Bed Rail Provision Guidance for Assessment and Provision. Clinical & Prescriber Support Special Interest Group
|
|
- Felicity Stafford
- 6 years ago
- Views:
Transcription
1 Bed Rail Provision Guidance for Assessment and Provision Clinical & Prescriber Support Special Interest Group Issue 1: June 2011
2 Index: Page: The NAEP Clinical & Prescriber Support Special Interest Group 3 Purpose of the Guidelines Using the Guidelines Introduction Terminology 4 The Guidelines Pathway 5 Section 1 Current Situation and Risk Assessment 6 Section 2 Alternative Solutions 7 Section 3 Identification of Appropriate Equipment A) Bed Rails B) Bumpers 8 9 Section 4 Action Plan and Provision 10 Section 5 Fitting 11 Section 6 Monitor and Review 12 Appendix 1 DO NOT S 13 Appendix 2 Assessment Checklist Tool Appendix 3 Appendix 4 Outcome of Assessment/Action Plan Review Checklist Appendix 5 Reference Links / Reading List / 20 Page 2
3 The Clinical and Prescribers Support Special Interest Group The group membership includes qualified Occupational Therapists, Nurses and Physiotherapists from across the UK with specialist knowledge of community equipment and experience of working closely with Community Equipment Services. Using professional expertise and research, the group supports clinicians and prescribers and through them providers of Community Equipment Services to facilitate best practice in equipment provision to the end user. The group develops clinical guidance that provides assessment tools to assist with the selection process for the most suitable equipment to meet the needs of the end user. Health and safety, design, training, maintenance and clinical need are considered. Purpose of the Guidance To provide: Clinical guidance on the assessment process for bed rails and accessories to meet individual needs. Consistency in approach to assessment and provision as a basis of good practice. A reliable and relevant point of reference. Using the Guidelines The guidance can be utilised as a benchmark to compare and develop local guidance, taking into account existing policies and procedures Sections one to six provide points to be considered and are to be used in conjunction with the bed rail assessment checklist in appendix 1 Introduction There have been a number of incidents and fatalities involving bed rails that have led to injury or death and consequently a number of British and European standards and recommendations produced. The latest standard represents current thinking in Basic Safety and Essential Performance of the Medical Bed and is the combined effort of working groups from the International Electrotechnical Commission (IEC) and ISO. This British European Standard - BS.EN.IEC :2010 is identical to the IEC :2009 and supersedes BE EN 1970:200 and BS EN :1997 both of which will be withdrawn in April Manufacturers of medical beds and bed rails are working towards meeting these standards for April As a result of the new standards the NAEP guidelines for bed rails will reflect relevant changes to the specific measurements of the space at the head foot ends of the bed from 250mm to 318mm. Page 3
4 Bed rails are used in a variety of settings to reduce the risk of falls from a bed; however they are not intended to limit freedom of movement, meant to be used to restrain or to be used as grab rails. All prescribers of equipment should be made aware of the hazards associated with the use of bed rails and how to use them safely. But it should be noted that the MHRA (Dec; 2006) advises most bed rails are designed only to be used with adults and adolescents, not for children under 12 or small adolescents and adults. Using bed rails with children Risk assessments should always be carried out on the suitability of the bed rail for a child or small adult and reference should be made to manufacturers guidance. There ARE NO published standards on bed rails for children but there are other standards addressing the entrapment risk (BS EN 12182) which suggests that the maximum space to avoid entrapment of children s heads in static equipment is 60mm.Consideration should also be given to the suitability of the bed. Many of the alternatives to bed rails can be used with children. BS.EN.IEC :2010 (page 52), recognises that the definitions of terms adult and child are based on physical characteristics. The dimensional requirements of this particular standard are based on anthropometric data based on PATIENTS ranging in physical size from a 146 cm tall female to a 185 cm tall male. For BEDS intended for use with PATIENTS outside this range, all dimensional characteristics in this particular standard should be adjusted accordingly. Terminology For the purpose of this document the term bed rail will be adopted, although other names are often used, such as bed side rails, side rails, cotsides, and safety sides. (MHRA - Device Bulletin - Safe Use of Bed Rails. December 2006: Page 5 section 2.3) Bed rails should not be confused with bed grab handles, bed sticks or bed levers which are designed to assist a person to get in and out of bed and move in bed. They are not designed to prevent a person falling from their bed and should not be used as bed rails. (MHRA - Device Bulletin, Safe Use of Bed Rails, December 2006: page 6 section 2.4. Bed rails can be classified into two basic types: As an optional accessory supplied by the bed manufacturer Or supplied separately for use on domestic divans or metal framed beds Page 4
5 Pathway - To Assist in the Assessment for the Provision of Community Bed Rails or Alternative Solutions Current Situation & Risk Assessment Section 1 Outcome of Assessment Alternative Solutions Section 2 ACTION PLAN and PROVISION Identification of Bed Rails Section 3 Fitting Section 5 Monitor and Review Section 6 Page 5
6 Section 1 Current Situation and Risk Assessment Consider:- Person: Medical condition and future implications Medication i.e. changes in physical or medical state Ability to transfer Consider how the person moves in bed Falls - reasons for Care needs Continence issues e.g. toileting in the night Behaviour and cognitive state e.g. anxiety / fear of falls / confusion / agitation or lack of insight Height and weight Capacity to give consent. See references for England Scotland Wales and Northern Ireland Repetitive / involuntary movements Additional considerations e.g. personal choice Formal and informal Carers: Age and ability to provide care and use equipment Physical ability Cognitive ability Moving and Handling Additional considerations e.g. personal choice Current situation: The person s wishes Past and existing equipment e.g. type of bed, depth and type mattress, bed lever grab rails by the bed Care provision Present location e.g.; hospital / home / care home Other medical devices to consider e.g., peg feed, medical equipment, ventilator or oxygen tubing. Financial Implications to person and organisations: Injury to person / formal / informal carer Alterations to care package Avoidance of admission to hospital or care home / delayed discharge Page 6
7 Section 2 The Alternative Solutions to Provision of Bed Rails Examples: Inflatable systems Side wedges Extra low Variable height Extra low Variable height bed with crash mat Internal foam surrounds Sensory/motion/pressure alarms NB all the above require risk assessments Consider: Re-enablement / Rehabilitation Suitability of existing bed for fitting accessories Condition and type of mattress e.g extra dense foam Falls related to transfers Person s wishes Compatibility of combinations of equipment. e.g. mattress systems / mattress elevator / pillow lifter / mobile hoist / standing hoist Informal carers and family members understanding use and limitations of alternative solution Page 7
8 Section 3 Selection of Appropriate Equipment Please also see appendix 1: DO NOT A) Bed rail Take into account: Combination of person, mattress, bed and proposed bed rail Check bed rail meets current regulations for dimensions Local specifications of equipment see example below Local agreements Example Template for local use Manufacturers Basic features Additional Features SWL (safe working load) Other Supplier / s e.g. Length Height Gaps between bars extendable Stone / kg Compatibility Page 8
9 B) Bed Rail Bumpers Bumpers are primarily used for preventing impact injuries, but in some instances they can reduce the potential for entrapment. There is a risk of suffocation that needs to be considered. Risk Assessment must always be completed prior to prescription. Consider: Person: Risk of suffocation Diagnosis Medication Persons behaviour and cognitive state Movement within the bed Repetitive and voluntary movements Choice Consent Formal and Informal carers: Quick access for care needs if required Ability of carers to remove and refit bumper Choice Provision: Compatibility with other equipment Gap between bumper and mattress Will the bed still profile? Type and design e.g. Wipe down Foam Inflatable Mesh Easy to clean How are they secured and do they fit the bed rail Page 9
10 Section 4 Action Plan and Provision Following assessment and identification of need: Consider the implication and impact of provision on: The Person: Ability to transfer and moving in bed Entrapment issues Suffocation Injury Anxiety and agitation Consent Moving and handling Social interaction Formal and Informal Carers: Consent Ability to comprehend changes Individual needs of carer Moving and handling Training requirements Other family members Provision: Compatibility Standard stock or special order Funding and authorisation Rented equipment Local ordering procedures Maintenance and servicing Safe access for delivery of equipment by the drivers Information sharing with other agencies Local Terms and Conditions of loan of equipment Implication of reviews Page 10
11 Section 5 Fitting of bed rails Who is responsible? - Refer to local agreements / guidelines. Employer s duty of care Need to ensure that employees who are responsible for selecting, fitting and checking bed rails have received appropriate and ongoing training Employees duty of care Comply with organisations policies and procedure (Refer to Management of Health and Safety at Work Act 1999) Consider: Has the correct bed rail been selected for the bed in use Has the person fitting the bed rail had training Can the bed rail be fitted with the user in the bed Fittings are secure and meet the supplier s instructions and standards Mounting clamps, if present, are in the correct orientation Entrapment Issues Distance between the bars on the bed rails must not exceed 120 mm Distance between the end of the bed rail and the headboard must be either less than 60mm or greater than 250mm (From April 2013 equal or less than 60mm only) Distance between the end of the bed rail and the footboard must be either less than 60mm or greater the 250mm (From April 2013 less than 60mm or greater than 318mm) The top of the bed rails must be more than 220mm above the top of the uncompressed mattress in at least 50% of the length of the mattress platform, and with the bed base in a flat position Any gap between the side of the mattress and the bed rail Do the dimensions and gaps comply with current regulations Are there instructions that can be issued with the bed rails Consider gap between top of compressed mattress and bottom rail Page 11 NB: MHRA statement regarding children under 12 years and small adults please refer to introduction on page 3 and 4.
12 Section 6 Monitor and Review Follow up visits and continuing review of provision and risk assessment. Consider: Person Carers Compatibility Installation of the equipment Training requirements of staff / person / carers / relatives Change of prescription where assessed as required How frequently to review in line with local guidance for:- Position and fit of the rail clinical need / change in condition Documentation Liaising with other relevant services Page 12
13 APPENDIX 1 DO NOT Use bed rails designed for a divan bed on a wooden / slatted or metal bed frame; this can create gaps that may trap the occupant Use an air or lightweight foam mattress with divan bed rails on the divan bed as the whole bedrail assembly, including the mattress and occupant, can tip off the bed when the occupant rolls against the side Use only one side of a pair of divan bed rails; the single rail will be insecure and move Adapt or use inappropriate fittings Use mattress combinations / deep mattresses whose additional height lessens effective use of the bed rail that may permit the occupant to roll over the top. i.e. diagram of dimensions section 5 Use mattress and bed rail combinations where the mattress edge can compress introducing a gap between the mattress and bed rail therefore increased risk of entrapment Use bed levers or mattress elevators with divan bed rails as the incompatibility will compromises the safety of the equipment Use bed rails with parts missing Page 13
14 APPENDIX 2 Bed Rail Provision Assessment Checklist Tool Persons Name: DOB: NHS/CHI No: GP Name: Surgery: Assessor: Contact Details: Date: Risk Assessment Person: Y/N Comments: Is there a history of falls from a bed Does the persons medical condition put them at risk of falling out of bed Would the provision of bed rails increase the risk of injury to the person Does the person s current medication put them at risk of falling out of bed Does the person need to transfer independently Is the person able to move in bed Is there the potential for the person to climb over the bed rail or roll over the top Are there cognitive or behavioural issues that would increase the risk of entrapment Is the person at risk of suffocation Is there involuntary movement that would increase the risk of injury or entrapment Would provision have a detrimental effect on cognitive emotional state Page 14
15 Person: Y/N Comments: Is the person agitated or confused Does person have capacity to consent to provision Is the person aware of their own safety needs in bed Formal / Informal Carer: Y/N Comments: Would the provision of bed rails increase the risk of injury to the formal/informal carer. Would fitting of bed rails restrict personal / nursing / medical care requirements Do carers understand the requirements for provision and the risks involved Will carers agree to use the bed rails Is the carer able to operate the bed rail mechanism Will there be a requirement for training Current Situation What equipment has been tried Comments Why did it not work What is being used now Other household members Type of bed Type of mattress Page 15
16 Financial Implications: Y/N Comments: Increased care package Risk of admission to alternative care environment Risk of admission to acute sector Discharge package Special purchase required Alternative Solutions: Considered / Tried Y/N Comments: Use of extra low variable height bed to bring it closer to floor Crash mat to cushion fall NB - requires own risk assessment Alarm system to indicate if person attempts to move out of bed Use of wedges or bolsters Internal padding Other Bed Rail requirements Y/N Comments Standard Stock/Special Order Divan bed rails Integral bed rails Bracket / clamp on bed rails Extra height bed rails Mesh bed rails Page 16
17 Bumpers Y/N Comments Standard Stock/Special Order Are they necessary Would they present a risk of suffocation to the person Risk of entrapment / impact injuries reduced Type of bumper required Page 17
18 APPENDIX 3 Outcome of Assessment / Action Plan Name NHS/CHI: Date of Birth: Address: Telephone number: Postcode: Equipment to be provided: Special order: Y/N Authorised by Who will fit equipment? Date: Who will demonstrate equipment? Review date By: Additional information: Assessment completed by: Date: Page 18
19 APPENDIX 4 Review Check List Persons Name: DOB: NHS/CHI No; GP Name: Surgery: Assessor: Contact details: Date: REVIEW YES/NO COMMENTS Are bed and bed rail compatible Compatibility with other equipment. e.g. grab rails, bed tables Are spaces between the bars greater than 120mm Are the gaps between head and foot less than 60mm or greater than 250mm (from April 2013 greater than 318mm) Is the height from the top of the mattress to the top of the mattress greater than 220mm Are there any other gaps that may cause an entrapment risk e.g. between compressed mattress and bed rail Do the carers know how to inspect and check the bed rails and who to contact if problems occur Have the bed rails been fitted correctly Have the manufacturer s instructions been supplied with the bed rails and bumpers if supplied Have bumpers been fitted correctly If there any changes to the equipment, mattress or users condition carry out a full assessment again Page 19
20 APPENDIX 5 Reference links: British European Standard - BS.EN.IEC :2010: Medicines and Healthcare products Regulatory Agency (2007): MDA 2007/009 Bed Rails and Grab Handles. London: MHRA. Medicines and Healthcare products Regulatory Agency (2006): DB 2006(06) Safe Use of Bed Rails. London: Page 5 section 2.3 and page 6 section 2.4. Health and Safety at Work Regulations (1999): Mental Capacity Acts: yact/?lang=en Further Reading: Capezuti, E. et al (2007) Consequences of an intervention to reduce restrictive side rail use in nursing homes. Journal of the American Geriatric Society; 55: Healey, F., Oliver, D. (2009) Bedrails, falls and injury: evidence or opinion? A review of their use and effects. Nursing Times; 105: 26, early online publication. Healey, F. et al (2008) The effect of bedrails on falls and injury: a systematic review of clinical studies. Age and Ageing; 37: 4, Hignett, S., Griffiths, P. (2005) Do splitside rails present an increased risk to patient safety? Quality and Safety in Health Care; 14; National Patient Safety Agency (2007) Safer Practice Notice. Using Bedrails Safely and Effectively. London: NPSA. RCN (2007) Let s Talk About Restraint. Rights, Risk and Responsibility. London: RCN. The NAEP Clinical & Prescriber Special Interest Group trust that you will benefit from this document. If would be appreciated if you could take the time to provide feedback and information on how you have utilised this document by contacting Frances Kent Special Interest Group Chair by at: frances.kent@buckspct.nhs.uk Page 20
POLICY FOR THE USE OF BEDRAILS AND BEDRAIL COVERS
POLICY FOR THE USE OF BEDRAILS AND BEDRAIL COVERS N.B. Staff should be discouraged from printing this document. This is to avoid the risk of out of date printed versions of the document. The Intranet should
More informationPROCEDURE FOR THE SAFE USE OF BED RAILS AND BED GRAB HANDLES
PROCEDURE FOR THE SAFE USE OF BED RAILS AND BED GRAB HANDLES Issue History Aug 07 Issue Version Two Purpose of Issue/Description of Change To promote safe and effective use of bed rails and bed grab handles
More informationUSING BED RAILS SAFELY AND EFFECTIVELY
SECTION: 1 PATIENT CARE POLICY & PROCEDURE: 1.26 NATURE AND SCOPE: SUBJECT: POLICY AND PROCEDURE TRUSTWIDE USING BED RAILS SAFELY AND EFFECTIVELY This policy has been produced in accordance with resources
More informationWhat will be covered in this NAEP workshop?
What will be covered in this NAEP workshop? 1. A greater understanding of the new bed standards IEC 60601-2-52 and what this means to you 2. To strengthen the link between supplier and equipment provider
More informationBED RAIL SAFETY 9/15/2015. A Clinical Process Guideline. Background. Federal Nursing Home Reform Act
BED RAIL SAFETY A Clinical Process Guideline Laura Funsch, RN, BSN, MS Director of Regulatory Strategy, LeadingAge Michigan Background Safety hazards related to bed rail use have been realized since 1990.
More informationBED RAILS: MANAGEMENT AND SAFE USE POLICY MAY This policy supersedes all previous policies relating Bed Rails
BED RAILS: MANAGEMENT AND SAFE USE POLICY MAY 2016 This policy supersedes all previous policies relating Bed Rails 1 Policy title Policy reference Policy category Relevant to Bed Rails: management and
More informationPolicy for the Use of Bed Rails
Policy No: RM59 Version: 3.0 Name of Policy: Policy for the Use of Bed Rails Effective From: 07/09/2015 Date Ratified 11/08/2015 Ratified Medical Devices Management Group Review Date 01/08/2017 Sponsor
More information9/17/2015. Bed Rail Safety A Clinical Process Guideline. Background. Federal Nursing Home Reform Act
Bed Rail Safety A Clinical Process Guideline Laura Funsch, RN, BSN, MS, Director of Regulatory Strategy Background Safety hazards related to bed rail use have been realized since 1990. Michigan s initial
More informationBed Rail Safety A Clinical Process Guideline. Laura Funsch, RN, BSN, MS, Director of Regulatory Strategy
Bed Rail Safety A Clinical Process Guideline Laura Funsch, RN, BSN, MS, Director of Regulatory Strategy Background Safety hazards related to bed rail use have been realized since 1990. Michigan s initial
More informationReview Date 01/03/2014 Director of Estates and Facilities Expiry Date 19/03/2015 Withdrawn Date
Policy No: RM59 Version: 2.1 Name of Policy: Policy for the Use of Bed Rails Effective From: 24/04/2013 Date Ratified 20/03/2012 Ratified Health and Safety Committee Review Date 01/03/2014 Sponsor Director
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Safe and Effective Use of Bedrails
The Newcastle upon Tyne Hospitals NHS Foundation Trust Safe and Effective Use of Bedrails Version No.: 2.0 Effective From: 31 October 2017 Expiry Date: 31 October 2020 Date Ratified: 24 July 2017 Ratified
More informationProvision of Equipment into Community Day Care, Registered Care Homes Non- Nursing Care and Registered Care Homes Nursing Care
Integrated Community Equipment Service Provision of Equipment into Community Day Care, Registered s Non-Nursing Care and Registered s Nursing Care for Adults and Older People July 2011 Nottingham & Nottinghamshire
More informationBed Rail & Inspection Policy and Procedure Checklist
Bed Rail & Inspection Policy and Procedure Checklist b Tool: Bed Rail & Bed Inspection Policy and Procedure Checklist (Information specific to Iowa state law within this policy is indicated in red.) Purpose
More informationCardiff and Vale University Local Health Board BEDRAILS PROCEDURE. Nursing and Midwifery Board
BEDRAILS PROCEDURE Reference No: 239 Version No: 1 Previous Trust / LHB Ref No: T/301 Documents to read alongside these procedures Mental Capacity Act 2005 Code of Practice Prevention and Management of
More informationIntroduction. Welcome to Human Care.
Healthcare Beds Introduction We produce and provide lifting solutions for people with special needs. Our products are made to serve as a natural part of life to all our users. Human Care has a proud history
More informationICELS Nottingham City and Nottinghamshire County. Policy for the Loan of Equipment into Registered Care Homes for Adults and Older People
ICELS Nottingham City and Nottinghamshire County Policy for the Loan of Equipment into Registered s for Adults and Older People March 2014 Integrated Community Equipment Loan Service ICELS Policy for the
More informationReference Check Completed by.joanne Shawcross. Date.16/8/16.
Document Type: Standard Operating Procedure Unique Identifier: CORP/SOP/011 Document Title: Using Bedrails Safely and Effectively (hospital Scope: Specifies how bedrails and the training around them are
More informationFALLS PREVENTION MANAGEMENT IN SWANSEA NHS TRUST CONTENTS. 1. Outline of Falls Prevention Management in Swansea NHS Trust
FALLS PREVENTION MANAGEMENT IN SWANSEA NHS TRUST CONTENTS 1. Outline of Falls Prevention Management in Swansea NHS Trust 2. Nursing Procedure for Reducing Patient Falls 3. Flow Chart, Reducing Patient
More informationSafe and Effective Use of Bedrails
Safe and Effective Use of Bedrails Who Should Read This Policy Target Audience All Clinical Staff Version 1.1 May 2018 Ref. Contents Page 1.0 Introduction 4 2.0 Purpose 4 3.0 Objectives 4 4.0 Process 5
More informationProvision of Equipment to Registered Adult Care Homes Policy
Provision of Equipment to Registered Adult Care Homes Policy Author(s) (name and post): Julie Lewis, Moving & Handing Advisor Version No.: Final Version Approval Date: 7 July 2011 Review Date: July 2014
More informationBed Rail Entrapment Risk Notification Guide
Bed Rail Entrapment Risk Notification Guide EN NOTICE TO EQUIPMENT PROVIDER: These instructions, in their entirety, must be provided to the patient, the patient s family and/or the patient s primary day-to-day
More informationSECTION P: RESTRAINTS
SECTION P: RESTRAINTS Intent: The intent of this section is to record the frequency over the 7-day look-back period that the resident was restrained by any of the listed devices at any time during the
More informationPROVIDER POLICIES & PROCEDURES
PROVIDER POLICIES & PROCEDURES ENCLOSED BED SYSTEMS The primary purpose of this document is to assist providers enrolled in the Connecticut Medical Assistance Program (CMAP) with the information needed
More informationAdaptation, Equipment and Safety Equipment Assessment. REVISED July 2016
Adaptation, Equipment and Safety Equipment Assessment REVISED July 2016 Page 1 of 5 Adaptations and Equipment Policy Statement The Wellbeing Residential Group believes that its service users should expect
More informationMore comfortable childbirth
Labour, delivery and recovery bed More comfortable childbirth MATERNITY More comfortable childbirth Three different Optima bed s available Optima labour, delivery and recovery bed family offers more comfortable
More informationPolicies, Procedures, Guidelines and Protocols
Policies, Procedures, Guidelines and Protocols Title Trust Ref No 1419-25548 Local Ref (optional) Main points the document covers Who is the document aimed at? Author Approved (Committee/Director) by Document
More informationTrusted Assessor New thinking for a new era
Trusted Assessor New thinking for a new era What is a Trusted Assessor? Developed in 2005 the Trusted Assessor role was created in response to a government objective to increase equipment provision in
More informationAffinity Four Birthing bed Delivering Safety
Affinity Four Birthing bed Delivering Safety The perfect combination of safety and ease-of-use In labour and delivery, every second counts. Caregivers must be able to respond quickly and easily, especially
More informationObservations for all areas: What type of supervision is provided to the resident and by whom? How are care-planned interventions implemented?
Use this pathway for a resident who requires supervision and/or assistive devices to prevent accidents and to ensure the environment is free from accident hazards as is possible. Review the Following in
More informationMoving and Handling Policy
Moving and Handling Policy Ratified Quality, Patient Safety and Risk / 16/04/2014 / 2014-40 Status Ratified Issued April 2014 Approved By Quality, Patient Safety and Risk Committee Consultation Quality,
More informationHSC 360b Move and position the individual
CASE STUDY: Planning a move Shireen is the care worker for Mrs Gold, who is 80. Shireen needs to move Mrs Gold from a bed into a chair. Mrs Gold is only able to assist a little as she has very painful
More informationCARE HOMES IN DERBYSHIRE AND DERBY CITY. Provision of Community Equipment for Care Homes in Derbyshire and Derby City
CARE HOMES IN DERBYSHIRE AND DERBY CITY Provision of Community Equipment for Care Homes in Derbyshire and Derby City Page 1 V2 29/10/2007 About this Document This document demonstrates a wide range of
More informationPressure IQ Evolve Mattress Replacement System USER MANUAL
Pressure IQ Evolve Mattress Replacement System USER MANUAL P/N 413657-AH Rev C 01/2015...with people in mind IMPORTANT INFORMATION FOR USERS ARJOHUNTLEIGH HEREBY DISCLAIMS ALL EXPRESS OR IMPLIED WARRANTIES,
More informationPolicies, Procedures, Guidelines and Protocols
Policies, Procedures, Guidelines and Protocols Document Details Title Trust Ref No 1535-27280 Local Ref (optional) NA Main points the document This policy sets out the arrangements for the management of
More informationGUIDELINES FOR THE USE OF ASSISTIVE TECHNOLOGY EQUIPMENT IN COMMUNITY INPATIENT UNITS
GUIDELINES FOR THE USE OF ASSISTIVE TECHNOLOGY EQUIPMENT IN COMMUNITY INPATIENT UNITS Guideline Reference: 1666 Version: 2.1 Status: Adopted Type: Clinical Guideline Guideline applies to (Staff Group)
More informationAvantGuard bed Safety by design. Information
AvantGuard bed Safety by design Information Information As a healthcare professional, one of your primary concerns is safety As patients become older and more dependent, or more restless and distressed
More informationAmended Public Copy/Copie modifiée du public de permis
Inspection Report under the Homes Act, 2007 Rapport d inspection prévue le Loi de 2007 les foyers de soins de longue durée Homes Division Inspections Branch Division des foyers de soins de longue durée
More informationNAEP Eastern Regional Group Guidance for Provision of Community Equipment in Care Homes
NAEP Eastern Regional Group Guidance for Provision of Community Equipment in Care Homes Issue 2: Updated November 2015 NAEP November 2015 Eastern Regional Guidance for Provision of Community Equipment
More informationSafe moving and handling guidance
Safe moving and handling guidance An overview of moving and handling in the care industry, from legislation to practical tips, written by Frances Leckie, editor of the Independent Living website Contents:
More informationSlips, Trips and Falls Policy Hospital Inpatients (Adults)
Slips, Trips and Falls Policy Hospital Inpatients (Adults) Author: Darren Fletcher, Patient Safety Manager Owner: Publisher: Beverley Geary, Chief Nurse Compliance Unit Date of first issue: May 2008 Version:
More informationMoving and Handling Policy
Moving and Handling Policy Ratified Status Approved Final Issued 28 April 2016 Approved By Quality, Patient Safety and Risk Committee Consultation Executive Committee Equality Impact Assessment Embedded
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 informationVelino. by Haelvoet HOSPITAL - NURSING HOME FURNITURE
Velino by Haelvoet HAELVOET NV L. BEKAERTSTRAAT 8, 8770 INGELMUNSTER, BELGIUM T +32 (0) 51 48 66 95 F +32 (0) 51 48 73 19 INFO@HAELVOET.BE WWW.HAELVOET.BE HOSPITAL - NURSING HOME FURNITURE Velino perfect
More informationAdult Protocol Urethral Catheterisation
Adult Protocol Urethral Catheterisation Page 1 of 8 Policy reference: Continence Introduction Adult Protocol Urethral Catheterisation Urethral catheterisation is the insertion of a urinary catheter into
More information6: What care is available?
6: What care is available? This section identifies and explains the types of care on offer at end of life and who is involved. The following information is an extracted section from our full guide End
More information#NeuroDis
Each and Every Need A review of the quality of care provided to patients aged 0-25 years old with chronic neurodisability, using the cerebral palsies as examples of chronic neurodisabling conditions Recommendations
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Health and Social Care Directorate Quality standards Process guide
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Health and Social Care Directorate Quality standards Process guide December 2014 Quality standards process guide Page 1 of 44 About this guide This guide
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 informationUser-Service Manual Joerns Assist Handle Model F025
User-Service Manual Joerns Assist Handle To avoid injury, read user s manual before using. F025 Assist Handle leading bed evolution WOUND SOLUTIONS SAFETY SOLUTIONS DESIGN SOLUTIONS Important Precautions
More informationCARMINA BARIAtRIC shower CoMMode ChAIR
CARMINA BARIAtRIC shower CoMMode ChAIR with people in mind 2 Carmina A SAfe Showering Solution for bariatric care Carmina is a new solution designed to improve assisted hygiene routines in bariatric environments.
More informationEleganza 3XC. Designed for ICU
Eleganza 3XC Designed for ICU Benefits of Eleganza 3XC 2 LINET Eleganza 3XC Everything needed to save lives Prevention of pulmonary and cardiac complications Falls protection and pressure ulcer prevention
More informationMedical Devices Management Policy
Document Author Written By: Medical Devices Co-ordinator Date: 07/02/17 Lead Director: Exectuve Director of Nursing & Quality Authorised Authorised By: Chief Executive Date: 11/04/2017 Effective Date:
More informationManual Handling Policy
Manual Handling Policy Document Information This is a controlled document. It should not be altered in any way without the express permission of the author or their representative. On receipt of a new
More informationBurton Hospitals NHS Foundation Trust. On: 25 January Review Date: December Corporate / Directorate. Department Responsible for Review:
POLICY DOCUMENT Burton Hospitals NHS Foundation Trust MEDICAL DEVICES TRAINING POLICY Approved by: Trust Executive Committee On: 25 January 2017 Review Date: December 2019 Corporate / Directorate Clinical
More informationThe Whole System Demonstrator Trial: delivery, initial results and plans for the future
MATCH Colloquium 26 th June 2012 Glasgow The Whole System Demonstrator Trial: delivery, initial results and plans for the future Sharon O Callaghan WSD Newham Research and Systems Manager (nb thanks to
More informationPolicy Document Control Page. Title: Protocol for Mental Health Inpatient Service Users who Require Care in the Pennine Acute Hospital
Policy Document Control Page Title: Protocol for Mental Health Inpatient Service Users who Require Care in the Pennine Acute Hospital Version: 6 Reference Number: CL25 Supersedes Supersedes: Protocol for
More informationThinking about a career in nursing or midwifery?
Thinking about a career in nursing or midwifery? cancer travel What is nursing? What is midwifery? page 2 Where can I study? page 9 What qualifications do I need? page 4 How much will it cost me to go
More informationRCN advisor Amanda Cheesley (2012) in a statement about cuts and lack of development of specialist nursing posts stated;
Children s Continence Service An Affordable Luxury? RCN advisor Amanda Cheesley (2012) in a statement about cuts and lack of development of specialist nursing posts stated; they (specialist nurses) are
More informationMERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY
MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 15 December 2016 Agenda No: 3.3 Attachment: 04 Title of Document: Surgery Readiness Option Report Author: Andrew Moore (Programme Director
More informationIntensive Psychiatric Care Units
NHS Highland Argyll & Bute Hospital, Lochgilphead Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity.
More informationConsultation on proposals to introduce independent prescribing by paramedics across the United Kingdom
Patient and public summary for: Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom The full consultation document is available on the NHS England consultation
More informationSection 19 Mental Health Act 1983 Regulations as to the transfer of patients
Document level: Trustwide (TW) Code: MH9 Issue number: 4 Section 19 Mental Health Act 1983 Regulations as to the transfer of patients Lead executive Authors details Type of document Target audience Document
More informationSite: Lovelace Health System Title: PATIENT CARE - Restraints Approved Date: 08/28/2015 Effective Date: TBD
Approved Date: 08/28/2015 Effective Date: TBD 08/01/2018 Document Number P-NS-1063.6 Document Type: Policy Page 1 of 11 1. Policy: All patients have the right to be free from physical or mental abuse,
More informationCitadel Plus Bariatric Care System
Citadel Plus Bariatric Care System Preserving Dignity, Advancing Care Safety, strength, simplicity Maintaining patient dignity is vitally important for caregivers. This is especially so for patients of
More informationImage 3. exclusive design to meet all your needs
Image 3 exclusive design to meet all your needs Image 3 exclusive design to meet all your needs Image 3 Standard Image 3 Washable Image 3 XXL Benefits of Image 3 extra low position 28 cm 4 LINET Image
More informationManagement of patients on insulin
Number Issue 7: March 1 December 2018 2013 Special Regulated Services Edition Management of patients on insulin An elderly Nursing Home resident fell and was found on the bedroom floor. The staff on duty
More informationAdult Protocol Intermittent Catheterisation
Adult Protocol Intermittent Catheterisation Page 1 of 8 Policy reference: Continence Introduction Adult Protocol Intermittent Catheterisation This protocol covers management of incomplete bladder emptying
More informationPreventing In-Facility Falls
Preventing In-Facility Falls Presented by Paul Shekelle, M.D., Ph.D. RAND Corporation Evidence-based Practice Center Introduction: Making Health Care Safer II: An Updated Critical Analysis of the Evidence
More informationInstruction for use and trouble shooting guide
ProAxis Plus Operating Instructions 3.1 Dated 18/05/11 1/24 Manufacturer s name Manufacturer s address Nightingale Care Beds Ltd Unit 1 Ash Road South Wrexham Industrial Estate Wrexham LL13 9UG, UK Tel
More informationPropad MATTRESS OVERLAYS, CUSHIONS AND ACCESSORIES MSS. Distributed by:
Medical Support Systems Ltd Nantgarw Business Park Cardiff, CF15 7QU United Kingdom T +44 (0)1443 849200 F +44 (0)1443 843377 E info@medsys.co.uk W www.medsys.co.uk MSS Distributed by: is a registered
More informationIntensive Psychiatric Care Units
NHS Greater Glasgow and Clyde Stobhill Hospital, Glasgow Intensive Psychiatric Care Units Service Profile Exercise ~ November 009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and
More informationAlternating Dynamic Therapy Systems. ...making it better
Alternating Dynamic Therapy Systems...making it better Alternating Dynamic Therapy Systems Contents 3 Harmony 4 Harmony XL 5 Trio II Following a significant program of research, planning, testing and product
More informationCommunity Equipment Service Joint Catalogue
Community Equipment Service Joint Catalogue Version 6.0 Date: May 2017 1 COMMUNITY EQUIPMENT SERVICE EQUIPMENT CATALOGUE Version 6 (2017) Introduction The Community Equipment Service helps to support people
More informationImplementing a Restraint Free Policy. Esther Vance NSW Falls Injury Prevention Network Prince of Wales Medical Research Institute March 2008
Implementing a Restraint Free Policy Esther Vance NSW Falls Injury Prevention Network Prince of Wales Medical Research Institute March 2008 Restraint Definition anything that limits an individual s voluntary
More informationOpera. With people in mind
Opera With people in mind Opera... ARJO a prime mover in the handling revolution ARJO patient handling and moving equipment is firmly established as the most acceptable for today's ergonomics-conscious
More informationSUP 08 Operational procedures for Medical Gas Pipeline Systems (MGPS) Unified procedures for use within NHS Scotland
SUP 08 Operational procedures for Medical Gas Pipeline Systems (MGPS) Unified procedures for use within NHS Scotland May 2015 Contents Page Acknowledgements... 4 Introduction... 5 1. Aim and scope... 6
More informationNHS Grampian. Intensive Psychiatric Care Units
NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance
More informationHEALTHY AGEING PROJECT 2013
HEALTHY AGEING PROJECT 2013 Orientation to Healthy Ageing Principles for Allied Health Staff If ageing is to be a positive experience, longer life must be accompanied by continuing opportunities for health,
More informationTO BE RESCINDED Hospital beds, pressure-reducing support surfaces and accessories.
ACTION: Final DATE: 07/02/2018 10:03 AM TO BE RESCINDED 5160-10-18 Hospital beds, pressure-reducing support surfaces and accessories. (A) Hospital beds. Unless otherwise stated, coverage of hospital beds
More informationRegional Guideline on the Use of Observation and Therapeutic Engagement in Adult Psychiatric Inpatient Facilities in Northern Ireland
Regional Guideline on the Use of Observation and Therapeutic Engagement in Adult Psychiatric Inpatient Facilities in Northern Ireland November 2011 1 Contents 1. Introduction 3 2. Aims of Guideline 4 3.
More informationPatient Transfer Policy
Patient Transfer Policy Policy Title: Executive Summary: Patient Transfer Policy All patients within East Cheshire NHS Trust that require transfer from one area to another either internally or externally
More informationNational Audit of Dementia Audit of Casenotes
National Audit of Dementia Audit of Casenotes Fourth round of audit Background This audit tool asks about assessments, discharge planning and aspects of care received by people with dementia during their
More informationSession #8. The Key to Preventing Immediate Jeopardies. Speaker: Janine Lehman 4/17/2013 KBN:
2013 KAHCF Spring Education Conference Session #8 The Key to Preventing Immediate Jeopardies Speaker: Janine Lehman 4/17/2013 KBN: 5-0002-707-041-1217 The Key to Preventing Immediate Jeopardies Janine
More informationIntensive Psychiatric Care Units
NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We
More informationIntermediate Care Assessment Bed Operational Policy
This is an official Northern Trust policy and should not be edited in any way Intermediate Care Assessment Bed Operational Policy Reference Number: NHSCT/12/480 Target audience: Intermediate care co-ordinators,
More informationProcess for prescribing of Long Term Oxygen Therapy (LTOT) or Ambulatory oxygen therapy by HSC Trusts
Process for prescribing of Long Term Oxygen Therapy (LTOT) or Ambulatory oxygen therapy by HSC Trusts Prescribing before assessment or by non-specialist staff It may, in some circumstances, be necessary
More informationAccreditation of qualifications
Accreditation of qualifications Associate/Technical Membership ISO 9001:2008 FS 60566 Contents 1 Introduction 02 2 Glossary of terms used in this document 03 3 IOSH accreditation 04 4 Application for
More informationWe use many of them. The devices are part of our restraint policy. See below
Do you utilize body pillow, beveled mattresses, moxi mattresses, rolled blankets, swim noodles for positioning or bed demarcation? Do you have a comprehensive device assessment? If so, would you please
More informationabcdefgh THE SCOTTISH OFFICE Department of Health NHS MEL(1996)22 6 March 1996
abcdefgh THE SCOTTISH OFFICE Department of Health ** please note that this circular has been superseded by CEL 6 (2008), dated 7 February 2008 Dear Colleague NHS RESPONSIBILITY FOR CONTINUING HEALTH CARE
More informationCode of Conduct for business registrants
General Optical Council Code of Conduct for business registrants Foreword The GOC is pleased to publish its new Code of Conduct for Business Registrants. We hope that this booklet will provide a useful
More informationIQC/2013/48 Improvement and Quality Committee October 2013
Item 9.4 IQC/2013/48 Improvement and Quality Committee October 2013 Pressure Ulcer Prevalence Improvement Plan 1. SITUATION AND BACKGROUND This paper is to update the Improvement and Quality Committee
More informationBirthing Bed AVE 2. Welcome to this world child
Birthing Bed AVE 2 Welcome to this world child The journey begins Birthing bed AVE 2 is perfectly suitable for labor, delivery, recovery and postpartum in the childbirth phases, so women in labor and their
More informationContinuing Healthcare - should the NHS be paying for your care?
Continuing Healthcare - should the NHS be paying for your care? This factsheet explains when it is the duty of the NHS to pay for your social care. It covers what NHS Continuing Healthcare is, who is eligible,
More informationHill-Rom Advanta 2 Bed Tips Simply Intuitive FOR COMPLETE INSTRUCTIONS ON HOW TO OPERATE THE ADVANTA 2 BED, SEE USER S MANUAL.
Hill-Rom Advanta 2 Bed Tips Simply Intuitive FOR COMPLETE INSTRUCTIONS ON HOW TO OPERATE THE ADVANTA 2 BED, SEE USER S MANUAL. 1 Three-Mode Bed Exit System (Patient Position Monitor) The Bed Exit Alarm
More informationCARE OF THE DYING IN THE NHS. The Buckinghamshire Communique 11 th March The Nuffield Trust
CARE OF THE DYING IN THE NHS The Buckinghamshire Communique 11 th March 2003 The Nuffield Trust Everyone should be able to expect a good death and to exert control, as far as possible, over the process
More informationCCG: CO01 Access and Choice Policy
Corporate CCG: CO01 Access and Choice Policy Version Number Date Issued Review Date V2 21 January 2016 January 2018 Prepared By: Consultation Process: NECS Commissioning Manager CCG Head of Corporate Affairs.
More informationBariatric. Care Solutions
Bariatric Care Solutions The Obesity Challenge Obesity is now recognised as a global epidemic. Obesity rates in the UK and Eire are among the highest in Europe and have increased dramatically over the
More informationObservation and Therapeutic Engagement of Mental Health Inpatients in Holywell Hospital and Ross Thomson Unit Reference Number:
This is an official Northern Trust policy and should not be edited in any way Observation and Therapeutic Engagement of Mental Health Inpatients in Holywell Hospital and Ross Thomson Unit Reference Number:
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. LOT 1 Intermediate Care Beds Service Intermediate Care Commissioner Lead Jacki Wilkes Provider Lead Period 1 st December 2015
More informationRISK MANAGEMENT EXPERT SUPPORT TO MANAGE RISK AND IMPROVE PATIENT SAFETY
RISK MANAGEMENT EXPERT SUPPORT TO MANAGE RISK AND IMPROVE PATIENT SAFETY medicalprotection.org +44 (0)113 241 0359 or +44 (0)113 241 0624 RISK MANAGEMENT EXPERT SUPPORT TO MANAGE RISK AND IMPROVE PATIENT
More information