Resuscitation Policy - Royal United Hospital Bath NHS Trust

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10. Monitoring and Audit10.1 Cardiac arrest audit data will be collected with an audit form being completedafter each resuscitation attempt. The completed form should be left in theresuscitation store outside ICU. Data from this form will be extracted for entryinto the National Cardiac Arrest Audit (NCAA). The RUH NCAA data will bereviewed by the Resuscitation Committee at least annually and comparedwith national NCAA data. Any areas of risk will be assessed by theResuscitation Committee.10.2 DNAR documentation will be audited every two years and results reviewed bythe Resuscitation Committee, in order to identify compliance with the DNARpolicy.10.3 Resuscitation Trolley equipment will be audited by the ResuscitationDepartment annually and results reviewed by the Resuscitation Committee, inorder to identify areas of non-compliance and assist wards/departments toimprove practice.10.4 Training records will be reviewed at least annually by the ResuscitationCommittee, in order to respond to and prioritise supply and demand foraccess to training and determine key areas of risk through non-attendance.10.5 Information on reported incidents relating to resuscitation will be reported tothe Resuscitation/Clinical Skills Training Manager, in order to identify areas ofrisk/non-compliance, informing the development of training programmes andpolicy development.10.6 The Resuscitation/Clinical Skills Training Manager will report to eachresuscitation committee, detailing information on compliance with this policy,audit reports, incident reporting and areas of risk identified including actionstaken.10.7 Information on the analysis of audit data, benchmarking and the identificationof areas of risk will form part of the resuscitation committee reports to theOperational Governance Committee.Document name: Resuscitation Ref.: 774Issue date: 7 February 2013Status: ApprovedAuthor: Jerry Nolan Page 10 of 25
11. External Trusts Located on the RUH Site11.1 Any Trust responsible for patients based on the RUH site is stronglyencouraged to comply with this policy. Responsibility for staff training andrecords, availability of standardised equipment, equipment maintenance,ability to call the resuscitation team via switchboard all lie with the individualTrust. However, the Resuscitation Department personnel at the RUH areavailable for advice.12. ReviewThis policy will be subject to a planned review every 3 years as part of the Trust’sPolicy Review Process. It is recognised however that there may be updates required inthe interim, arising from amendments or release of new regulations, Codes of Practiceor statutory provisions or guidance from the Department of Health or professionalbodies.Document name: Resuscitation Ref.: 774Issue date: 7 February 2013Status: ApprovedAuthor: Jerry Nolan Page 11 of 25
Page 1 and 2: Resuscitation PolicyReference Numbe
Page 3 and 4: 1. Introduction1.1 This policy cove
Page 7 and 8: 6. Resuscitation of Children6.1 The
Page 12 and 13: Appendix 1: Escalation of Treatment
Page 14 and 15: Lower CupboardInfant airway boxPaed
Page 16 and 17: Appendix 4: Procedure for Checking
Page 18 and 19: Appendix 5: Contents of Adult Resus
Page 20 and 21: Appendix 6: Content of Adult Resusc
Page 22 and 23: New equipment after a resuscitation
Page 24 and 25: Consultation ScheduleName and Title

Resuscitation Policy - Royal United Hospital Bath NHS Trust

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