Policy for the Discharge and transfer of children and young people ...
Policy for the Discharge and transfer of children and young people ...
Policy for the Discharge and transfer of children and young people ...
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• Must in<strong>for</strong>m <strong>the</strong> GP at <strong>the</strong> earliest opportunity <strong>of</strong> any child/<strong>young</strong> person whose carertakes his or her discharge against medical advice.5.4. The Consultant along with o<strong>the</strong>r relevant team members will be notified if a parenttakes home a child/<strong>young</strong> person against medical advice <strong>and</strong> will advise as to whe<strong>the</strong>r <strong>the</strong>child/<strong>young</strong> person would be classed as ‘at risk <strong>of</strong> significant harm’.5.5. When necessary Social Services <strong>and</strong> <strong>the</strong> Police can be contacted to enable <strong>the</strong>child/<strong>young</strong> person to be returned to hospital. Please refer to Appendix 5 <strong>for</strong> <strong>the</strong> Self-<strong>Discharge</strong> Pathway.• Must ensure, that, whenever possible, discharge prescriptions are completed inadvance, to allow adequate time <strong>for</strong> <strong>the</strong> dispensing <strong>of</strong> medicines <strong>and</strong> <strong>the</strong> provision <strong>of</strong>in<strong>for</strong>mation to <strong>the</strong> child/<strong>young</strong> person <strong>and</strong> carer.• Must liaise with relevant o<strong>the</strong>r providers when a <strong>transfer</strong> is required to ensureacceptance <strong>of</strong> <strong>the</strong> <strong>transfer</strong> <strong>and</strong> to agree any necessary arrangements.• When a decision has been made to <strong>transfer</strong>, <strong>the</strong> consultant or senior doctor willensure that <strong>the</strong> receiving service has a full written account <strong>of</strong> care delivered withinRCHT stating clearly <strong>the</strong> reasons <strong>for</strong> <strong>transfer</strong>. This must be discussed fully with <strong>the</strong>parents/carers <strong>and</strong> whenever possible with <strong>the</strong> child or <strong>young</strong> person.5.6. Role <strong>of</strong> Nursing StaffNursing Staff involved in <strong>the</strong> discharge/<strong>transfer</strong> <strong>of</strong> <strong>children</strong> or <strong>young</strong> <strong>people</strong>:• Should collect <strong>and</strong> clearly document accurate in<strong>for</strong>mation relating to <strong>the</strong> child/<strong>young</strong>person’s individual social circumstances as soon as possible followingadmission/service contact. This in<strong>for</strong>mation will <strong>for</strong>m <strong>the</strong> basis <strong>of</strong> <strong>the</strong>ir dischargeplanning arrangements <strong>and</strong> will be included in any <strong>transfer</strong> documentation.• Should discuss all babies under a year <strong>of</strong> age with <strong>the</strong> health visitor /midwife withreference to <strong>the</strong> vulnerability criteria (Appendix 4) as applicable, <strong>and</strong> ensure thisdiscussion is documented. The Paediatric <strong>Discharge</strong>/Liaison Co-Ordinator can becontacted <strong>for</strong> fur<strong>the</strong>r advice <strong>and</strong> support.• Should assess <strong>children</strong>/<strong>young</strong> <strong>people</strong> against <strong>the</strong> vulnerability criteria (Appendix 4),<strong>and</strong> where a child/<strong>young</strong> person is identified as ‘vulnerable’ discuss <strong>the</strong>m with <strong>the</strong>Health Visitor/School Nurse <strong>and</strong> ensure this discussion is documented. ThePaediatric <strong>Discharge</strong>/Liaison Co-Ordinator can be contacted <strong>for</strong> fur<strong>the</strong>r advice <strong>and</strong>support.• Identify any specialist medical equipment or support required along with <strong>the</strong> multidisciplinary team <strong>and</strong> in<strong>for</strong>m Community Nurse, Midwife, Health Visitor or SchoolNurse to allow <strong>for</strong> equipment to be in place at time <strong>of</strong> discharge.• Will provide written in<strong>for</strong>mation concerning discharge in <strong>the</strong> <strong>for</strong>m <strong>of</strong> <strong>the</strong> Paediatric<strong>Discharge</strong> Leaflet – Going Home – Preparing <strong>for</strong> your Child’s <strong>Discharge</strong> fromHospital.<strong>Policy</strong> <strong>for</strong> <strong>the</strong> discharge <strong>and</strong> <strong>transfer</strong> <strong>of</strong> <strong>children</strong> <strong>and</strong> <strong>young</strong> <strong>people</strong> from child healthPage 5 <strong>of</strong> 38