The aims and expected benefits of providing the children's ...

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$Clavicle fracture - children.pdf - East Cheshire NHS Trust$

Children’s Community teamOperational PolicyIntroductionThe Children’s Community Nursing (CCN) Team provides family centred,acute/chronic nursing care in the child's own homeAlthough the majority of families prefer home-based care, the psychological,sociological and economic reasons why families may prefer hospital admission arenot underestimated and the theme of supportive collaboration underpins thephilosophy of the CCN Service.The aims and expected benefits of the service are; to reduce the number of children admitted to hospital reduce the length of in-patient stay when admission is unavoidable promote child and family satisfaction with children's health services as a wholeAlthough the majority of families prefer home-based care the psychological,sociological and economic reasons why families may prefer hospital admission arenot underestimated and the theme of supportive collaboration underpins thephilosophy of the CCN Service.Service Accommodation and ManagementThe CCN team's office is located on the Children's Unit. Members of the team reportto and obtain their work allocation from this office on a daily basis.The team has one master diary in which all planned visits and phone calls arerecorded, this diary is utilised to record data of daily activity.All relevant admission details and nursing records are filed and stored securely in thisoffice and are filed accordingly in the patients medical notes at the end of the episodeof illness. (See Guidelines on Notes storage)Members of the CCN team report directly to the Clinical Manager - Children'sServices who in turn reports to the Clinical Lead for Paediatrics and the AssociateDirector, Women and Children's Business Unit.The day to day management of the team's caseload is the responsibility of theChildren’s Community Team Leader.Children’s Community TeamOperational Policy CA 2009-10-15Review 20122
Nursing visits are planned between the hours of 07:30 and 20:00. Visits are plannedaccording to clinical need, to a maximum of three per day / per patient. Nurses willundertake approximately 6 – 10 visits per shift depending on the nursing workloadand patient dependency.During operational hours nursing staff are available via mobile phone and officephone contact for parents. Parents are also given the inpatient unit's contact detailsshould they need to seek help or advice outside these hours.All staff adhere to the ECT Lone Worker policy and are provided with panic alarmsalong with a mobile phone. Community staff contact the children's ward at the end ofeach shift and it is the responsibility of the night staff to ensure that the communitystaff has phoned to say they arrived home safely at the end of their shift.Due to the nature of the service team members in main work independently inpatients homes Clinical Supervision is available and should be accessed on amonthly basis as a minimum.Safeguarding supervision is available on an as needed basis for all members of thecommunity team. The team leader should meet with the Named Nurse forSafeguarding Children at least three monthly for Safeguarding SupervisionAdmission CriteriaChildren can be admitted under the care of the CCN team after being an inpatient onthe children’s unit if:- Home based care is appropriate for the child’s condition- A Consultant or relevant middle grade doctor has examined thechild and documented the plan of care in the integrated medicalnotes- A member of the CCN team has carried out a nursing assessmentof the child and agrees that the plan of care is appropriate for homenursing.- At discharge the child's clinical condition meets the relevantdischarge criteria (see Appendix 2).- Adequate visiting time is available to complete the prescribed planof care.- The child's GP is informed of the transfer of care.Once care has been transferred to the CCN team from the children’s unit:- The Consultant Paediatrician retains overall clinical responsibility forchildren whose care has been transferred to the CCN team.- Electronic monitoring equipment and consumables will be providedby the Children's Unit, Consumables will either be provided throughGP prescription or from the CCNT budget as appropriate.Children’s Community TeamOperational Policy CA 2009-10-15Review 20123
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The aims and expected benefits of providing the children's ...

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