROL PAGE
DOCUMENT CONTROL PAGE Title Title: Fluid Balance Policy for adult in-patient areas Version: 2 Reference Number: Supersedes Minor Amendment Author Ratification Supersedes: Version 1 Changes: See Minor Amendments
More informationNursing Guidelines on the Administration of Coagulation Factor Concentrate
Nursing Guidelines on the Administration of Coagulation Factor Concentrate Version Number 2 Date of Issue 2 nd April 2014 Reference Number Review Interval Approved By Name: Fionnuala O Neill Title: Chairperson
More informationHealthcare Support Workers. Administration of Medicines For Specified Children with Complex Needs in the Community
Healthcare Support Workers Administration of Medicines For Specified Children with Complex Needs in the Community Author: Children s Community Nursing Team Child Health This document in principle matches
More information4. The following medicinal products are excluded from self-administration: Controlled drugs
Procedure for Adult in-patient Self-administration of Medicines (SAM) Definition Self-administration of medicines may be defined as: suitable patients having responsibility for the storage administration
More informationPatient Self Administration of Intravenous (IV) Antibiotics at Home
Trust Policy Document Ref. No: PP(16)319 Patient Self Administration of Intravenous (IV) Antibiotics at Home For use in: For use by: For use for: Document owner: Status: Clinical Areas Clinical Staff Patient
More informationHuman Milk. Neonatal Nursery Policy & Procedures Manual Policy Group: GI/GU Date Approved August 2012 Next Review August Approved by: Purpose
Approved by: Gail Cameron Director, Maternal, Neonatal & Child Health Programs Human Milk Neonatal Nursery Policy & Procedures Manual : August 2012 Next Review August 2015 Dr. Ensenat Medical Director,
More informationNURSING SCOPE OF PRACTICE POLICY Page 1 of 10 July 2016
Page 1 of 10 NB: Anaesthetic RN Policy has been incorporated into this policy Policy Applies to: All Mercy Hospital Nursing staff Related Standards: Health Practitioners Competency Assurance Act (HPCA)
More informationImproving the Safe Use of Multiple IV Infusions
QUICK GUIDE Improving the Safe Use of Multiple IV Infusions The AAMI Foundation is grateful to its collaborating partners in the National Coalition for Infusion Therapy Safety: Acknowledgements The AAMI
More informationTo describe the process for the management of an infusion pump involved in an adverse event or close call.
TITLE INFUSION PUMPS FOR MEDICATION & PARENTERAL FLUID ADMINISTRATION SCOPE Provincial, Clinical DOCUMENT # PS-70-01 APPROVAL LEVEL Executive Leadership Team SPONSOR Provincial Medication Management Committee
More informationTube Feeding Status Critical Element Pathway
Use this pathway for a resident who has a feeding tube. Review the Following in Advance to Guide Observations and Interviews: Most current comprehensive and most recent quarterly (if the comprehensive
More informationEvery Child Counts. Regional Audit of the Child Health Promotion Programme Health Visiting and School Nursing Service
Every Child Counts Regional Audit of the Child Health Promotion Programme Health Visiting and School Nursing Service March 2016 Contents Page Introduction 3 Background 3 Aim 5 Objectives 5 Standards 5
More informationProcedure 26 Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG
Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG Introduction All health and social care organisations are accountable for ensuring the safe management of controlled drugs
More informationCompetency Framework for the Administration of all Blood Products
Framework for the Administration of all Blood Products Ref No. Authors Others Consulted during preparation Date Created December 2006 Date reviewed March 2007 Date approved Implementation date April 2007
More informationWYOMING STATE BOARD OF NURSING ADVISORY OPINION
WYOMING STATE BOARD OF NURSING ADVISORY OPINION INTRAVENOUS THERAPY BY LICENSED PRACTICAL NURSES Advisory Opinion Number: 03-123 Board Meeting Date: April 28-May 1, 2003 January 7-10, 2008 Introduction:
More information1.1 To provide guidelines for medication administration to students while at school.
Windsor-Essex Catholic District School Board NUMBER: Pr ST: 11 Section: Students PROCEDURE Pr ST: 11 Student Health Support (Including Medication Administration at School) EFFECTIVE: Oct. 26, 1999 AMENDED:
More informationScope of Practice for Student Nurses - Undergraduate & Entry to Professional Practice
Scope of Practice for Student Nurses - Undergraduate & Entry to Professional Practice March 2017 2 nd edition The Royal Children's Hospital (RCH) Scope of Practice for Student Nurses. This scope of practice
More informationNorthern Ireland Single Assessment Tool (NISAT)
This is an official Northern Trust policy and should not be edited in any way Northern Ireland Single Assessment Tool (NISAT) Reference Number: NHSCT/12/550 Target audience: This guidance applies to all
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 informationBest Practice Guidelines BPG 2 Enteral Feeding
Best Practice Guidelines BPG 2 Enteral Feeding Wolverhampton Clinical Commissioning Group Best Practice Guideline BPG 2 - Enteral Feeding 1 DOCUMENT STATUS: Approved DATE ISSUED: 10 th November 2015 DATE
More informationClinical Director for Women s and Children s Directorate
FEEDING PRETERM AND SMALL FOR GESTATIONAL AGE INFANTS ON THE POSTNATAL WARD CLINICAL GUIDELINES Register No: 08094 Status: Public Developed in response to: Contributes to CQC Regulation 9,11 Intrapartum
More informationClinical Skills Passport for Relief and Temporary Staff in Neonatal Units
Clinical Skills Passport for Relief and Temporary Staff in Neonatal Units This work is drawn from the Scottish Neonatal Nurses Group document The Competency Framework and Core Clinical Skills for Neonatal
More informationObjective Competency Competency Measure To Do List
2016 University of Washington School of Pharmacy Institutional IPPE Checklist Institutional IPPE Team Contact Info: Kelsey Brantner e-mail: ippe@uw.edu phone: 206-543-9427; Jennifer Danielson, PharmD e-mail:
More informationMedication safety monitoring programme in public acute hospitals - An overview of findings
Medication safety monitoring programme in public acute hospitals - An overview of findings January 2018 i ii About the The (HIQA) is an independent authority established to drive high-quality and safe
More information