Exeter Clinical and Health Research

Transcription

1 Exeter Clinical and Health Research Standard Operating Procedure: Monitoring and Testing of the Emergency and Nurse Call Bell System SOP Number: NIHRexe210GEN Version Number & Date: V1 24/09/2015 Review Date: 24/09/2016 Superseded Version Number & Date: Not applicable Author: Name: Kim Rowden Position: Senior Research Nurse Signature: Date: 06/08/2015 Approved by: Name: Dr Anna Steele Position: Senior Research Nurse Signature: Date: Senior Management Agreement: Name: Gillian Baker Role: CRF Manager Signature: Date: 24/09/2015 I agree that appropriate members of my workforce (as named above) have written and approved this SOP for use in clinical research. Page 1 of 5

2 1. BACKGROUND: The Exeter Clinical Research Facility (ECRF) has emergency and nurse call bells in clinic rooms, wards, participant toilets, the BOD POD room and the exercise room. This system needs to be checked on a regular basis to ensure that it is working correctly. Sounders and location panels are used in conjunction with the emergency and nurse call bell system. Sounders are placed in the nurses on call room (02.36) main office (02.15) and the manager s office (02.20). Location panels are placed in the nurses on call room (02.36) and the manager s office (02.20). 2. SCOPE: This SOP applies generically to clinical trials and research projects, clinical and health research in Exeter, unless a trial agreement specifically indicates that another organisations SOP should be used. 3. PURPOSE To ensure the emergency and nurse call bell systems are working correctly and that all systems are accessible. 4. DEFINITIONS AND ABBREVIATIONS SOP CRF RD&E RILD Standard Operating Procedure Clinical Research Facility Royal Devon and Exeter NHS Foundation Trust Research Innovation Learning and Development 5. ROLES AND RESPONSIBILITIES: It is the responsibility of Nurses, Research Practitioners and other research staff to read and use this SOP when testing the emergency and nurse call bell system. Other CRF staff can assist in this process. Page 2 of 5

3 6. SKILL LEVEL: This procedure should only be carried out by personnel who have read and understood this SOP. 7. EQUIPMENT: 4 x 2 way radios (stored in the recruiting room) Emergency and nurse call bell room list/testing log (page 5) 8. PROCEDURE: A Senior Research Nurse will arrange for the emergency and nurse call bell systems to be tested on a 3 monthly basis. A rota will be put together and sent to all involved. The rota will identify the member of staff responsible for leading the call bell testing session. The rota will also be stored on the W-drive for reference purposes. This procedure will be carried out in the following way. The Nurse / Research Practitioner responsible for leading the session will supply 2 way radios and a list of call bells to be checked to 3 members of CRF staff. He/she will hold the 4 th radio. A fourth member of staff will follow the Nurse/Research Practitioner responsible for leading the session. They will stand outside the room being checked and will look to see if the red light has lit up and report back to the Nurse /Research Practitioner. The 3 members of staff will be asked to man either a sounder or a location panel (or in the nurses on-call office 02.36), both the sounder and panel)). The Nurse / Research Practitioner responsible for leading the session will go to each area on the list (page 5) and will report using the 2 way radio which call / emergency bell is being tested. The Nurse / Research Practitioner leading the session will check that each bell is accessible, audible and will check with the fourth member of staff that the light outside the room has lit up. At the same time CRF staff assisting with this process will check that the correct area is showing on the location panels and that the bells are audible in the areas where the sounders are located and will report this to the leader of the session via the 2- way radios. The test and any actions required must be recorded by the Nurse / Research Practitioner responsible for leading the session in the Emergency and Nurse Call Bell testing log found on page 5 of this SOP. If there are faults with the call bell system, it is the responsibility of the member of staff in charge of the session to report the fault to the RD&E estates department via the Research Administrators (room RILD). Once the check has been completed, the testing log will be scanned onto the W- drive in the equipment folder W:\17. EQUIPMENT\Clinical Call Bell testing. The scanning of this document is the responsibility of the Nurse/Practitioner leading the Page 3 of 5

4 testing session and must be done within 2 weeks of the test (this allows time for faults to be resolved and documentation of this to be completed). The scanned document needs to be stored in correct folder for that year and the document itself dated accurately (e.g ) for auditing purposes. 9. DESIRED OUTCOME: To have a faultless emergency and nurse call bell system. 10. REFERENCES: N/A 11. APPENDICES: N/A Page 4 of 5

5 Emergency and Nurse Call Bell System Room List Date of check: / /_20 Staff member responsible for session: (Name) (Signature) Other staff undertaking checks in this session: 1) Main Office (02.15) 2) Managers office (02.20) 3) Nurses on call room (02.36) 4) Bell light indicators outside rooms Room Number Room Name Clinic Room Clinic Room Clinic Room Clinic Room Clinic Room Clinic Room Clinic Room Clinic Room Clinic Room Ward 1 Bed Ward 1 Bed Ward 1 Bed Ward 1 Bed Ward 2 Bed Ward 2 Bed Ward 2 Bed Ward 2 Bed Ward 3 Bed Ward 3 Bed Ward 3 Bed Ward 4 Bed Exercise Lab Clinic Room Clinic Room Clinic Room Clinic Room Clinic Room Bod Pod Room Toilet Toilet Toilet Toilet sounds on landing only Nurse Call Bell Emergency Bell Red Light Problems/faults Noted Date fault reported to estates Date fault resolved Page 5 of 5