" #! $ $ % %& ' ( ) % 0 * 1 2!! 3-44 /22!!

Transcription

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2 ! " #! $ $ % %& ' ( ) * +#, -&. & (!!/ %& &' $ + * % 0 ', ("-) ) * 1 2!! 3-44 /22!!

3 33

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7 % 4 4 $* # ## ' # " $$ * $' "# * # # & $ "" ## # &* # # " # #.#$ & 4 4 "& '# #* &* = # # 1 & #&= 1 > = 7= 77<8?# #$,* ' ( 4A 7 * ' " & "$' "& # "$ 4 :,* # "&! &" #" " #B# "& # # ) # 4 9 /6 "! &" $ * ' " % * "$! "& #6 $# 4

8 -6 *! # & #! # 0 4?! ###&# ##' " " B##$### ' #'-# $ * " # # $ #"# "&, -, B # * $# 4 8! # #' # # * $' "! ; = # $# $ $ * 3 4 C, $ : 8 2 # +, 6 4 # A = # : $? &# 6 ;! &# $# '# # & 4 D6 "$ E) # '# "" 2 2 #! '&# $* & * 4 # F1 #1 *! $# #1 ; G 2 # $ #'* && #' '* # # $$& # $"& #& # & '# 5

9 # $ # * $$# # '# $ # 6 "# #' ## * #! ## & " $' # # * # "$ * # # # "'"# &# '* &" - %%, 6 * * " &' * #" # ' "& %! &! #' #6 $# %% ; $ - #" #",* $ 4,* "&%%, "-# $ #" * ### '* $#" " *. # &' '# #, ## # "## &" # & $# 6 * $'%%, $## # # "& # # # #& *! #& ##$ # # 6

10 7&..&#B # # "&# # H # # #### # "#* '"&! ' # &" "& ' # # #' # # #%%, $* " #.#"&%%,! " "&%%, $* * & " " %%, * " * $#' ## " 4 # " # # &* * " " # # $ %%, 7

11 ' (!( A # # '##"$# &#$ B. * * "# #'$#$ 2 $B #"& "& D "&)-# #& & # #"& #$# &#&& " # ' " ## ' #" # # 37 A " $$ * $' "# * # # & $ A + A4 A A 1 # " # #.#$ & * ' $ #' &"$ $ ' #"'$"- 6 ##$ * #"$ #6 $# ; 6 * " * * $ &! 6 '! ###!! * $ 8

12 * +#, : 4'A'8'+ ;! # 'D " & ##"'' & "-## & $ -< ;! ' ## '$ #&' # ## )! #$ # 3 #& & = # 2 & 2 & ## ###1, $ = 1 : ' ' 5& ' '# #$ * $B 5 "$ & : + $ #& * '- #" # & & " D, & *$$#$ " #& ) = &6, $ &" 3 & &#"& #$& ## $$#$ 9

13 #&# # & #& $# & : 4 * B #$# ## *" * #"&= # # 1 & #& = 1= 77<8? " *# : A,* # "&# " "& #5# #) # 10

14 . # $$## # " "$ & &* I &1 = $'7 #; $& # # * $"&; "* # $$ #& # ## '#5 ## # $$# $ &" # /. 11

15 (!56! / # "# "$ $) D ) * "&; #6 $# " " "&# * $ & 6 * "$"&! " $" ' ; B #6 $# &*. " ## # $ 6 * " * * $ &! 6 '! ###!! * $ * - $'"# # # "& & # * *#! '! J! '% J%% $,* $#'!J &! %%; # * &%%, * $#' J & '( J( ## ' J& 6 #J$" # Item of Equipment Home Settings Comments Nursing Residential For administration of medicine Dose monitoring systems Community Pharmacist Community Pharmacist Some pharmacists charge for this service For administration of oral medicine e.g., measures, pill-cutters CH CH Medication via prescription/ chemist packs 12

16 For administration of rectal medication, e.g., gloves For administration of medication by injection All syringe drivers and tubing CH CH CH Respiration For maintenance of respiration, e.g., suction units CH N/a Oxygen cylinders Via prescription from GP Oxygen administration consumables care Simple Nebulisers and equipment Prescribed by respiratory physician via prescription Resuscitation equipment (e.g. mouth to mouth) CH CH e.g. Ambu masks and bags for Nursing Homes only and Mouth shields for both. Pulse Oximeters Non-standard complex Nebulisers and humidifiers (e.g. for ENT, or clarify meaning Nursing Equipment Vacutaine bottles for blood tests Syringes and needles CH For procedures relating to aseptic and clean dressings Urine testing sticks CH GP prescription For management of catheterisation, e.g., bag, stand, packs GP prescription/ bulk 13

17 purchase Prescription for catheters and bags Routine nursing procedure equipment, e.g., BM (glucometer), specimen bottles and wound swabs GP prescription but nursing homes may require to buy finger pricking devices Blood Pressure CH Sterile Foil Bowls CH CH Oral hygiene Equipment CH CH Ear syringing Equipment CH Drip Stands CH Non-sterile Gloves CH CH Except where resident allergic to latex when from Sterile Gloves Pencil Torch CH Stethescope CH First Aid First aid equipment CH CH Disposal Hazardous Waste Boxes for disposal hazardous waste CH Help with Nutrition/Eating Enteral(PEG) feeding equipment (EL (95)5) and consumables Equipment or intravenous naso-gastric and subcutaneous feeding N/a Range of mealtime Equipment, including adapted cutlery and crockery CH CH Individual OT assessment Chair Scales and height measure CH CH 14

18 Beds Standard range of beds CH CH Subject to Health and Safety riskmanagement Standard hospital beds variable height profiling CH Normally not applicable Only in non-nursing settings after full risk assessment Standard electric profiling CH Normally not applicable Only in non-nursing settings after full risk assessment Non-standard beds, e.g., for people with complex treatment and care needs, e.g., Egerton by Community Nurse Prevention Therapy and Management of Pressure Sores Mattresses: Static with stretch vapour permeable cover Foam replacement mattress CH CH Foam overlay CH CH Hollow core fibre overlay CH CH Flotation mattress CH by Community Nurse Mattresses: Dynamic Large cell alternating pressure overlays CH by Community Nurse Double layer alternating pressure mattresses replacement CH As above Low air loss replacement mattress CH As above Low air loss/bead bed total/bed systems As above Patient repositioning Hoists, slings, transfer boards and glide sheets CH CH Non-standard sling by Nurse Standing turntable CH by Physio/Nurse 15

19 Standing frame by Physio/Nurse Bed Attachments Range of Back rests CH CH Range of Bed Raisers CH CH Mattress Variations Universal CH CH Over bed Trolley Table CH CH Cot sides: Divan/Padded. CH Normally not applicable Only after full risk assessment Toileting Bed pan CH CH Toilet seats: standard raised 2, 4, 6 CH CH Following OT assessment Urinals/bottles CH CH Urinals/bottles: non-return valves CH CH Special sheets CH CH Continence pads Via Advisory Continence Nurse Range of Commodes: standard CH CH Commodes: non-standard e.g. wheeled CH CH Commodes: bespoke or SWS or SWS by Community Nurse, OT or PT Bathing Equipment Range of Bath Seats CH CH Range of Bath Boards CH CH Electric/Manual bath lift: CH CH Range of Shower chair CH CH Range of Shower Stools CH CH 16

20 Seating Range of standard adjustable chairs CH CH Riser/recliner chairs CH CH Bespoke/customised chairs SWS SWS by OT Pressure reducing Cushions with stretch vapour permeable cover Foam for at risk/low risk CH CH Foam/gel for medium/high risk and treatment CH or SWS Following specialist assessment by community nurse, OT or PT Foam/gel/clay for high/very high risk and treatment CH or SWS As above Flotation cushions CH or SWS Dynamic systems: electric cushions CH or SWS Electric alternating cushions CH or SWS As above As above As above Mobility Equipment Wheelchairs Attendant propelled wheelchairs, standard transit chairs, and wheelchair cushion/footplates CH CH Wheelchairs and accessories provided by Westmarc for permanent and substantial usage, short-term usage after trauma or short-term palliative care. Westmarc Westmarc Via Westmarc referral form Walking Equipment Orthotic devices standard & bespoke Acute Division Acute Division Through referral via Acute Division Standard Walking Stick Through Physiotherapy 17

21 l Quadraped Stick Through Physiotherapy Fisher walking stick Through Physiotherapy Walking frames Through Physiotherapy Wheeled walking frames (mobilator) Through Physiotherapy Walking Frame Atlas Through Physiotherapy Walking frame Gutter Through Physiotherapy Delta-type walker Through Physiotherapy Crutches Through Physiotherapy Gutter crutches Through Physiotherapy Heavy-duty Mobility equipment on request Through Physiotherapy T Ferrules (rubber tips for walking aids) CH CH Dressing Equipment Hip Protectors Through Canard Risk TED Stocking Aid/tights aids CH CH Long-handled shoe horn CH CH Button Hook CH CH Grooming aids CH CH 18

22 Environmental Support Helping Hand CH CH Sensory/Hearing Vibrating Clocks Seek advice from Centre for Sensory Impairment Seek advice from Centre for Sensory Impairment Specialist Flashing Fire Alarms Specialist Mini Comms Specialist Hearing Loops Specialist Sensory/Visual Range of Canes Specialist White Walking Stick Specialist Liquid level indicators Specialist Magnifiers glasses Specialist 19

23 (!57 2 1! ## #! $# + # $# $# #$ ## ' ' # "& $"&K" - #. " # $#K! $#? $"&' ' $"& "&. "#"& & " "'$"'#"& "&' # "'$"'# K 2 & $"&1! ## # ' D )& ' $# ## #$ "5#$ 1 #1! 1 *! $# #1 ; 9'8''+ = & ' # $## $# $ )# #" $# ## "" # $# $#"&# # $# ; &# $# $& $# " "&# # 20

24 2 2!( # #$'#$ & ## ' # #$& ' # # ) K# ##) K #" #$ & 1 2!B93!:- / $# $"& $$ $ #' $ $ #'& $# #'$ ## # #&$' "$"& L #4 8 #!# 2 $! #&'7 # $# #$# $ $# ' '"&. #& $ # & "$"&; $&$ # $##" # $# $#$ 44 /2 21

25 %% $,* $#' $# "$'$ "& * "& # $# " $ $# "$ " %!&!##6 $# '; % &! 7 $, 7 "! # #6 2 $ 2!BA3!? L# #$- "&'## "& # &* $# ; B # ##"$ ' ; L 8 # ## $ " % $# $ # & $%! %% ; < "&# '' $ ; $# %% $# $$3. &!3 # % '## # $# #&! 3 # # $# &!3 # $# # ##! &!! &! &!!! ' # "$# # # & " $# ' ###'# # # $#!! $ &# 22

26 # & $# $ # "# &' ## " $#!! " " $& - " ## ## # $# ' $"&#' ###!! $ # % ' ' # # # ' # $# 23

27 (!5$7+! 2 &,*3$ * ""&; # $#, 6! "M & ; 1 ;, & 7 7!! 3; #! # H "!BA3!?7 7! &,* $#!B?3!+7 7 %! &,* $# 7 /,*# 0'1 &2 3,* '#,-#$+ &,-#$ &6 #8 9 4 = ( 894 &,-#$= & = ( 888 ;!! ( #,-#$ 1! ###,-#$ 3! 7 ( #"4# 24

28 (!5%70 $#$ * 3! ; >#! &! > #1 #6 >#!! ( # > $, 7 "! #( ##&7 & $# 4.A9?.8.+! # >%! &! #' #6 $#! 4 $# '! & ' = ' % %A?; 49:AA & $# %! &! #, 7 "! #! & & 9 % ' " % %: "< 4++4AA+ M#%::NO 4.A9?B:B- %%,' < 7 "! ' ; 1 < ' % 499+? 6 # % +4A%$1 % %A42 25

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