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

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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
Catheter and catheter care policies will be updated every 2 years to reflect changingpractice.Nursing MetrixReduce number of MRSA Bacteraemias.7 Associated DocumentationThis document references the following supporting documents which should be referred to inconjunction with the document being developed.Infection, Protection and Control PoliciesStandard Operational ProceduresChaperoning GuidelinesGuideline for Urodynamic InvestigationsManagement of medical devices8 ReferencesBNF (2012) British National Formulary 63 MarchDepartment of Health (2006) Essential Steps to safe, clean care: urinary catheter careDepartment of Health, LondonHagen S, Sinclair L & Cross S (2010) Washout policies in long-term indwelling urinarycatheterisation in adults Cochrane Database of Systematic Reviews Issue 3, Art No:CD004012.DOI:10.1002/14651858.CD004012.pub4.NICE (2012) Infection Control: Prevention of healthcare-associated infection in primary andcommunity care; Clinical Guideline 139; National Institute for Clinical ExcellenceNICE (2008) Prophylaxis against infective endocarditis: Antimicrobial prophylaxis againstinfective endocarditis in adults and children undergoing interventional procedures; ClinicalGuideline 64; March; National Institute for Clinical ExcellenceNicolle L E (2001) The chronic indwelling catheter and urinary infection in long-term carefacility residents Infection Control and Hospital Epidemiology Vol 22 no5 316-321N & M C (2008) Code of Professional Conduct Nursing & Midwifery CouncilNPSA (2009) Female urinary catheters causing trauma to adult males Rapid ResponseReport (NPSA/2009/RRR02) National Patient Safety AgencyPratt R J, Pellowe C M, Wilson J A, Loveday H P, Harper P J, Jones S R L J, McDougallC & Wilcox M H (2007) epic2: National evidence-based guidelines for the preventinghealthcare-associated infections in NHS hospitals in England Journal of Hospital Infection655 (supplement) S1-S64RCN (2012) Catheter Care: RCN guidance for nurses Royal College of Nursing15 of 16
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