Salisbury Foundation Trust

FOI_5080

Internal Reference Number: FOI_5080

Date Request Received: 30/05/2019 09:56:33

Date Request Replied To: 19/08/2019 10:36:42

This response was sent via: By Email

Request Summary: Infusion Therapy

Request Category: Companies

 
Question Number 1:
Can you please describe what guidelines are used in Salisbury NHS Foundation Trust to inform current infusion therapy protocols? Please attach a copy of any relevant guidelines and protocols.
 
Answer To Question 1:
SFT do not have a stand-alone policy for intravenous therapy however best practice guidance around infection control and line changing protocols would be included in policies such as:
• Central line policy
• Peripheral cannulation policy
• Tunnelled central lines policy
• Arterial line policy
Publicly available here > https://viewer.microguide.global/SALIS/INF#content,ffb1be9b-a3d6-4bfa-94ed-c76c674820a3
 
Question Number 2:
Has Salisbury NHS Foundation Trust incorporated the Royal College of Nursing “Standards for infusion therapy (Fourth Edition, 2016)” into Trust protocols?
 
Answer To Question 2:
The policies in question 1 include reference to the EPIC guidelines for preventing healthcare-associated infections standards
 
Question Number 3:
Can you please confirm whether Salisbury NHS Foundation Trust has established a Vascular Access Service (VAS)? If so, please can you provide further details of the service and multidisciplinary team members and confirm whether this is a nurse led service?
 
Answer To Question 3:
SFT does not currently have an established Vascular Access Service.

There is one part time nurse inserting PICC lines on Pembroke ward for oncology/haematology patients..

Inpatient PICCs are placed in theatres for TPN and antibiotic medications, mainly by anaesthetists at present.
 
Question Number 4:
Can you please confirm what are average waiting times for each of the VAS procedures listed below for Vascular Access Services (VAS) in Salisbury NHS Foundation Trust?
a. Medication and solution administration
b. Oncology and chemotherapy
c. Transfusion therapy
d. Patient-controlled analgesia
e. Parental nutrition
f. Epidural analgesia infusion
g. Blood sampling
h. Blood culture
i. Other infusion therapies
 
Answer To Question 4:
b. Oncology and chemotherapy - waiting time varies upon demand, we do not hold exact figures. We put in ad hoc PICCs for the haematology patients as required, and will put in ad hoc PICCs for the Oncology patients if it prevents breaching treatment date or if chemotherapy cannot go ahead without a line
i. Other infusion therapies: PICC lines inserted in operating theatres historical data showed that 40% patients waited less than 6 hours, 30% waited less than 24 hours, 20% waited less than 48 hours, 10 % waited more than 48 hours

We do not hold the information for the following;
a. Medication and solution administration
c. Transfusion therapy
d. Patient-controlled analgesia
e. Parental nutrition
f. Epidural analgesia infusion
g. Blood sampling
h. Blood culture
 
Question Number 5:
Can you confirm which groups of patients are offered access to the Vascular Access Service (VAS) in Salisbury NHS Foundation Trust.
 
Answer To Question 5:
All adult patients are offered access to Vascular Access

Paediatric patients are offered Vascular Access service via the Paediatricians.
 
Question Number 6:
Can you please provide details of all recorded complications associated with peripherally inserted central catheters (PICCs) (e.g. infections, venous thromboembolism, device failure, etc.) in each of the last three years at Salisbury NHS Foundation Trust?
 
Answer To Question 6:
2016 8 split by;
insertion error x2
incorrect removal by patient x1
device failure x1
infection x1
issues with maintenance/care of PICC line x3

2017 7 split by;
insertion error x1
issues with maintenance/care of PICC line x4
device failure x1
incorrect removal by staff x1

2018 7 split by;
insertion error x1
incorrect removal by patient x1
incorrect removal by staff x2
issues with maintenance/care of PICC line x3

2019 Less than 5 split by; VTE and issues with maintenance/care of PICC line

Please note that it is Trust policy not to disclose any information which could potentially be used to identify a patient. Therefore if the answers to any of these questions are less than 5 we will only specify 'less than 5'.
 
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Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.

Salisbury NHS Foundation Trust, Salisbury District Hospital, Salisbury, Wiltshire, SP2 8BJ
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