CLINICAL GUIDELINE FOR

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "CLINICAL GUIDELINE FOR"

Transcription

1 CLINICAL GUIDELINE FOR the investigation and management of inpatients with discitis (vertebral osteomyelitis) 1. Aim/Purpose of this Guideline 1.1.This guideline applies to clinical staff managing patients with spinal infections. Its aim is to help improve the timely diagnosis and initial treatment of vertebral osteomyelitis, discitis and spinal abscess of adult patients at RCHT. 2. The Guidance 2.1.Background Discitis is an increasingly common diagnosis. It is most common in the over 50 s with a 2:1 male to female ratio. It is more common with increasing age, more common with the increase use of interventional techniques (angiography, surgical interventions etc), and more common with intravenous drug use (hospital and illicit) Discitis, or vertebral osteomyelitis, is defined as infection of vertebral bones with extension into intervertebral discs. Most commonly, discitis occurs due to haematogenous spread (ie via blood from distant sites). However it can also be due to direct infection from spinal surgery or intra-abdominal infection. Due to the anatomical structure of segmental vertebral arteries it is common for two adjacent vertebrae to be affected The clinical presentation of discitis can be variable from acute back pain and fevers to slowly progressive back pain over a number of months. Other symptoms can include nerve root pain, motor and sensory changes in the limbs, and paralysis. On average it takes 48 days from initial symptom to diagnosis of discitis. It is therefore important not to discount the diagnosis because back pain has been present for some time Microbiology More than 50% of disicitis is due to Staphylococcus aureus. Infection may also be due to a wide range of other organisms including Gram negatives, Streptococci and Tuberculosis. Mixed infection is also possible. Blood cultures are only positive in 50-70% of patients with discitis. Blood cultures are most frequently positive when S. aureus is the infecting organism, though negative blood cultures do not rule out S. aureus as a cause Good outcomes in discitis are achieved with early diagnosis and appropriate, directed antimicrobial treatment. Delays in diagnosis or inappropriate antibiotics leads to increase need for surgical intervention, increase in chronic back pain and spinal deformity, and increase risk of paralysis. Page 1 of 9

2 2.2. Initial Management In patients with suspected discitis the following should be done immediately. See Figure If the patient is septic then treat as per the hospital sepsis guidelines (Link to sepsis guidelines?) in the first instance and ensure the following steps are taken as quickly as possible afterwards Blood cultures 3 sets, prior to any antibiotics Lab bloods including CRP MRI spine (whole spine discitis frequently occurs at multiple levels) Patient should have neurological examination documented in notes on admission and at least once a day until on appropriate antibiotics and clinically improving. Any deterioration in neurological status or development of new symptoms should lead to urgent re-imaging and discussion with microbiology and neurosurgeons CT guided biopsy (organised via neurosurgeons at Derriford Hospital). A biopsy should be performed in all patients prior to initiation of antibiotics unless there is a positive blood culture which fits the clinical picture or the patient is septic/unstable (see above). Discitis is treated for a minimum of 6 weeks. Response to empirical antibiotics, which are intravenous and broad spectrum, is therefore not a reason to avoid biopsy as identification of organism significantly changes antibiotic choice. Antibiotics for less than 1 week are unlikely to decrease sensitivity of the biopsy If the patient is stable antibiotics should be withheld until the diagnosis is confirmed (either by blood culture or positive biopsy result). An unstable or septic patient should be treated urgently after blood cultures are taken (as per sepsis guidelines). These patients must be discussed with the on call microbiologist. Page 2 of 9

3 Figure 1: Initial evaluation and treatment of discitis Page 3 of 9

4 2.3.Ongoing Management and monitoring. Once the diagnosis of discitis is confirmed, then the following should be considered Assess the patient for endocarditis. Discitis is usually due to haematogenous seeding of the vertebrae implying that the patient has had a bacteraemia and seeding could have occurred elsewhere. If there is a clinical possibility of endocarditis then the patient will need a Transoesphageal echocardiogram (TOE) - this will need to be organised via the Cardiologists. The patient will definitely require a TOE if the causative organism is S. aureus, whether or not there is clinical evidence of endocarditis Appropriate antibiotic treatment should continue for a minimum of six weeks and will be determined on a patient-by-patient basis with microbiology. Antibiotic choice is determined by causative organism so every effort must be made to determine this. If the patient requires a prolonged course of intravenous antibiotics then consider referring to Acute Care at Home team to organise intravenous antibiotics in the community Patients should mobilise with physiotherapy as pain allows. 2.4.Indications for surgery only a small number of patients with discitis will require any surgical intervention. The following may be indications for surgery. If any of these do occur then discuss with Derriford Neurosurgeons Progression of discitis despite appropriate antibiotics (rising CRP, worsening pain, new or progressive neurology etc) Threatened or actual cord compression due to vertebral collapse Epidural or paravertebral abscess requiring drainage 2.5. Long term follow up of patients with discitis should include review by the consultant in charge of the patient at the end of the course of antibiotics (likely to be in the outpatient setting). This should include assessment of pain and review of inflammatory markers. If pain is worsening or CRP is rising then this may indicate failure of antibiotic therapy. Repeat MRI may be required at this stage. Also further discussions with microbiology and neurosurgery to determine any further action. There is no routine indication for MRI in the follow up period for simple discitis as disc and vertebral body changes may remain for years 2.6.References Chenoweth, CE. Vertebral Osteomyelitis, Discitis and Spinal Epidural Abscess in Adults. Vertebral Osteomyelitis Guideline Team, University of Michigan, Quality Management Program (Figure 1 is adapted from these guidelines) Kowalski, TJ, Layton, KF, Berbari, EF, Steckelberg, JM, Huddleston PM, et al. Follow-up MRI Imaging in Patients with Pyogenic Spine Infections: Lack of Page 4 of 9

5 Correlation with Clinical Features. Am J Neuroradiol, Apr 2007; 28: McHenry, MC, Easley, KA, Locker, GA. Vertebral Osetomyelitis: Long-Term Outcome for 253 Patients from 7 Cleveland-Area Hospitals. Clin Infect Dis, 2002; 34,10: Monitoring compliance and effectiveness Element to be monitored Lead Tool Frequency Reporting arrangements Acting on recommendations and Lead(s) Change in practice and lessons to be shared Diagnosis and management of each patient with discitis Dr Julia Bell, Dr Andree Evans Notes documentation Quarterly review of all patients coded with discitis Non compliance will be reported to the responsible medical team. Non compliance resulting in adverse patient outcome will be reported via DATIX Dr Julia Bell General Medicine and Eldercare Dr Andree Evans Microbiology Dr Richard Bendall - Microbiology Required changes to practice will be identified and actioned within each quarter review. A lead member of the team will be identified to take each change forward where appropriate. Lessons will be shared with all the relevant stakeholders 4. Equality and Diversity 4.3. This document complies with the Royal Cornwall Hospitals NHS Trust service Equality and Diversity statement which can be found in the 'Equality, Diversity & Human Rights Policy' or the Equality and Diversity website Equality Impact Assessment The Initial Equality Impact Assessment Screening Form is at Appendix 2. Page 5 of 9

6 Appendix 1. Governance Information Document Title Date Issued/Approved: February 2015 Clinical guidelines for the investigation and management of patients with discitis (vertebral osteomyelitis) Date Valid From: February 2015 Date Valid To: February 2018 Directorate / Department responsible (author/owner): Dr Julia Bell, Care of the Elderly Department Contact details: Brief summary of contents Suggested Keywords: Target Audience Executive Director responsible for Policy: Date revised: This document replaces (exact title of previous version): Approval route (names of committees)/consultation: Divisional Manager confirming approval processes Name and Post Title of additional signatories Signature of Executive Director giving approval Publication Location (refer to Policy on Policies Approvals and Ratification): Document Library Folder/Sub Folder Links to key external standards Clinical guidelines for the investigation and management of patients with discitis (vertebral osteomyelitis) Discitis, spinal infection, vertebral osteomyelitis, sepsis RCHT PCH CFT KCCG Rob Parry New Document Eldercare Dr Jon Stratton Not Required {Original Copy Signed} Internet & Intranet Eldercare Intranet Only Page 6 of 9

7 Related Documents: Training Need Identified? IDSA vertebral osteomyelitis guidelines No Version Control Table Date Versio n No Summary of Changes Changes Made by (Name and Job Title) Feb 2015 V1.0 New Policy All or part of this document can be released under the Freedom of Information Act 2000 This document is to be retained for 10 years from the date of expiry. This document is only valid on the day of printing Controlled Document This document has been created following the Royal Cornwall Hospitals NHS Trust Policy on Document Production. It should not be altered in any way without the express permission of the author or their Line Manager. Page 7 of 9

8 Appendix 2. Initial Equality Impact Assessment Form Name of Name of the strategy / policy /proposal / service function to be assessed (hereafter referred to as policy) (Provide brief description): Directorate and service area: Is this a new or existing Policy? Name of individual completing assessment: 1. Policy Aim* Who is the strategy / policy / proposal / service function aimed at? 2. Policy Objectives* Telephone: 3. Policy intended Outcomes* 4. *How will you measure the outcome? 5. Who is intended to benefit from the policy? 6a) Is consultation required with the workforce, equality groups, local interest groups etc. around this policy? b) If yes, have these *groups been consulted? C). Please list any groups who have been consulted about this procedure. 7. The Impact Please complete the following table. Are there concerns that the policy could have differential impact on: Equality Strands: Yes No Rationale for Assessment / Existing Evidence Age Page 8 of 9

9 Sex (male, female, transgender / gender reassignment) Race / Ethnic communities /groups Disability - learning disability, physical disability, sensory impairment and mental health problems Religion / other beliefs Marriage and civil partnership Pregnancy and maternity Sexual Orientation, Bisexual, Gay, heterosexual, Lesbian You will need to continue to a full Equality Impact Assessment if the following have been highlighted: You have ticked Yes in any column above and No consultation or evidence of there being consultation- this excludes any policies which have been identified as not requiring consultation. or Major service redesign or development 8. Please indicate if a full equality analysis is recommended. Yes No 9. If you are not recommending a Full Impact assessment please explain why. Signature of policy developer / lead manager / director Date of completion and submission Names and signatures of members carrying out the Screening Assessment Keep one copy and send a copy to the Human Rights, Equality and Inclusion Lead, c/o Royal Cornwall Hospitals NHS Trust, Human Resources Department, Knowledge Spa, Truro, Cornwall, TR1 3HD A summary of the results will be published on the Trust s web site. Signed Date Page 9 of 9

SEPSIS IN INFANTS AND CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

SEPSIS IN INFANTS AND CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline SEPSIS IN INFANTS AND CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. This guideline is for the management of sepsis in Infants and children. For full guidance please see the Surviving

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF HYPERGLYCAEMIA IN ADULTS WITH ACUTE CORONARY SYNDROME

CLINICAL GUIDELINE FOR THE MANAGEMENT OF HYPERGLYCAEMIA IN ADULTS WITH ACUTE CORONARY SYNDROME CLINICAL GUIDELINE FOR THE MANAGEMENT OF HYPERGLYCAEMIA IN ADULTS WITH ACUTE CORONARY SYNDROME 1. Aim/Purpose of this Guideline This guideline is for the management of Adult patients with Diabetes Mellitus

More information

Clinical Guideline for the Perioperative Steroid Replacement

Clinical Guideline for the Perioperative Steroid Replacement Clinical Guideline for the Perioperative Steroid Replacement 1. Aim/Purpose of this Guideline 1.1. This document provides guidelines for the safe management, within the theatre environment, of patients

More information

Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0

Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0 Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0 January 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Ownership

More information

Summary: Record all actions and contact on the Community Midwives Caseload Card for the woman

Summary: Record all actions and contact on the Community Midwives Caseload Card for the woman DID NOT ATTEND (DNA) OR BOOKED LATE FOR ANTENATAL CARE - CLINICAL GUIDELINE Summary: Record all actions and contact on the Community Midwives Caseload Card for the woman Woman has DNA an appointment Document

More information

CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline This guideline is for the management of for the management of Adult patients with Diabetes

More information

This guideline is for the management of Adult patients with Diabetes Mellitus using insulin pump therapy during admission to hospital

This guideline is for the management of Adult patients with Diabetes Mellitus using insulin pump therapy during admission to hospital CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT PATIENTS DIABETES MELLITUS USING INSULIN PUMP THERAPY (Continuous Subcutaneous Insulin Infusion (CSII)), DURING ADMISSION TO HOSPITAL 1. Aim/Purpose of this

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF AN ADULT WITH TYPE 2 DIABETES PRE AND POST BARIATRIC SURGERY. 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE MANAGEMENT OF AN ADULT WITH TYPE 2 DIABETES PRE AND POST BARIATRIC SURGERY. 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE MANAGEMENT OF AN ADULT WITH TYPE 2 DIABETES PRE AND POST BARIATRIC SURGERY. 1. Aim/Purpose of this Guideline This guidance is for use by the Bariatric Nurses, Upper GI Nurse,

More information

2.1 When a breastfeeding woman is admitted to hospital, the support she needs depends on the nature of her illness and the treatment needed

2.1 When a breastfeeding woman is admitted to hospital, the support she needs depends on the nature of her illness and the treatment needed CARE OF BREASTFEEDING WOMEN ADMITTED TO HOSPITAL, CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 Breastfeeding is known to be one of the most powerful health protective influences and as such,

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT ACUTE EXACERBATIONS OF ASTHMA 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT ACUTE EXACERBATIONS OF ASTHMA 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT ACUTE EXACERBATIONS OF ASTHMA 1. Aim/Purpose of this Guideline The guidance provides advice on management of acute exacerbations of asthma in adults. 2. The

More information

Procedure for Non-Medical Staff who wish to Request MRI, Ultrasound and Imaging Examinations under IR(ME)R

Procedure for Non-Medical Staff who wish to Request MRI, Ultrasound and Imaging Examinations under IR(ME)R Procedure for Non-Medical Staff who wish to Request MRI, Ultrasound and Imaging V3.0 December 2013 Page 1 of 11 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope...

More information

THIRD STAGE OF LABOUR - CLINICAL GUIDELINE. Summary: Active Management of the Third Stage of Labour

THIRD STAGE OF LABOUR - CLINICAL GUIDELINE. Summary: Active Management of the Third Stage of Labour THIRD STAGE OF LABOUR - CLINICAL GUIDELINE Summary: Active Management of the Third Stage of Labour Skin to skin contact Administer appropriate Oxytocic Defer cord clamping unless there are concerns about

More information

Accounts Receivable - Guidance to staff responsible for the collection of income following the supply of goods or services V4.0

Accounts Receivable - Guidance to staff responsible for the collection of income following the supply of goods or services V4.0 Accounts Receivable - Guidance to staff responsible for the collection of income following the supply of goods or services V4.0 June 2015 Table of Contents Accounts Receivable - Guidance to staff responsible

More information

Guidance on Stocktaking V4.0

Guidance on Stocktaking V4.0 V4.0 November 2015 Summary. Stocktaking is carried out to for accounting purposes, identification of over/under stocking, identify obsolete or damaged stock. A physical check of stocks must be undertaken

More information

CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED HEALTHCARE PRACTITIONERS EMPLOYED WITHIN MINOR INJURY UNITS IN CORNWALL

CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED HEALTHCARE PRACTITIONERS EMPLOYED WITHIN MINOR INJURY UNITS IN CORNWALL CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED HEALTHCARE PRACTITIONERS EMPLOYED WITHIN MINOR 1. Aim/Purpose of this Guideline This Protocol applies to Registered Healthcare Practitioners in the Minor

More information

CLINICAL GUIDELINE FOR CHANGING A CATHETER EXIT SITE DRESSING (I.E. MIDLINE/ CVC/ PICC/ HICKMAN) Summary. Start

CLINICAL GUIDELINE FOR CHANGING A CATHETER EXIT SITE DRESSING (I.E. MIDLINE/ CVC/ PICC/ HICKMAN) Summary. Start CLINICAL GUIDELINE FOR CHANGING A CATHETER EXIT SITE DRESSING (I.E. MIDLINE/ CVC/ PICC/ HICKMAN) Summary. Start 1. Assemble all your equipment before you start. 2. Explain and discuss the procedure with

More information

Guidance on Leases and other Agreements V4.0

Guidance on Leases and other Agreements V4.0 Guidance on Leases and other Agreements V4.0 August 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities...

More information

CLINICAL GUIDELINE HOW TO PERFORM A VENESECTION, DETAILING VEIN SELECTION AND PATIENT CARE 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE HOW TO PERFORM A VENESECTION, DETAILING VEIN SELECTION AND PATIENT CARE 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE HOW TO PERFORM A VENESECTION, DETAILING VEIN SELECTION AND PATIENT CARE 1. Aim/Purpose of this Guideline 1.1. Venesection is a clinical procedure commonly performed in the Haematology

More information

MANAGEMENT OF DIRECT ANTIGLOBULIN TEST (DAT) POSITIVE INFANTS NEONATAL CLINICAL GUIDELINE

MANAGEMENT OF DIRECT ANTIGLOBULIN TEST (DAT) POSITIVE INFANTS NEONATAL CLINICAL GUIDELINE MANAGEMENT OF DIRECT ANTIGLOBULIN TEST (DAT) POSITIVE INFANTS NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. To provide monitoring and treatment guidance for medical and nursing staff

More information

CLINICAL GUIDELINE FOR ADVANCED NURSE PRACTITIONER HEPATOLOGY (GASTROENTEROLOGY) 1. Aim/Purpose of this Guideline:

CLINICAL GUIDELINE FOR ADVANCED NURSE PRACTITIONER HEPATOLOGY (GASTROENTEROLOGY) 1. Aim/Purpose of this Guideline: CLINICAL GUIDELINE FOR ADVANCED NURSE PRACTITIONER HEPATOLOGY (GASTROENTEROLOGY) 1. Aim/Purpose of this Guideline: 1.1. This protocol applies to Advanced Nurse Practitioners (Hepatology) employed by RCHT

More information

CLINICAL GUIDELINE FOR THE ADMINISTRATION OF NEBULISED PENTAMIDINE 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE ADMINISTRATION OF NEBULISED PENTAMIDINE 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE ADMINISTRATION OF NEBULISED PENTAMIDINE 1. Aim/Purpose of this Guideline 1.1. To ensure safe and consistent minimum standards of practice for safely administering nebulized Pentamidine

More information

PREGNANCY OF UNKNOWN LOCATION (PUL) - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

PREGNANCY OF UNKNOWN LOCATION (PUL) - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline PREGNANCY OF UNKNOWN LOCATION (PUL) - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline All clinical staff working in the Division of women, children & sexual health to provide evidence based guidance

More information

Guideline for the referral of Paediatric Back Pain to the Physiotherapy Service V2.0. May 2015

Guideline for the referral of Paediatric Back Pain to the Physiotherapy Service V2.0. May 2015 Guideline for the referral of Paediatric Back Pain to the Physiotherapy Service V2.0 May 2015 Page 1 of 12 Table of Contents 1. Purpose of this Guideline... 3 2. Scope... 3 3. Definitions / Glossary...

More information

2.1. Applicable areas: Royal Cornwall Hospitals Trust; Neonatal Unit and Delivery Suite

2.1. Applicable areas: Royal Cornwall Hospitals Trust; Neonatal Unit and Delivery Suite ADVANCED NEONATAL NURSE PRACTITIONERS (ANNPs) BLOOD COMPONENT AND BLOOD PRODUCT REQUESTING PROTOCOL NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 The purpose of this protocol is to guide

More information

CLINICAL GUIDELINE FOR MANAGEMENT OF NEUTROPENIC SEPSIS IN CANCER PATIENTS 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR MANAGEMENT OF NEUTROPENIC SEPSIS IN CANCER PATIENTS 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR MANAGEMENT OF NEUTROPENIC SEPSIS IN CANCER PATIENTS 1. Aim/Purpose of this Guideline 1.1. Systemic cancer treatments and immunological therapies can suppress the ability of the bone

More information

Infection Prevention & Control Roles and Responsibilities Policy V4.0

Infection Prevention & Control Roles and Responsibilities Policy V4.0 Infection Prevention & Control V4.0 01.05.2015 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities...

More information

INSERTION OF A NEONATAL NASO-PHARYNGEAL AIRWAY. CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

INSERTION OF A NEONATAL NASO-PHARYNGEAL AIRWAY. CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline INSERTION OF A NEONATAL NASO-PHARYNGEAL AIRWAY. CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. This guideline aims to provide guidance on the insertion of a nasopharyngeal airway (NPA). 2. The

More information

OXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE

OXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE OYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 To provide guidance on the assessment and management of infants requiring oxygen therapy

More information

STILLBIRTH OR NON-VIABLE FETUS IN THE COMMUNITY SETTING - CLINICAL GUIDELINE FOR MANAGEMENT

STILLBIRTH OR NON-VIABLE FETUS IN THE COMMUNITY SETTING - CLINICAL GUIDELINE FOR MANAGEMENT STILLBIRTH OR NON-VIABLE FETUS IN THE COMMUNITY SETTING - CLINICAL GUIDELINE FOR MANAGEMENT 1. Aim/Purpose of this Guideline 1.1. This guideline is to support midwives who may care for a woman who has

More information

BCG NEONATAL VACCINATION CLINICAL GUIDELINE

BCG NEONATAL VACCINATION CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. Tuberculosis is a notifiable disease in the UK and although incidence is low it remains a Public Health concern as cases have increased in recent years. Due to low

More information

Starting Salaries Policy. Document Title. Date Issued/Approved: July 2012. Date Valid From: 14 August 2012. Date Valid To: 13 March 2017

Starting Salaries Policy. Document Title. Date Issued/Approved: July 2012. Date Valid From: 14 August 2012. Date Valid To: 13 March 2017 POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

CLINICAL GUIDELINE FOR THE TREATMENT OF CAPD PERITONITIS 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE TREATMENT OF CAPD PERITONITIS 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE TREATMENT OF CAPD PERITONITIS 1. Aim/Purpose of this Guideline This guideline has been written to guide the management of adults with peritoneal dialysis peritonitis. Patients

More information

STROKE AND TIA MULTIDISCIPLINARY CARE PATHWAY 6 th Edition Cornwall Stroke Service (Royal Cornwall Hospital Trust Facing)

STROKE AND TIA MULTIDISCIPLINARY CARE PATHWAY 6 th Edition Cornwall Stroke Service (Royal Cornwall Hospital Trust Facing) STROKE AND TIA MULTIDISCIPLINARY CARE PATHWAY 6 th Edition Cornwall Stroke Service (Royal Cornwall Hospital Trust Facing) 1. Aim/Purpose of this Guideline The aim of this document to inform clinicians

More information

2.2. This guideline should be followed by all Health Care Professionals when using a winged infusion device to administer prescribed CFC s

2.2. This guideline should be followed by all Health Care Professionals when using a winged infusion device to administer prescribed CFC s CLINICAL GUIDELINE for the administration of a single bolus intravenous injection of Clotting Factor Concentrates via a winged needle Summary. 1. Page 1 of 9 Aim/Purpose of this Guideline 1.1. Patients

More information

Visual Acuity Testing Using a Snellen Vision Chart

Visual Acuity Testing Using a Snellen Vision Chart Visual Acuity Testing Using a Snellen Vision Chart V3.0 2.8.16 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities...

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT PATIENTS DIABETES MELLITUS DURING SURGERY / ELECTIVE PROCEDURES

CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT PATIENTS DIABETES MELLITUS DURING SURGERY / ELECTIVE PROCEDURES - 1 - CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT PATIENTS DIABETES MELLITUS DURING SURGERY / ELECTIVE PROCEDURES For procedures requiring bowel preparation please refer to: Guidelines for the Care

More information

Diagnostic Testing Procedures for Ophthalmic Science

Diagnostic Testing Procedures for Ophthalmic Science V3.0 09/06/15 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the Managers... 3 5.3.

More information

Clinical Guideline for Nursing Care of Patient with Intravenous Ketamine Infusion Summary.

Clinical Guideline for Nursing Care of Patient with Intravenous Ketamine Infusion Summary. Clinical Guideline for Nursing Care of Patient with Intravenous Ketamine Infusion Summary. Patient prescribed Ketamine by Anaesthetist or Pain Team Infusion set up by competent Registered Nurse Correct

More information

LUMBAR PUNCTURE NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

LUMBAR PUNCTURE NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline LUMBAR PUNCTURE NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. This guideline applies to all staff responsible for undertaking or assisting with a neonatal lumbar puncture. 2. Guidance.

More information

1.1. Safe and effective use of intermittent pneumatic compression to prevent DVT and PE in stroke patients

1.1. Safe and effective use of intermittent pneumatic compression to prevent DVT and PE in stroke patients CLINICAL GUIDELINE FOR PREVENTION OF DEEP VENOUS THROMBOSIS (DVT) AND PULMONARY EMBOLI (PE) IN STROKE PATIENTS USING INTERMITTENT PNEUMATIC LEG COMPRESSION 1. Aim/Purpose of this Guideline 1.1. Safe and

More information

Clinical Guideline For The Use of Rectus Sheath Catheters For The Management of Pain Following Laparotomy. 1. Aim/Purpose of this Guideline

Clinical Guideline For The Use of Rectus Sheath Catheters For The Management of Pain Following Laparotomy. 1. Aim/Purpose of this Guideline Clinical Guideline For The Use of Rectus Sheath Catheters For The Management of Pain Following Laparotomy. 1. Aim/Purpose of this Guideline 1.1. Nursing guidelines for the use of rectus sheath catheters

More information

CLINICAL GUIDELINE FOR MANAGEMENT OF CHRONIC KIDNEY DISEASE (CKD) IN ADULTS 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR MANAGEMENT OF CHRONIC KIDNEY DISEASE (CKD) IN ADULTS 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR MANAGEMENT OF CHRONIC KIDNEY DISEASE (CKD) IN ADULTS 1. Aim/Purpose of this Guideline 1.1 This guideline is intended to assist decision making in all clinical areas admitting or

More information

POLICY FOR THE MANAGEMENT OF PATIENTS AND STAFF WITH DIARRHOEA V4.0

POLICY FOR THE MANAGEMENT OF PATIENTS AND STAFF WITH DIARRHOEA V4.0 POLICY FOR THE MANAGEMENT OF PATIENTS AND STAFF WITH DIARRHOEA V4.0 01.08.2015 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary...

More information

Access Control Policy V1.0

Access Control Policy V1.0 V1.0 January 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 4 5. Ownership and Responsibilities... 4 5.1. Role of the Chief

More information

PRESEPTAL AND ORBITAL CELLULITIS IN CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

PRESEPTAL AND ORBITAL CELLULITIS IN CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline PRESEPTAL AND ORBITAL CELLULITIS IN CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. This guideline applies to medical and nursing staff caring for a child with Preseptal and Orbital

More information

Guidance to Staff responsible for the Ordering, Authorising and Payment of goods and services received

Guidance to Staff responsible for the Ordering, Authorising and Payment of goods and services received Guidance to Staff responsible for the Ordering, Authorising and Payment of goods and services received V3.0 June 2015 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3.

More information

CLINICAL GUIDELINE FOR MANAGEMENTS OF PATIENTS TAKING ANTICOAGULANTS IN ENDOSCOPY 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR MANAGEMENTS OF PATIENTS TAKING ANTICOAGULANTS IN ENDOSCOPY 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR MANAGEMENTS OF PATIENTS TAKING ANTICOAGULANTS IN ENDOSCOPY 1. Aim/Purpose of this Guideline 1.1. The purpose of this guideline is to assist decision making of whether anticoagulants

More information

The Use of Electronic signatures for Prescribing Chemotherapy and data entries on the Aria MedOncology system V3.0

The Use of Electronic signatures for Prescribing Chemotherapy and data entries on the Aria MedOncology system V3.0 The Use of Electronic signatures for Prescribing Chemotherapy and data entries on the Aria MedOncology system V3.0 January 2013 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3.

More information

THE USE OF DONOR BREAST MILK (DBM). NEONATAL CLINICAL GUIDELINE

THE USE OF DONOR BREAST MILK (DBM). NEONATAL CLINICAL GUIDELINE THE USE OF DONOR BREAST MILK (DBM). NEONATAL CLINICAL GUIDELINE Insufficient mothers own breast milk. AND Infant meets criteria for DBM Refer mother to Breast Feeding Support Nurse for lactation support

More information

Tenders and Quotations Financial Procedures V3.0

Tenders and Quotations Financial Procedures V3.0 V3.0 31 December 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2 Role of the

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF ANAPHYLAXIS IN INFANTS AND CHILDREN UNDER SIXTEEN YEARS OF AGE. 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE MANAGEMENT OF ANAPHYLAXIS IN INFANTS AND CHILDREN UNDER SIXTEEN YEARS OF AGE. 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE MANAGEMENT OF ANAPHYLAIS IN INFANTS AND CHILDREN UNDER SITEEN YEARS OF AGE. 1. Aim/Purpose of this Guideline 1.1. The purpose of this guideline is to provide a clear care pathway

More information

CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND

CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND 1. Aim/Purpose of this Guideline The aim of this guideline to enable the effective care of patients needing emergency defill of

More information

Grievance and Disputes Policy and Procedure. Document Title. Date Issued/Approved: 10 August 2010. Date Valid From: 21 December 2015

Grievance and Disputes Policy and Procedure. Document Title. Date Issued/Approved: 10 August 2010. Date Valid From: 21 December 2015 POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

A Policy for the Trial and Evaluation of Medical Devices

A Policy for the Trial and Evaluation of Medical Devices 29/05/2014 V2.1 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions... 3 5. Ownership and Responsibilities... 4 5.1. Role of the Trust Board and Medical Director...

More information

CLINICAL PROCEDURE FOR THE SAFE REMOVAL OF FEMORAL ARTERIAL SHEATHS USING A DIGITAL APPROACH 1. Aim/Purpose of this Guideline

CLINICAL PROCEDURE FOR THE SAFE REMOVAL OF FEMORAL ARTERIAL SHEATHS USING A DIGITAL APPROACH 1. Aim/Purpose of this Guideline CLINICAL PROCEDURE FOR THE SAFE REMOVAL OF FEMORAL ARTERIAL SHEATHS USING A DIGITAL APPROACH 1. Aim/Purpose of this Guideline 1.1. To aide registered nurses in the safe removal of arterial femoral sheaths

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF HIGH BLOOD GLUCOSE LEVELS AND SICK DAYS ON AN INSULIN PUMP. 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE MANAGEMENT OF HIGH BLOOD GLUCOSE LEVELS AND SICK DAYS ON AN INSULIN PUMP. 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE MANAGEMENT OF HIGH BLOOD GLUCOSE LEVELS AND SICK DAYS ON AN INSULIN PUMP. 1. Aim/Purpose of this Guideline 1.1. The purpose of this guideline is to give clear information and

More information

CLINICAL GUIDELINE FOR THE MANAGEMENT OF OPIATE DEPENDENT PATIENTS AT RCHT 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE MANAGEMENT OF OPIATE DEPENDENT PATIENTS AT RCHT 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE MANAGEMENT OF OPIATE DEPENDENT PATIENTS AT RCHT 1. Aim/Purpose of this Guideline 1.1. These guidelines are aimed at Medical Staff at RCHT treating patients admitted that are

More information

Under Review. Policy for Self Administration of medicines (SAM) by Competent Patients. Document Title. Date Issued/Approved: 18 th October 2013

Under Review. Policy for Self Administration of medicines (SAM) by Competent Patients. Document Title. Date Issued/Approved: 18 th October 2013 POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

Aseptic Non Touch Technique (ANTT) Policy

Aseptic Non Touch Technique (ANTT) Policy Aseptic Non Touch Technique (ANTT) Policy V3 12 th May 2015 Page 1 of 19 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 4 5.

More information

The reaction is termed anaphylaxis if there are life-threatening features such as respiratory difficulties and/or hypotension.

The reaction is termed anaphylaxis if there are life-threatening features such as respiratory difficulties and/or hypotension. HYPERSENSITIVITY AND ANAPHYLACTIC REACTIONS DURING AND AFTER TREATMENT WITH CHEMOTHERAPY- CLINICAL GUIDELINE FOR RECOGNITION AND TREATMENT. 1. Aim/Purpose of this Guideline 1.1. The aim of this document

More information

NHS Fife Equality Impact Assessment

NHS Fife Equality Impact Assessment NHS Fife Equality Impact Assessment Equality Impact Assessment Guidance is available to support this process Contact the Angela Heyes, Equality and Human Rights Lead if support is required to completed

More information

PHARMACISTS AMENDMENTS TO PRESCRIPTIONS

PHARMACISTS AMENDMENTS TO PRESCRIPTIONS PHARMACISTS AMENDMENTS TO PRESCRIPTIONS May 2016 Version 2.3 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions/Glossary... 3 5. Ownership and Responsibilities...

More information

INSERTION OF UMBILICAL LINES ARTERIAL (UAC) and VENOUS (UVC) - NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

INSERTION OF UMBILICAL LINES ARTERIAL (UAC) and VENOUS (UVC) - NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline INSERTION OF UMBILICAL LINES ARTERIAL (UAC) and VENOUS (UVC) - NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline This guideline applies to all staff undertaking the procedure of umbilical line

More information

NHS Fife Equality Impact Assessment

NHS Fife Equality Impact Assessment NHS Fife Equality Impact Assessment Equality Impact Assessment Guidance is available to support this process Contact Angela Heyes, Equality and Human Rights Lead if support is required to completed the

More information

NHS Fife Equality Impact Assessment

NHS Fife Equality Impact Assessment NHS Fife Equality Impact Assessment Equality Impact Assessment Guidance is available to support this process Contact the Angela Heyes, Equality and Human Rights Lead if support is required to completed

More information

Protocol for Children and Adults with Autism Spectrum Conditions

Protocol for Children and Adults with Autism Spectrum Conditions Protocol for Children and Adults with Autism Spectrum Conditions V1.0 May 2014 Page 1 of 15 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 4 4. Ownership and

More information

CLINICAL GUIDELINE FOR VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC)

CLINICAL GUIDELINE FOR VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC) CLINICAL GUIDELINE FOR VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC) 1. Aim/Purpose of this Guideline 1.1. Due to a rise in the caesarean section rate there are increasing numbers of pregnant women who

More information

Insert Insert heading depending on on line length; please delete delete other cover options once. Agreed: November 2013 Ref: N-SC/030

Insert Insert heading depending on on line length; please delete delete other cover options once. Agreed: November 2013 Ref: N-SC/030 Insert Interim heading Clinical depending Commissioning Insert Insert heading depending on line on on Policy: line line length; length; Therapeutic please please delete Spinal delete on line length; please

More information

1. Workforce Profile

1. Workforce Profile 1. Workforce Profile At the end of March 2015 there were 5,393 staff employed by the Trust, an increase of 79 employees compared to March 2014 (5,314). Although there is only a slight increase, this differs

More information

CLINICAL GUIDELINE FOR THE NEONATAL MANAGEMENT OF INFANTS BORN TO MOTHERS WITH THYROID DISEASE 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR THE NEONATAL MANAGEMENT OF INFANTS BORN TO MOTHERS WITH THYROID DISEASE 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR THE NEONATAL MANAGEMENT OF INFANTS BORN TO MOTHERS WITH THYROID DISEASE 1. Aim/Purpose of this Guideline 1.1. This guideline applies to Neonatal/Paediatric and Midwifery/Obstetric

More information

Management of Neurologically Intact Patient with Cervical Epidural Abscess

Management of Neurologically Intact Patient with Cervical Epidural Abscess Management of Neurologically Intact Patient with Cervical Epidural Abscess Jason C. Eck, DO, MS Center for Sports Medicine & Orthopaedics Chattanooga, TN Overview Pathophysiology and epidemiology of epidural

More information

INTEGRATED GOVERNANCE FRAMEWORK

INTEGRATED GOVERNANCE FRAMEWORK INTEGRATED GOVERNANCE FRAMEWORK V1.0 23 Jul 14 Table of Contents 1. INTRODUCTION... 3 2. STRATEGIC OBJECTIVES... 4 3. SCOPE OF THE INTEGRATED GOVERNANCE FRAMEWORK... 4 3.1 Definitions of Governance...

More information

TRANSPORT INCUBATOR AND VENTILATOR - NEONATAL CLINICAL GUIDELINE.

TRANSPORT INCUBATOR AND VENTILATOR - NEONATAL CLINICAL GUIDELINE. TRANSPORT INCUBATOR AND VENTILATOR - NEONATAL CLINICAL GUIDELINE. 1. Aim/Purpose of this Guideline 1.1. This guideline identifies the key equipment and testing requirements needed to ensure that the Neonatal

More information

IMMUNOCOMPROMISED CHILDREN EXPOSED TO OR REQUIRING TREATMENT FOR VARICELLA ZOSTER- CLINICAL GUIDELINE FOR MANAGEMENT. 1. Aim/Purpose of this Guideline

IMMUNOCOMPROMISED CHILDREN EXPOSED TO OR REQUIRING TREATMENT FOR VARICELLA ZOSTER- CLINICAL GUIDELINE FOR MANAGEMENT. 1. Aim/Purpose of this Guideline IMMUNOCOMPROMISED CHILDREN EXPOSED TO OR REQUIRING TREATMENT FOR VARICELLA ZOSTER- CLINICAL GUIDELINE FOR MANAGEMENT. 1. Aim/Purpose of this Guideline 1.1. The aim of this guideline is the management of

More information

CLINICAL GUIDELINE FOR HOSPITAL MANAGEMENT OF COMMUNITY ACQUIRED PNEUMONIA 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR HOSPITAL MANAGEMENT OF COMMUNITY ACQUIRED PNEUMONIA 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR HOSPITAL MANAGEMENT OF COMMUNITY ACQUIRED PNEUMONIA 1. Aim/Purpose of this Guideline 1.1. To provide guidance on the diagnosis and management of community acquired pneumonia. 2.

More information

Scottish Environment Protection Agency

Scottish Environment Protection Agency - 1 - Scottish Environment Protection Agency Equality and Human Rights Assessment Guidance Document - 2 - The Equality Act 2010 (Specific Duties) (Scotland) Regulations 2012 requires all new and revised

More information

GENERAL ANAESTHESIA FOR CAESAREAN SECTION - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

GENERAL ANAESTHESIA FOR CAESAREAN SECTION - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline GENERAL ANAESTHESIA FOR CAESAREAN SECTION - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. General anaesthesia for caesarean section carries considerable risk and is frequently performed out

More information

EQUALITY IMPACT ANALYSIS (EIA) FORM

EQUALITY IMPACT ANALYSIS (EIA) FORM Policy/Project/Function Date of Analysis December 2015 EQUALITY IMPACT ANALYSIS (EIA) FORM Mental Health Matters - consultation on the proposals for mental health services in the city to ensure that those

More information

3. Rapid Impact Assessment summary report

3. Rapid Impact Assessment summary report Audit Risk Level: Low (Risk level will be added by EQIA steering group) 3. Rapid Impact Assessment summary report Each of the numbered sections below must be completed Interim report Final report X (Tick

More information

Equality, Inclusion and Human Rights Policy

Equality, Inclusion and Human Rights Policy Equality, Inclusion and Human Rights Policy V3.4 January 2016 Page 1 of 23 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 4 4. Definitions / Glossary... 4 5. Ownership

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Medical Equipment Library Access to Service Procedure

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Medical Equipment Library Access to Service Procedure The Newcastle upon Tyne Hospitals NHS Foundation Trust Medical Equipment Library Access to Service Procedure Version No.: 5.1 Effective From: 28 November 2013 Expiry Date: 28 November 2016 Date Ratified:

More information

Specialised Services Policy: Drug Therapy for Pulmonary Hypertension CP11

Specialised Services Policy: Drug Therapy for Pulmonary Hypertension CP11 Specialised Services Policy: Drug Therapy for Pulmonary Hypertension CP11 Document Author: Specialist Planner for Cardiothoracic Services Executive Lead: Director of Planning Approved by: Management Group

More information

Clinical Guideline. Low Back Pain Orthopaedics. Princess Alexandra Hospital Emergency Department. 1 Purpose. 2 Background

Clinical Guideline. Low Back Pain Orthopaedics. Princess Alexandra Hospital Emergency Department. 1 Purpose. 2 Background Princess Alexandra Hospital Emergency Department Clinical Guideline Orthopaedics Review Officer: Katherine Isoardi Version no: 1 Approval date: 18/03/2015 Review date: 18/03/2017 Approving Officer Dr James

More information

Colchester Borough Council. Equality Impact Assessment Form - An Analysis of the Effects on Equality. Section 1: Initial Equality Impact Assessment

Colchester Borough Council. Equality Impact Assessment Form - An Analysis of the Effects on Equality. Section 1: Initial Equality Impact Assessment Colchester Borough Council Equality Assessment Form - An Analysis of the Effects on Equality Section 1: Initial Equality Assessment Name of policy to be assessed: Internal Communications Strategy 2015

More information

GENITAL HERPES IN PREGNANCY - CLINICAL GUIDELINE

GENITAL HERPES IN PREGNANCY - CLINICAL GUIDELINE GENITAL HERPES IN PREGNANCY - CLINICAL GUIDELINE Summary. Algorithm for management of herpes in pregnancy and care of neonate Recurrent genital herpes Primary acquisition of herpes in first or second trimester

More information

Colchester Borough Council. Equality Impact Assessment Form - An Analysis of the Effects on Equality. Section 1: Initial Equality Impact Assessment

Colchester Borough Council. Equality Impact Assessment Form - An Analysis of the Effects on Equality. Section 1: Initial Equality Impact Assessment Colchester Borough Council Equality Assessment Form - An Analysis of the Effects on Equality Section 1: Initial Equality Assessment Name of policy to be assessed: Major Preliminary Enquiries and Planning

More information

Document Title. Reference Number. Lead Officer. Author(s) (name and designation) Ratified by. Date ratified. Implementation Date

Document Title. Reference Number. Lead Officer. Author(s) (name and designation) Ratified by. Date ratified. Implementation Date Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Date ratified Implementation Date Date of full implementation Review Date Version number Review and Amendment Log

More information

Policy for Prevention and Management of Falls in Hospital, and the Safe Use of Bedrails with Adult Patients V4.3

Policy for Prevention and Management of Falls in Hospital, and the Safe Use of Bedrails with Adult Patients V4.3 Policy for Prevention and Management of Falls in Hospital, and the Safe Use of Bedrails with Adult Patients V4.3 August 2015 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope...

More information

GUIDANCE ON SECTION 5(2) AND SECTION 5(4) OF THE MENTAL HEALTH ACT 1983 ~ HOLDING POWERS ~

GUIDANCE ON SECTION 5(2) AND SECTION 5(4) OF THE MENTAL HEALTH ACT 1983 ~ HOLDING POWERS ~ GUIDANCE ON SECTION 5(2) AND SECTION 5(4) OF THE MENTAL HEALTH ACT 1983 ~ HOLDING POWERS ~ Version 1.0 Ratified by Mental Health Law Governance Group Date ratified 10/09/2012 Name of originator/author

More information

GUIDELINES FOR ASSESSMENT OF SPINAL STABILITY THE CHRISTIE, GREATER MANCHESTER & CHESHIRE. CP57 Version: V3

GUIDELINES FOR ASSESSMENT OF SPINAL STABILITY THE CHRISTIE, GREATER MANCHESTER & CHESHIRE. CP57 Version: V3 GUIDELINES FOR ASSESSMENT OF SPINAL STABILITY THE CHRISTIE, GREATER MANCHESTER & CHESHIRE Procedure Reference: Document Owner: CP57 Version: V3 Dr V. Misra Accountable Committee: Acute Oncology Group Network

More information

Clinical Commissioning Policy: Disease Modifying Therapies For patients With Multiple Sclerosis (MS) December 2012. Reference : NHSCB/D4/c/1

Clinical Commissioning Policy: Disease Modifying Therapies For patients With Multiple Sclerosis (MS) December 2012. Reference : NHSCB/D4/c/1 Clinical Commissioning Policy: Disease Modifying Therapies For patients With Multiple Sclerosis (MS) December 2012 Reference : NHSCB/D4/c/1 NHS Commissioning Board Clinical Commissioning Policy: Disease

More information

SMALL FOR GESTATIONAL AGE FETUS - CLINICAL GUIDELINE FOR INVESTIGATION AND MANAGEMENT 1. Aim/Purpose of this Guideline

SMALL FOR GESTATIONAL AGE FETUS - CLINICAL GUIDELINE FOR INVESTIGATION AND MANAGEMENT 1. Aim/Purpose of this Guideline SMALL FOR GESTATIONAL AGE FETUS - CLINICAL GUIDELINE FOR INVESTIGATION AND MANAGEMENT 1. Aim/Purpose of this Guideline 1.1. To identify and optimally manage small and growth restricted fetuses. 2. The

More information

RELUCTANT TO FEED - CLINICAL GUIDELINE FOR MANAGEMENT OF HEALTHY NEWBORN BABIES AT TERM 1. Aim/Purpose of this Guideline

RELUCTANT TO FEED - CLINICAL GUIDELINE FOR MANAGEMENT OF HEALTHY NEWBORN BABIES AT TERM 1. Aim/Purpose of this Guideline RELUCTANT TO FEED - CLINICAL GUIDELINE FOR MANAGEMENT OF HEALTHY NEWBORN BABIES AT TERM 1. Aim/Purpose of this Guideline 1.1. This guideline applies to all health professionals caring for healthy, term

More information

ADMINISTRATION OF VITAMIN K NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

ADMINISTRATION OF VITAMIN K NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline ADMINISTRATION OF VITAMIN K NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. This guideline applies to all staff responsible for the administration of Vitamin K (Phytomenodium) to newborn

More information

Equality Analysis. Guidance Notes for completing the template CONTENT

Equality Analysis. Guidance Notes for completing the template CONTENT Equality Analysis Guidance Notes for completing the template CONTENT 1. INTRODUTION Page 2 2. LEGAL FRAMEWORK Equality Act 2010 and Protected Characteristics The Public Sector Equality Duty (PSED) The

More information

EQUALITY IMPACT ASSESSMENT - TRAFFORD COUNCIL

EQUALITY IMPACT ASSESSMENT - TRAFFORD COUNCIL EQUALITY IMPACT ASSESSMENT - TRAFFORD COUNCIL A. Summary Details 1 Title of EIA: Introduction of Credit Card Charges 2 Person responsible for the assessment: Dave Muggeridge 3 Contact details: 912 4534

More information

Skin and Soft Tissue Infection Guideline, including Diabetic Foot Ulcer Infection

Skin and Soft Tissue Infection Guideline, including Diabetic Foot Ulcer Infection Skin and Soft Tissue Infection Guideline, including Diabetic Foot Ulcer Infection Written by: Dr Ken Agwuh, Consultant Microbiologist Date: March 2016 Approved by: Drugs & Therapeutics Committee Date:

More information

SINGLE EQUALITY POLICY

SINGLE EQUALITY POLICY SINGLE EQUALITY POLICY BUILDING FUTURES CHANGING LIVES We are committed to Equality and Diversity and to selection on merit. We welcome applications from all sections of society. Legislative Framework

More information

Procedure No. 1.41 Portland College Single Equality Scheme

Procedure No. 1.41 Portland College Single Equality Scheme Introduction Portland College recognises the requirements under current legislation to have due regard to the general equality duty. 1.0 Context 1.1 Portland College supports equality of opportunity, promotion

More information

Policy for Surveillance and Reporting of Infectious Disease, Healthcare Associated Infection and Antibiotic Resistant Organisms

Policy for Surveillance and Reporting of Infectious Disease, Healthcare Associated Infection and Antibiotic Resistant Organisms Policy for Surveillance and Reporting of Infectious Disease, Healthcare Associated Infection and Antibiotic Resistant Organisms V4 19.08.2014 Table of Contents 1. Introduction... 4 2. Purpose of this Policy/Procedure...

More information