ESCALATION PLAN PAEDIATRICS AND NEONATAL UNIT 1. Aim/Purpose of this Guideline

Size: px
Start display at page:

Download "ESCALATION PLAN PAEDIATRICS AND NEONATAL UNIT 1. Aim/Purpose of this Guideline"

Transcription

1 ESCALATION PLAN PAEDIATRICS AND NEONATAL UNIT 1. Aim/Purpose of this Guideline 1.1. This guidance is designed to aid staff to monitor capacity and staffing in Child Health. 2. The Guidance 2.1. The majority of admissions to child health are emergency admissions via Primary care or the emergency department and are therefore unpredictable. It is essential that capacity and staffing is monitored on an ongoing basis throughout each shift taking into account activity as far as known or epected To facilitate this we assess the safety of each day shift in line with safe care data and epected ward staffing. This system is reviewed by a senior member of nursing staff allocated the paediatric bleep holder role. At night the same system operates when an eperienced band 5 staff nurse takes responsibility for the bleepholder role. It is epected that the matron, ward manager or deputy makes plans and decisions with regard to staffing the unit safely during the day and night shifts. These plans should be recorded on the bed management sheets. Ideally these should be anticipated and planned in the day when senior staff are available. Planned activity, both medical and surgical also needs to be factored into these plans. Below is outlined the capacity and age ranges of all of the wards within child health. It is important that age is only one of the factors considered when allocating beds the main factor being clinical need of the child. At times of bed pressures factors such as patient dependency, workload and medical input required should be considered when allocating beds. Problems with eisting inpatients and other issues should be dealt with promptly and decisions made and documented before 5pm. Potential problems should be anticipated and dealt with in normal working hours. Plans of care including discharge arrangements should be made and documented in inpatient notes prior to out of hours and weekends. 2.3 Capacity of Wards in Child Health Fistral ( adolescent unit years ) 10 beds ( 4 girl, 4 boy and 2 cubicles) CLIC (cubicles for children/young people with cancer and leukaemia but can be used for other patients when available) - 4 cubicles Polkerris ( 0-11 years ) 12 beds ( 8 cubicles + 4 bedded bay) Harlyn Day Beds ( elective surgery) 8 beds - open Mon - Fri Paediatric HDU 3 beds (includes availability of a cubicle) Paediatric Assessment Unit Waiting area, assessment bay + 4 cubicles Page 1 of 13

2 All ward areas have a resuscitation/ treatment area which can be used to assess and admit if required. 2.4 Nurse Staffing Nurse Staffing Levels for Paediatrics are based on RCN standards (July 2013). Along with numbers of staff on shift patient acuity and dependency needs to be monitored. The safer care tool is now being used daily in paediatrics. If 1:1 staffing is required for enhanced care in hours please liaise with the Ward Sister/Charge Nurse/Nurse in charge/matron to coordinate. If out of hours please liaise with clinical site coordinator. The following table outlines nurse to patient ratios for paediatric wards ( RCN 2013) However acuity and dependency will be considered alongside these ratios as indicated in safer care. It is epected that staff will monitor patients in line with The Observation and Monitoring Policy for Children and escalate accordingly. There is an epectation that each floor has a co ordinator who liaise with each other. The bed management role should remain with the most senior member of staff on shift who trouble shoots and makes decisions when in escalation. Stage One (Green) 2.5 PATIENT FLOW ESCALATION PLAN Child Health STATUS ACTIONS LEAD Routine activity is carried out patients assessed and seen promptly Assessment unit have beds/spaces for admissions epected Discharges and admissions to paediatric wards occur without delays Adequate staffing for all areas including Paediatric ED Capacity to move patients from assessment unit to age appropriate wards. All elective patients can be accommodated Day Night HDU 1:2 1:2 Under 2 years 1:3 1:3 Over 2 years 1:4 1:4 Nurse in charge of each ward area liaises with bleep holder to let them know how many patients and staff they have highlighting any issues epected around patient dependency, staffing or capacity and following risk assessment of that area *(refer to escalation flowchart-appendi 2) Bleep holder records all information related to staffing and activity on bed management sheet Assessment unit keeps bleep holder up to date with admissions epected highlighting issues of capacity and activity Discharge summaries and TTOs ready for potential discharges post ward round Paediatric Bleep holder Ward Managers Ward coordinators Stage Two (Amber) Bleep holder to ensure ward Paediatric Bleep Page 2 of 13

3 Lack of available beds in age appropriate wards for admissions epected Delay in transferring patients to wards from assessment unit due to delay in discharges or delay in patients being assessed by medical staff Only one member of Nursing Staff available to assess and admit patients in assessment unit Stage Three (RED) Unit has a greater number of epected admissions than there are sufficient trolley /bed spaces Nursing staff insufficient to safely care for number of potential admissions in paediatric areas coordinators are getting patients discharged promptly and highlighting issues causing delay to the appropriate people. Ward coordinators to ensure cubicles are available for isolation discuss with bleepholder and consider use of CLIC cubicles if free. Wards to assess staffing and send nursing staff to assessment unit Nursing staff asks registrars to assess patients for potential discharges from wards week on service Consultant to be informed if there are issues with medical staffing, on-going care and potential discharges. Contact Pharmacy to epedite any TTO requirement on wards. Maintain information with regard to capacity, staffing and activity in all areas by keeping bleepholder up to date who will record on bed management sheet. Consider activity and staffing in in all paediatric areas ( including Gwithian, NNU, Paediatric ED) Bleepholder /coordinator on assessment unit (depending on eperience) to triage patients and divert as appropriate to age appropriate wards informing medical staff of location and condition of patient if staff not available to go there. At this point consider staffing and activity for the net few hours. Bleepholder/ward managers to inform matron as earliest opportunity. Ensure actions from previous status are ehausted Inform week on service Consultant Paediatrician Nurse coordinator of each area to review situation with Paediatric Bleep holder /senior nurse and formulate action plan which is recorded on bed management sheet. Patient numbers and dependency should be taken into account along with staff numbers and skills. Paediatric bleep holder/senior nurse and consultant and/or registrar reviews all patients Page 3 of 13 holder All ward coordinators Ward Managers Matron Senior medical staff on call (Consultant, middle grade) Pharmacy Paediatric Consultant on call Paediatric Middle grade on call Matron Divisional Management team Ward Managers Ward coordinators Site co ordinators Senior manager on call

4 briefly. Consider all admissions with regard to potential workload and dependency to plan to accommodate admissions in one area for ease of nursing and medical management plan of where to accommodate admissions documented in bed management file. Inform Associate Director of Nursing, WCSH (site co ordinators out of hours) and refer to guidance for diverting patients Inform On call Manager who will brief Eecutive Director On call Document if unsafe conditions are eperienced and complete incident report, log time of arrival and departure Judgments will be made with relevant managers and professionals regarding the dependency of patients, time anticipated in the unit, bed availability, and staffing and epected admissions as to what steps from this escalation procedure to implement net Bullet points for all disciplines to aid planning during times of bed and/ or staffing difficulties: Ward Managers/ ward coordinators Ensure all wards communicate beds available to bed manager Bed manager to document plans and bed availability on allocation sheet ( appendi 1) Ensure discharge plans are up to date, documented and ensure all wards communicate beds available to bed manager Bed manager to document plans and bed availability on allocation sheet ( appendi 1) Ensure discharge plans are up to date, documented and medication ordered promptly Assessment unit to keep bed manager up to date with epected admissions Liaise with senior nurse/service lead for further advice and help Ensure medication ordered promptly Assessment unit to keep bleepholder up to date with epected admissions SHOs/Registrars/ MiddleGrades Promptly review patients and discuss any difficulties with the named consultant early in the day Appropriate handover to colleagues to occur at shift changeover times Recognise areas and times of pressure and support each other SHOs Clerk patients on Paed Obs promptly and discuss difficulties with registrar promptly Facilitate rapid assessment and planning of patient care Consultants Ensure written plan in place for patients when gong off duty Ensure discharge plans are documented particularly for weekends and bank holidays Regular review and discussion with colleagues / registrars for comple patients Identify a consultant colleague who will provide continuity for leave Appropriate handover of comple patients should take place to a named colleague Page 4 of 13

5 3. Monitoring compliance and effectiveness Element to be monitored Lead Tool Frequency Reporting arrangements Acting on recommendations and Lead(s) Change in practice and lessons to be shared Compliance with escalation in red green and amber situations Ward mangers Analysis of bleep holder sheets and DATIX At each point of escalation retrospectively following event Ward managers to matron- fed back via senior meeting and directorate meeting. Child heath senior team meeting Matron and ward mangers Required changes to practice will be identified and actioned within 3 months. A lead member of the team will be identified to take each change forward where appropriate. Lessons will be shared with all the relevant stakeholders 4. Equality and Diversity 4.1. This document complies with the Royal Cornwall Hospitals NHS Trust service Equality and Diversity statement which can be found in the 'Equality, Diversity & Human Rights Policy' or the Equality and Diversity website Equality Impact Assessment The Initial Equality Impact Assessment Screening Form is at Appendi 3. Page 5 of 13

6 Appendi 1. Eample of Bleep Holders sheet. Page 6 of 13

7 Appendi 2. Flowchart Escalation process for raising staffing Concerns. Page 7 of 13

8 Page 8 of 13

9 Appendi 3. Governance Information Document Title Escalation plan- Paediatrics and Neonatal Unit Date Issued/Approved: September 2017 Date Valid From: September 2017 Date Valid To: September 2020 Directorate / Department responsible (author/owner): Melanie Gilbert- Matron Child Health Contact details: Brief summary of contents Escalation plan for child health to aid staff to monitor capacity and staffing in Child Health. Suggested Keywords: Target Audience Eecutive Director responsible for Policy: Capacity Staffing Escalation Child Paediatrics RCHT PCH CFT KCCG Eecutive Director Date revised: September 2017 This document replaces (eact title of previous version): Approval route (names of committees)/consultation: Divisional Manager confirming approval processes Escalation Policy Child Health V1.0 Ward mangers Audit and guidelines Divisional board David Smith Name and Post Title of additional signatories Name and Signature of Divisional/Directorate Governance Lead confirming approval by specialty and divisional management meetings Signature of Eecutive Director giving approval Not Required {Original Copy Signed} Name: {Original Copy Signed} Page 9 of 13

10 Publication Location (refer to Policy on Policies Approvals and Ratification): Document Library Folder/Sub Folder Internet & Intranet Paediatrics Intranet Only Links to key eternal standards Related Documents: Training Need Identified? none Safer care policy ED escalation /SOP Observation and monitoring policy for Paediatrics and Neonatal Unit RCHT Enhanced Care and Meaningful Activities Policy No Version Control Table Date Versio n No Summary of Changes Changes Made by (Name and Job Title) Nov 2014 V1.0 Initial Issue Mary Baulch Matron child health Aug 2017 V2.0 Changes made to include safer care and paed ED Melanie Gilbert Matron Child Health All or part of this document can be released under the Freedom of Information Act 2000 This document is to be retained for 10 years from the date of epiry. This document is only valid on the day of printing Controlled Document This document has been created following the Royal Cornwall Hospitals NHS Trust Policy on Document Production. It should not be altered in any way without the epress permission of the author or their Line Manager. Page 10 of 13

11 Appendi 4. Initial Equality Impact Assessment Form Name of the strategy / policy /proposal / service function to be assessed Escalation plan paediatrics and Neonatal Unit Directorate and service area: Women, children and seual health. Is this a new or eisting Policy? eisting Name of individual completing assessment: T.Fergus 1. Policy Aim* Who is the strategy / policy / proposal / service function aimed at? Telephone: The guidance is designed to aid staff to monitor capacity and staffing in Child Health. 2. Policy Objectives* Safe care and clear instruction for staff. 3. Policy intended Outcomes* Safe care and clear instruction for staff. 4. *How will you measure the outcome? Review of incidents and regular safer care checks, review of coordinators sheet. 5. Who is intended to benefit from the policy? 6a Who did you consult with b). Please identify the groups who have been consulted about this procedure. What was the outcome of the consultation? Children, families and staff. Workforce Patients Local groups Please record specific names of groups Ward managers Matron child health Paediatric consultants Policy agreed Eternal organisations Other Page 11 of 13

12 7. The Impact Please complete the following table. If you are unsure/don t know if there is a negative impact you need to repeat the consultation step. Are there concerns that the policy could have differential impact on: Equality Strands: Yes No Unsure Rationale for Assessment / Eisting Evidence Age Se (male, female, trans-gender / gender reassignment) Race / Ethnic communities /groups Disability - Learning disability, physical impairment, sensory impairment, mental health conditions and some long term health conditions. Religion / other beliefs Marriage and Civil partnership Pregnancy and maternity Seual Orientation, Biseual, Gay, heteroseual, Lesbian You will need to continue to a full Equality Impact Assessment if the following have been highlighted: You have ticked Yes in any column above and No consultation or evidence of there being consultation- this ecludes any policies which have been identified as not requiring consultation. or Major this relates to service redesign or development 8. Please indicate if a full equality analysis is recommended. Yes No 9. If you are not recommending a Full Impact assessment please eplain why. No areas indicated. Page 12 of 13

13 Signature of policy developer / lead manager / director M.Gilbert Names and signatures of members carrying out the Screening Assessment Human Rights, Equality & Inclusion Lead Date of completion and submission sep 2017 Keep one copy and send a copy to the Human Rights, Equality and Inclusion Lead c/o Royal Cornwall Hospitals NHS Trust, Human Resources Department, Knowledge Spa, Truro, Cornwall, TR1 3HD This EIA will not be uploaded to the Trust website without the signature of the Human Rights, Equality & Inclusion Lead. A summary of the results will be published on the Trust s web site. Signed M.Gilbert Date _Sep 2017_ Page 13 of 13

CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline This guideline is for the management of for the management of Adult patients with Mellitus

More information

2.1. Applicable areas: Royal Cornwall Hospitals Trust; Neonatal Unit and Delivery Suite

2.1. Applicable areas: Royal Cornwall Hospitals Trust; Neonatal Unit and Delivery Suite ADVANCED NEONATAL NURSE PRACTITIONERS (ANNPs) BLOOD COMPONENT AND BLOOD PRODUCT REQUESTING PROTOCOL NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 The purpose of this protocol is to guide

More information

Clinical Guideline for Post-Operative Nausea and Vomiting 1. Aim/Purpose of this Guideline

Clinical Guideline for Post-Operative Nausea and Vomiting 1. Aim/Purpose of this Guideline Clinical Guideline for Post-Operative Nausea and Vomiting 1. Aim/Purpose of this Guideline 1.1. The purpose of this guideline is to provide anaesthetists with an algorithm to work with when dealing with

More information

Loading Dose Worksheet for Oral Amiodarone

Loading Dose Worksheet for Oral Amiodarone This applies to adult patients only Key: General Notes ED/MAU/SRU/Acute GP/Amb-Care GP/SWASFT In-patient wards Start Prescribe as per loading dose worksheet below End 1. Aim/Purpose of this Guideline 1.1.

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF SEPSIS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE MANAGEMENT OF SEPSIS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE MANAGEMENT OF SEPSIS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline 1.1. This guideline aims to improve outcomes for patients presenting with sepsis or developing sepsis

More information

CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0

CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0 CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0 Page 1 of 13 Abbreviation (P/A)HDU (P/A)ICU GCS IPPV CPAP BiPAP DKA Reg Meaning (Paediatric/Adult) High Dependency

More information

School Vision Screening Policy V2.0

School Vision Screening Policy V2.0 School Vision Screening Policy V2.0 05 April 2016 Summary. Vision screening test in school PASS Visual acuity LogMAR 0.2 both eyes Kays 0.1 both eyes Outcome letter sent home Test result information put

More information

MANAGEMENT OF HEREDITARY SPHEROCYTOSIS IN THE NEONATAL PERIOD CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

MANAGEMENT OF HEREDITARY SPHEROCYTOSIS IN THE NEONATAL PERIOD CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline MANAGEMENT OF HEREDITARY SPHEROCYTOSIS IN THE NEONATAL PERIOD CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 This guideline aimed at all clinical staff responsible for the management of infants

More information

CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline To provide guidance for appropriate referral to the acute pain service for in-patient review. 2. The Guidance PAIN SERVICES

More information

PARACETAMOL PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline

PARACETAMOL PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline PARACETAMOL PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline 1.1. This Patient Group Direction (PGD) applies to all nursing and clinical staff in the Child Health Department and its

More information

CLINICAL GUIDELINE FOR THE ASSESSMENT AND DOCUMENTATION OF PAIN (ADULTS)

CLINICAL GUIDELINE FOR THE ASSESSMENT AND DOCUMENTATION OF PAIN (ADULTS) CLINICAL GUIDELINE FOR THE ASSESSMENT AND DOCUMENTATION OF PAIN (ADULTS) 1. Aim/Purpose of this Guideline 1.1. Pain is whatever the experiencing person says it is, existing whenever the experiencing person

More information

Policy on Governance Arrangements Relating to Medicines V2.0

Policy on Governance Arrangements Relating to Medicines V2.0 V2.0 August 2015 Summary. The policy outlines the governance arrangements for medicines within the Trust, specifically; 1. The committee structure in the Trust and the county for medicine related matters

More information

CLINICAL GUIDELINE FOR CLINICAL IMAGING REFERRAL PROTOCOL FOR NURSE SPECIALISTS IN HEART FUNCTION WITHIN RCHT Summary. Start

CLINICAL GUIDELINE FOR CLINICAL IMAGING REFERRAL PROTOCOL FOR NURSE SPECIALISTS IN HEART FUNCTION WITHIN RCHT Summary. Start CLINICAL GUIDELINE FOR CLINICAL IMAGING REFERRAL PROTOCOL FOR NURSE SPECIALISTS IN HEART FUNCTION WITHIN RCHT Summary. Start The non-medical practitioner has received sufficient training to make clinical

More information

CLINICAL GUIDELINE FOR USE OF BED AND CHAIR SENSOR ALARM MATS FOR PREVENTING FALLS IN ADULT PATIENTS

CLINICAL GUIDELINE FOR USE OF BED AND CHAIR SENSOR ALARM MATS FOR PREVENTING FALLS IN ADULT PATIENTS CLINICAL GUIDELINE FOR USE OF BED AND CHAIR SENSOR ALARM MATS FOR PREVENTING FALLS IN ADULT PATIENTS 1. Aim/Purpose of this Guideline This guideline is to support the use of bed and chair sensor alarm

More information

Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary.

Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary. Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary. Obtain brief medical history including allergies & renal function. Informed verbal consent gained and documented and procedure and

More information

CLINICAL GUIDELINE FOR IPRATROPIUM BROMIDE NEBULISER INHALER PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR IPRATROPIUM BROMIDE NEBULISER INHALER PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR IPRATROPIUM BROMIDE NEBULISER INHALER PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline 1.1. This Patient Group Direction (PGD) applies to all nursing and clinical

More information

Diagnostic Testing Procedures in Urodynamics V3.0

Diagnostic Testing Procedures in Urodynamics V3.0 V3.0 09 01 18 Table of Contents Summary.... 1. Introduction... 3 1.1. Diagnostic testing information... 3 2. Purpose of this Policy/Procedure... 3 2.1. Approved Document Process... 3 3. Scope... 3 3.1.

More information

Policy for the authorising of blood components by the Haematology Clinical Nurse Specialist V1.0

Policy for the authorising of blood components by the Haematology Clinical Nurse Specialist V1.0 Policy for the authorising of blood components by the Haematology Clinical Nurse Specialist V1.0 January 2016 Summary. This policy applies only to selected staff within the Haematology Department at the

More information

Diagnostic Test Reporting & Acknowledgement Procedures. - Pathology & Clinical Imaging

Diagnostic Test Reporting & Acknowledgement Procedures. - Pathology & Clinical Imaging Diagnostic Test Reporting & Acknowledgement Procedures V2.0 November 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5.

More information

OXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0

OXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0 OYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0 1. Aim/Purpose of this Guideline 1.1 To provide guidance on the assessment and management of infants requiring oxygen therapy

More information

A list of authorised referrers will be retained by the Colposcopy team and the Clinical Imaging Department.

A list of authorised referrers will be retained by the Colposcopy team and the Clinical Imaging Department. Clinical Guideline for Clinical Imaging Referral Protocol for Nurse Colposcopist within Colposcopy Dept. Royal Cornwall Hospital 1. Aim/Purpose of this Guideline 1.1 This protocol applies to Nurse Colposcopist

More information

IBUPROFEN PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline

IBUPROFEN PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline IBUPROFEN PATIENT GROUP DIRECTION CHILD HEALTH 1. Aim/Purpose of this Guideline 1.1. This Patient Group Direction (PGD) applies to all nursing and clinical staff in the Child Health Department and its

More information

CLINICAL GUIDELINE FOR THE USE OF RECTUS SHEATH CATHETERS IN CHILDREN. 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE USE OF RECTUS SHEATH CATHETERS IN CHILDREN. 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE USE OF RECTUS SHEATH CATHETERS IN CHILDREN. 1. Aim/Purpose of this Guideline 1.1. Guidelines for the use of rectus sheath catheters for the management of pain following laparotomy

More information

CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED NURSE PRACTITIONERS IN THE EMERGENCY DEPARTMENT, URGENT CARE CENTRE AND AMBULATORY CARE

CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED NURSE PRACTITIONERS IN THE EMERGENCY DEPARTMENT, URGENT CARE CENTRE AND AMBULATORY CARE CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED NURSE PRACTITIONERS IN THE EMERGENCY DEPARTMENT, URGENT CARE CENTRE AND AMBULATORY CARE CLINICAL GUIDELINE V4. Summary. Start The non-medical practitioner

More information

WARD CLOSURE POLICY V

WARD CLOSURE POLICY V WARD CLOSURE POLICY V3.0 29.07.15 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 4 5.1.

More information

1.3 Referrer: in the context of this protocol the term referrer refers to a health care worker who is authorised to refer individuals for X-rays.

1.3 Referrer: in the context of this protocol the term referrer refers to a health care worker who is authorised to refer individuals for X-rays. Clinical Guideline for Clinical Imaging Referral Protocol for Nurse Endoscopist (Lower GI) within the Royal Cornwall Hospitals Trust 1. Aim/Purpose of this Guideline 1.1 This protocol applies to Nurse

More information

Safe Bathing Policy V1.3

Safe Bathing Policy V1.3 V1.3 April 2018 Summary Safe hot water temperatures The hot water distribution temperatures, which are required for the control and prevention of Legionella, can lead to discharge temperatures in excess

More information

The initial care and management of patients admitted to RCHT with a Ventricular Assist Device (VAD). V2.0

The initial care and management of patients admitted to RCHT with a Ventricular Assist Device (VAD). V2.0 The initial care and management of patients admitted to RCHT with a Ventricular Assist Device (VAD). V2.0 October 2016 Summary. Start See section 6.2 of this document for important information regarding

More information

Clinical Guideline for Clinical Imaging Referral Protocol for Upper & Lower GI Non medical Endoscopist within RCHT. 1. Aim/Purpose of this Guideline

Clinical Guideline for Clinical Imaging Referral Protocol for Upper & Lower GI Non medical Endoscopist within RCHT. 1. Aim/Purpose of this Guideline Clinical Guideline for Clinical Imaging Referral Protocol for Upper & Lower GI Non medical Endoscopist. 1. Aim/Purpose of this Guideline 1.1 This protocol applies to upper & lower GI Non medical Endoscopist

More information

Tissue Viability Referral Pathway. April 2017

Tissue Viability Referral Pathway. April 2017 Tissue Viability Referral Pathway V4 April 2017 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities...

More information

PRESCRIBING, DISPENSING AND ADMINISTRATION OF CHEMOTHERAPY TO CHILDREN AND YOUNG PEOPLE - CLINICAL GUIDELINE V4.0

PRESCRIBING, DISPENSING AND ADMINISTRATION OF CHEMOTHERAPY TO CHILDREN AND YOUNG PEOPLE - CLINICAL GUIDELINE V4.0 PRESCRIBING, DISPENSING AND ADMINISTRATION OF CHEMOTHERAPY TO CHILDREN AND YOUNG PEOPLE - CLINICAL GUIDELINE V4.0 Clinical Guideline Template Page 1 of 14 1. Aim/Purpose of this Guideline 1.1. This guideline

More information

This guideline is for nursing staff within the Pain Services assisting with the administration of botulinum toxin.

This guideline is for nursing staff within the Pain Services assisting with the administration of botulinum toxin. CLINICAL GUIDELINE FOR THE SAFE ADMINISTRATION OF BOTULINUM NEURO TOIN FOR INJECTION within the PAIN SERVICE. Botox and eomin (trade names) 1. Aim/Purpose of this Guideline This guideline is for nursing

More information

Newborn Hearing Screening Programme Policy

Newborn Hearing Screening Programme Policy Newborn Hearing Screening Programme Policy V3.0 December 2015 Page 1 of 16 Summary - Screening Pathway for Newborn Hearing Screening Newborn hearing screening Check eligibility Eligible for screening Not

More information

Safeguarding Children Supervision Policy V4.0. November 2016

Safeguarding Children Supervision Policy V4.0. November 2016 Safeguarding Children Supervision Policy V4.0 November 2016 Page 1 of 20 Summary Part 1 Part 2 Safeguarding supervision for Nursing and Midwifery staff, Paediatricians, Medical Staff and other Allied Health

More information

Diagnostic Testing Procedures in Neurophysiology V1.0

Diagnostic Testing Procedures in Neurophysiology V1.0 V1.0 10 September 2012 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the

More information

Procedure for the Application of a Cast and its subsequent care V1.3

Procedure for the Application of a Cast and its subsequent care V1.3 Procedure for the Application of a Cast and its subsequent care V1.3 May 2015 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary...

More information

2.1. It is essential that promoting and safeguarding the welfare of children and young people is integral to all NHS Trust policies and procedures.

2.1. It is essential that promoting and safeguarding the welfare of children and young people is integral to all NHS Trust policies and procedures. Was Not Brought, Cancellation and Refusal of Appointments Policy for Children and Young People up to the Age of 18 Years (up to the age of 25 years for people with a Learning Disability) 1. Aim/Purpose

More information

CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND

CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND 1. Aim/Purpose of this Guideline The aim of this guideline to enable the effective care of patients needing emergency defill of

More information

Safe Staffing Levels for. Midwifery, Nursing and Support Staff. For Maternity Service - Approved. Document V1.5. June 2017

Safe Staffing Levels for. Midwifery, Nursing and Support Staff. For Maternity Service - Approved. Document V1.5. June 2017 Safe Staffing Levels for Midwifery, Nursing and Support Staff For Maternity Service - Approved V1.5 June 2017 Jan Walters Head of Midwifery Women, Children and Sexual Health Division CONTENTS Section Page

More information

Diagnostic Testing Procedures for Ophthalmic Science

Diagnostic Testing Procedures for Ophthalmic Science V4.0 01/08/17 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the Managers... 3 5.3.

More information

CEREBRAL FUNCTION MONITORING (aeeg). NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

CEREBRAL FUNCTION MONITORING (aeeg). NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline CEREBRAL FUNCTION MONITORING (aeeg). NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. To provide guidance on the operation and interpretation of Cerebral Function Monitoring (CFM) in neonates.

More information

Occupational Health Surveillance Policy V2.1

Occupational Health Surveillance Policy V2.1 Occupational Health Surveillance Policy V2.1 May 2016 Table of Contents 1. Introduction... 2 2. Purpose of this Policy... 2 3. Scope... 2 4. Definitions/Glossary... 3 5. Ownership and Responsibilities...

More information

Paediatric Escalation Policy

Paediatric Escalation Policy Paediatric Escalation Policy Specialty: Paediatrics Approval Body: WCH Quality and Safety Group Approval Date: 21 st January 2015 Date of Review: December 2018 PAEDIATRIC SERVICES ESCALATION POLICY FOR

More information

CLINICAL GUIDELINE FOR MAXIMUM SURGICAL BLOOD ORDER SCHEDULE (MSBOS) Summary.

CLINICAL GUIDELINE FOR MAXIMUM SURGICAL BLOOD ORDER SCHEDULE (MSBOS) Summary. CLINICAL GUIDELINE FOR MAXIMUM SURGICAL BLOOD ORDER SCHEDULE (MSBOS) Summary. Start Elective procedure identified, blood requirement listed in guideline Patient attends PAC and has a group and screen (G&S)

More information

Patient Experience Strategy

Patient Experience Strategy POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

2.2. Preoperative preparation: Ensure that the child/young person is fit for surgery. If there is any doubt consult the anaesthetist.

2.2. Preoperative preparation: Ensure that the child/young person is fit for surgery. If there is any doubt consult the anaesthetist. Clinical guideline for the supportive care and insertion of skin tunnelled catheters (Hickman lines) and totally implantable devices (Portacaths) in children and young people on the CLIC Unit at RCHT.

More information

Severe Weather Plan V5.5 March 2018

Severe Weather Plan V5.5 March 2018 V5.5 March 2018 Table of Contents 1. Introduction 3 2. Purpose of this Plan. 3 3. Scope. 3 4. Ownership and Responsibilities. 3 5. Escalation Levels and Actions 5 6. Staffing Contingency and Guidance.

More information

Health and Safety Policy and Guidance for Staff Working During Night Time Hours V2.0

Health and Safety Policy and Guidance for Staff Working During Night Time Hours V2.0 Health and Safety Policy and Guidance for Staff Working During Night Time Hours V2.0 January 2016 Summary Purpose of the document: The purpose of this policy is to provide an outline of the requirements

More information

EMERGENCY PRESSURES ESCALATION PROCEDURES

EMERGENCY PRESSURES ESCALATION PROCEDURES OP48 EMERGENCY PRESSURES ESCALATION PROCEDURES INITIATED BY: Director of Therapies & Health Sciences / Chief Operating Officer APPROVED BY: Executive Board DATE APPROVED: 21 September 2016 VERSION: 3 OPERATIONAL

More information

CLINICAL GUIDELINE FOR TRANSFERS AND DISCHARGES IN THE LAST FEW WEEKS OF LIFE 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR TRANSFERS AND DISCHARGES IN THE LAST FEW WEEKS OF LIFE 1. Aim/Purpose of this Guideline POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

Early detection, management and control of carbapenemase-producing Enterobacteriaceae Policy V3.0

Early detection, management and control of carbapenemase-producing Enterobacteriaceae Policy V3.0 Early detection, management and control of carbapenemase-producing Enterobacteriaceae Policy V3.0 01.05.2018 Summary - Patient admission flow chart for the infection prevention and control of carbapenemase-producing

More information

Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May 2016

Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May 2016 Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May RAG Dark green Light green Amber Red White Definition Action complete and assurance gained Action

More information

Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee

Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee The Delivery Suite Shift Co-ordinator: Roles and Responsibilities (GL819) This document forms appendix 4 of the Policy document Delivery Suite Staffing (Obstetric, Anaesthetic, Paediatric and Midwifery

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Procedure for Monitoring of Delayed Transfers of Care

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Procedure for Monitoring of Delayed Transfers of Care The Newcastle upon Tyne Hospitals NHS Foundation Trust Procedure for Monitoring of Delayed Transfers of Care Version No.: 2.2 Effective From: 17 March 2015 Expiry Date: 17 March 2018 Date Ratified: 25

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients The Newcastle upon Tyne Hospitals NHS Foundation Trust Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients Version.: 2.0 Effective From: 15 March 2018 Expiry Date: 15 March

More information

Date of Meeting: 29 th June 2016 Report Title: Nursing and Midwifery Staffing Exception Report (for March 2016)

Date of Meeting: 29 th June 2016 Report Title: Nursing and Midwifery Staffing Exception Report (for March 2016) Report to: Board of Directors Date of Meeting: 9 th June 16 Report Title: Nursing and Midwifery Staffing Exception Report (for March 16) Status: For information Discussion Assurance Approval Regulatory

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines The Newcastle upon Tyne Hospitals NHS Foundation Trust Implementation Policy for NICE Guidelines Version No.: 5.3 Effective From: 08 May 2017 Expiry Date: 02 March 2019 Date Ratified: 23 February 2017

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Patients Wills Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Patients Wills Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Version No: 5.0 Effective From: 7 September 2017 Expiry Date: 31 August 2018 Date Ratified: 30 August 2017 Ratified By: Executive Team 1 Introduction

More information

Discharge Policy for Paediatric Patients from the Children s Unit

Discharge Policy for Paediatric Patients from the Children s Unit Discharge Policy for Paediatric Patients from the Children s Unit Policy : Discharge Policy for Paediatric Patients from the Children s Unit Executive Summary Intended to work alongside the East Cheshire

More information

Consulted With: Post/Committee/Group: Date:

Consulted With: Post/Committee/Group: Date: AMBULANCE HANDOVER PROTOCOL WHEN OFF LOAD TIME IS LIKELY TO EXCEED 30 MINUTES Policy Register No: 18012 Status: Public Developed in response to: NHSE Directives CQC Fundamental Standards: Safe and Responsive

More information

Emergency Care Network Capacity Management and Escalation Plan Action Cards December 2009 December 2010

Emergency Care Network Capacity Management and Escalation Plan Action Cards December 2009 December 2010 Coventry and Warwickshire Emergency Care Network Emergency Care Network Capacity Management and Escalation Plan Action Cards December 2009 December 2010 This aim of this plan is to provide a high level

More information

CLINICAL GUIDELINE FOR Management of NON-VARICEAL Upper GI haemorrhage

CLINICAL GUIDELINE FOR Management of NON-VARICEAL Upper GI haemorrhage CLINICAL GUIDELINE FOR Management of NON-VARICEAL Upper GI haemorrhage Suspected Non Variceal upper GI haemorrhage If any features suggest liver disease consult the variceal haemorrhage guideline http://www.rcht.nhs.uk/documentslibrary/royalcornw

More information

Hand Hygiene Policy V2.1

Hand Hygiene Policy V2.1 V2.1 October 2017 Summary. Effective hand hygiene is shown to significantly reduce the carriage of potential pathogens and decrease the risk and occurrence of healthcare associated infections. Each individual

More information

Paediatric Observation and Assessment Unit Operational Policy

Paediatric Observation and Assessment Unit Operational Policy Paediatric Observation and Assessment Unit Operational Policy 1 Policy Title: Paediatric Observation and Assessment Unit Operational Policy Executive Summary: Supersedes: Description of Amendment(s): This

More information

Clinical Bleep Policy Version 4.0

Clinical Bleep Policy Version 4.0 Policy Statement: This Policy defines the required standards for Trust Staff in their use of the Trust s Bleep system to ensure patient safety and wellbeing is maximised. Key Points: This Policy relates

More information

Managing Emergency Pressures Within The Neonatal Unit. Escalation Policy. V3

Managing Emergency Pressures Within The Neonatal Unit. Escalation Policy. V3 Managing Emergency Pressures Within The Neonatal Unit. Escalation Policy. V3 Lead Person(s) : Ian MacLennan, Nurse Manager. Centre : Women and Children s First developed : March 2012 Last updated : March

More information

Plan For VIPs and Protected Persons

Plan For VIPs and Protected Persons Plan For VIPs and Protected Persons Reference No: P_CoG_19 Version 1 Ratified by: LCHS Trust Board Date ratified: 13 th September 2016 Name of originator / author: Head of Communications Name of responsible

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust

The Newcastle upon Tyne Hospitals NHS Foundation Trust The Newcastle upon Tyne Hospitals NHS Foundation Trust Procedure for registration and supply of prophylaxis to the immediate household contacts of patients admitted with meningococcal disease Version.:

More information

Paediatric Escalation Policy

Paediatric Escalation Policy Paediatric Escalation Policy Document ref. no: PP(14)316 For use in (clinical areas): For use by (staff groups): For use for (patients/treatments): Document owner: Status: Paediatric Unit All staff working

More information

Policy for Clinical Supervision of Temporary or Locum Members of Junior Paediatric Medical Staff

Policy for Clinical Supervision of Temporary or Locum Members of Junior Paediatric Medical Staff Policy for Clinical Supervision of Temporary or Locum Members of Junior Paediatric Medical Department / Service: Paediatrics Originator: Dr Andrew Gallagher Accountable Director: Dr Andrew Gallagher Approved

More information

Medicines Reconciliation Policy

Medicines Reconciliation Policy Medicines Reconciliation Policy Lead executive Medical Director Authors details Senior Clinical Pharmacy Technician - 01244 39 7494 Document level: Trustwide (TW) Code: MP19 Issue number: 3 Type of document

More information

RCHT Non-Ionising Radiation Safety Policy

RCHT Non-Ionising Radiation Safety Policy V3.0 June 2015 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 4 4. Definitions / Glossary... 5 5. Ownership and Responsibilities... 5 6. Standards and Practice...

More information

Central Alerting System (CAS) Policy

Central Alerting System (CAS) Policy Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified By Central Alerting System (CAS) Policy NTW(O)17 Gary O Hare Executive Director of Nursing and Operations Tony Gray

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Named Key Worker for Cancer Patients Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Named Key Worker for Cancer Patients Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Named Key Worker for Cancer Patients Policy Version No.: 4 Effective 07 December 2017 From: Expiry Date: 07 December 2020 Date Ratified: 17 October

More information

The Newcastle upon Tyne NHS Hospitals Foundation Trust. Latex Operational Policy

The Newcastle upon Tyne NHS Hospitals Foundation Trust. Latex Operational Policy The Newcastle upon Tyne NHS Hospitals Foundation Trust Version No.: 4.2 Effective From: 27 October 2015 Expiry Date: 27 October 2018 Date Ratified: 1 July 2015 Ratified By: Clinical Risk Group 1 Introduction

More information

Policy Register No: Status: Public NURSING STAFFING SHORTFALL ESCALATION POLICY. NICE Guidelines July 2014 CQC Fundamental Standards: 17

Policy Register No: Status: Public NURSING STAFFING SHORTFALL ESCALATION POLICY. NICE Guidelines July 2014 CQC Fundamental Standards: 17 NURSING STAFFING SHORTFALL ESCALATION POLICY Policy Register No: 09114 Status: Public Developed in response to: National Quality Board Recommendations2013 NICE Guidelines July 2014 CQC Fundamental Standards:

More information

Unless 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

Unless 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: OP33 Version: 4.0 Name of Policy: Bed Management and Escalation Policy Effective From: 28/09/2015 Date Ratified 17/07/2015 Ratified PQRS Committee Review Date 01/07/2017 Sponsor Director of

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Protected Mealtime Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Protected Mealtime Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Protected Mealtime Policy Version No 3 Effective From 12 February 2018 Expiry date 12 February 2021 Date Ratified 01 November 2017 Ratified By Nutritional

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Central Alert System (CAS) Policy and Procedure

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Central Alert System (CAS) Policy and Procedure The Newcastle upon Tyne Hospitals NHS Foundation Trust Central Alert System (CAS) Policy and Procedure Version No.: 4.1 Effective From: 6 August 2013 Expiry Date: 6 August 2016 Date Ratified: 2 August

More information

COMPLAINTS, CONCERNS AND COMPLIMENTS POLICY

COMPLAINTS, CONCERNS AND COMPLIMENTS POLICY COMPLAINTS, CONCERNS AND COMPLIMENTS POLICY Document Author Written By: Patient Eperience Lead Authorised Authorised By: Chief Eecutive Date: 30 November 2015 Lead Director: Eecutive Director of Nursing

More information

MORTALITY REVIEW POLICY

MORTALITY REVIEW POLICY MORTALITY REVIEW POLICY Version 1.3 Version Date July 2017 Policy Owner Medical Director Author Associate Director of Patient Safety & Quality First approval or date last reviewed July 2017 Staff/Groups

More information

Executive Director of Nursing and Chief Operating Officer

Executive Director of Nursing and Chief Operating Officer Document Title Arrangements for Managing Patients Mental and Physical Health Needs across NTW and the Acute Hospital Trusts Reference Number Lead Officer Author(s) (name and designation) Ratified by NTW(C)15

More information

Lone worker policy. Director of Nursing Therapies Patient Partnership Author and contact number Safety and Security Lead

Lone worker policy. Director of Nursing Therapies Patient Partnership Author and contact number Safety and Security Lead Document level: Trustwide (TW) Code: GR33 Issue number: 3 Lone worker policy Lead executive Director of Nursing Therapies Patient Partnership Author and contact number Safety and Security Lead 01244 397618

More information

STAFFING ESCALATION TIMELINE

STAFFING ESCALATION TIMELINE STAFFING ESCALATION TIMELINE Date 2008 Staffing levels were first placed on the directorate risk register in 2008 and have been reviewed at subsequent directorate governance forums. 08.02.11 CQC visit

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Key Control Operational Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Key Control Operational Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Key Control Operational Policy Version.: 1.0 Effective From: 18 January 2016 Expiry Date: 18 January 2019 Date Ratified: 22 December 2015 Ratified

More information

Responsibilities of On Call Registrar (Obstetrics & Gynaecology)

Responsibilities of On Call Registrar (Obstetrics & Gynaecology) Responsibilities of On Call Registrar (Obstetrics & Gynaecology) Originator: Labour Ward Forum Date Approved: 18 th January 2012 Approved by: Quality & Safety Group (W&CH) Date for Review: December 2015

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Animals on Hospital Premises Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Animals on Hospital Premises Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Animals on Hospital Premises Policy Version No. 6.0 Effective From: 16 March 2018 Expiry Date: 16 March 2021 Date Ratified: 06 March 2018 Ratified

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Water Safety Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Water Safety Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Water Safety Policy Version No.: 2.0 Effective From: 09 February 2018 Expiry Date: 09 February 2021 Date Ratified: 09 November 2017 Ratified By: Infection

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Ventilation Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Ventilation Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Ventilation Policy Version.: 1.0 Effective From: 15 January 2016 Expiry Date: 15 January 2019 Date Ratified: 22 December 2015 Ratified By: Estates

More information

CARE DELIVERY TEAM NURSING GUIDELINES

CARE DELIVERY TEAM NURSING GUIDELINES STANDARDS TO BE MET Team nursing is a model of care which utilises the resources within a nursing team on a shift by shift basis to deliver safe patient care within the clinical unit. The Bay of Plenty

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures. Breastfeeding Supporting Staff Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Employment Policies and Procedures. Breastfeeding Supporting Staff Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Employment Policies and Procedures Breastfeeding Supporting Staff Policy Version No.: 2.1 Effective From: 20 June 2018 Expiry Date: 30 June 2020 Date

More information

Outbreak Control Policy

Outbreak Control Policy Post holder responsible for Procedural Document Author of Guideline Division/ Department responsible for Procedural Document Contact details Date of original policy / strategy/ standard operating procedure/

More information

Person/persons conducting this assessment with Contact Details Marilyn Rees Lead VTE Nurse ext 48729

Person/persons conducting this assessment with Contact Details Marilyn Rees Lead VTE Nurse ext 48729 Appendix 2 - Equality Impact Assessment - Thromboprophylaxis Policy for Adult In-Patients Section A: Assessment Name of Policy Thromboprophylaxis Policy for Adult In-Patients Person/persons conducting

More information

The 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 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 information

Date ratified November Review Date November This Policy supersedes the following document which must now be destroyed:

Date ratified November Review Date November This Policy supersedes the following document which must now be destroyed: Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Cleaning Policy NTW(O)71 James Duncan Deputy Chief Executive / Executive Director of Finance Steve Blackburn Deputy

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Visitors Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Visitors Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Visitors Policy Version No. 1.1 Effective From 18 th October 2012 Expiry Date 30 th September 2015 Date Ratified 14 th September 2012 Ratified By

More information

Helicopter Landing Site (HLS) Policy, Procedure and Guidance (HSP025) V2.0

Helicopter Landing Site (HLS) Policy, Procedure and Guidance (HSP025) V2.0 Helicopter Landing Site (HLS) Policy, Procedure and Guidance (HSP025) V2.0 May 2016 Summary Process for the notification of works that may require closure of the ED Helipad Project Manager (PM) identifies

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Introduction and Development of New Clinical Interventional Procedures

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Introduction and Development of New Clinical Interventional Procedures The Newcastle upon Tyne Hospitals NHS Foundation Trust Introduction and Development of New Clinical Interventional Procedures Version No.: 2.1 Effective From: 27 November 2017 Expiry Date: 7 January 2019

More information

Patient Transfer Policy

Patient 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 information