Catheterisation in Adults - the Royal Cornwall Hospitals Trust ...
Catheterisation in Adults - the Royal Cornwall Hospitals Trust ...
Catheterisation in Adults - the Royal Cornwall Hospitals Trust ...
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5.3 Dissem<strong>in</strong>ationOnce ratified this policy will be loaded to <strong>the</strong> <strong>in</strong>tranet (read only)Staff will be made aware of its existence through <strong>the</strong> appropriate communicationsmechanisms <strong>in</strong> local organisations.Confirmation of receipt is not required for this procedural document.5.4 Document Control & Archiv<strong>in</strong>g ArrangementsOnce ratified, this policy will be loaded to <strong>the</strong> documents library. Any previousversions will be electr onically archived by <strong>the</strong> Policy Adm<strong>in</strong>istrator <strong>in</strong> <strong>the</strong>electronic Policy Drive Archive Folder.A signed hard copy of <strong>the</strong> policy will be forwarded to <strong>the</strong> Policy Adm<strong>in</strong>istrator andan electronic copy will be saved b y <strong>the</strong> Policy Adm<strong>in</strong>istrat or <strong>in</strong> <strong>the</strong> electronicPolicy Drive. Fur<strong>the</strong>r copies of cur rent and archived policies can be obta<strong>in</strong>edfrom <strong>the</strong> Policy Adm<strong>in</strong>istrator <strong>in</strong>clud <strong>in</strong>g versions <strong>in</strong> large pr <strong>in</strong>t, Braille a nd o<strong>the</strong>rlanguages.5.5 Equality Impact AssessmentPen<strong>in</strong>sula Community Health aims t o design an d implement services, policies andmeasures that meet <strong>the</strong> diverse needs of our service, po pulation and workforce,ensur<strong>in</strong>g that none are placed at a disadvantage over o<strong>the</strong>rs.As part of its development, this strategy and its impact on equalit y have beenassessed. The assessment is to m<strong>in</strong>imise and if possible remove anydisproportionate impact on employees on <strong>the</strong> grounds of race sex, di sability, age,sexual orientation or religious belief. No detriment was identified.6 Process for Monitor<strong>in</strong>g Effective ImplementationThe effective implementation of this policy will be monitored by <strong>the</strong> local organisati ons. Inaddition, monthly prevalence exercises on <strong>in</strong>dwell<strong>in</strong>g ur<strong>in</strong>ary ca<strong>the</strong>terisation will beconducted by RCHT across all wards and departments. In <strong>the</strong> Pen<strong>in</strong>sula Community Health(PCH), a weekly preva lence exercise is conducted and r eported contemporaneously tohospital matrons and community nurse team leaders.Key performance <strong>in</strong>dicators: RCHT – Re duction of <strong>in</strong>dwell<strong>in</strong>g ur <strong>in</strong>ary ca<strong>the</strong>ters over time (RCHT Quality Accounthttp://www.nhs.uk/Services/UserControls/UploadHandlers/MediaServerHandler.ashx?id=384&t=634199885116092346) PCH – Reduction of <strong>in</strong>dwell<strong>in</strong>g ur<strong>in</strong>ary ca<strong>the</strong>ters over time (supported by targ etedcommunity hospital/team visits to review <strong>in</strong>dividual cases).Educational take-up of <strong>in</strong>dwell<strong>in</strong>g ur<strong>in</strong>ary ca<strong>the</strong>ter learn<strong>in</strong>g events.Access to e-learn<strong>in</strong>g modules ‘Prevent<strong>in</strong>g Healthcare-Associated Infections Associatedwith Long-term Ur<strong>in</strong>ary Ca<strong>the</strong>ters’ & ‘Prevent<strong>in</strong>g Healthcare-Associated InfectionsAssociated with Short-term Ur<strong>in</strong>ary Ca<strong>the</strong>tershttp://www.corelearn<strong>in</strong>gunit.nhs.uk/SignIn.aspx14 of 16