Catheterisation in Adults - the Royal Cornwall Hospitals Trust ...

5.3 DisseminationOnce ratified this policy will be loaded to the intranet (read only)Staff will be made aware of its existence through the appropriate communicationsmechanisms in local organisations.Confirmation of receipt is not required for this procedural document.5.4 Document Control & Archiving ArrangementsOnce ratified, this policy will be loaded to the documents library. Any previousversions will be electr onically archived by the Policy Administrator in theelectronic Policy Drive Archive Folder.A signed hard copy of the policy will be forwarded to the Policy Administrator andan electronic copy will be saved b y the Policy Administrat or in the electronicPolicy Drive. Further copies of cur rent and archived policies can be obtainedfrom the Policy Administrator includ ing versions in large pr int, Braille a nd otherlanguages.5.5 Equality Impact AssessmentPeninsula Community Health aims t o design an d implement services, policies andmeasures that meet the diverse needs of our service, po pulation and workforce,ensuring that none are placed at a disadvantage over others.As part of its development, this strategy and its impact on equalit y have beenassessed. The assessment is to minimise and if possible remove anydisproportionate impact on employees on the grounds of race sex, di sability, age,sexual orientation or religious belief. No detriment was identified.6 Process for Monitoring Effective ImplementationThe effective implementation of this policy will be monitored by the local organisati ons. Inaddition, monthly prevalence exercises on indwelling urinary catheterisation will beconducted by RCHT across all wards and departments. In the Peninsula Community Health(PCH), a weekly preva lence exercise is conducted and r eported contemporaneously tohospital matrons and community nurse team leaders.Key performance indicators: RCHT – Re duction of indwelling ur inary catheters over time (RCHT Quality Accounthttp://www.nhs.uk/Services/UserControls/UploadHandlers/MediaServerHandler.ashx?id=384&t=634199885116092346) PCH – Reduction of indwelling urinary catheters over time (supported by targ etedcommunity hospital/team visits to review individual cases).Educational take-up of indwelling urinary catheter learning events.Access to e-learning modules ‘Preventing Healthcare-Associated Infections Associatedwith Long-term Urinary Catheters’ & ‘Preventing Healthcare-Associated InfectionsAssociated with Short-term Urinary Cathetershttp://www.corelearningunit.nhs.uk/SignIn.aspx14 of 16