Clinical protocol


ROLES AND RESPONSIBILITIES



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2.0
ROLES AND RESPONSIBILITIES
2.1
Trust Board / Heads of Service
2.1.1 Are responsible for ensuring their staff are aware of the contents of this protocol, have access to personal protective equipment (if necessary) and access to training and access to specialist advice.
2.2
Staff and Managers
2.2.1 Are responsible for implementing the guidance within this protocol when caring fora patient who has a bowel dysfunction.
2.3
Bladder and Bowel Team
2.3.1 Are responsible for the provision of specialist advice, education and support to staff caring fora patient who has a bowel dysfunction.
2.4
Nursing Staff
2.4.1 Nursing Staff are responsible for attending required training They are also responsible for following the protocols and SOPs as written and responsible also for escalating any concern regarding patient safety.
2.4.2 The registered nurse must apply a working knowledge of the importance of working within their sphere of competency and know when to seek advice if facing situations outside their sphere of competence.
2.4.3 The Registered nurses can perform the procedure of manual removal of faeces when they have received training this maybe from the Bladder and Bowel Specialist nursing team, have been supervised and are competent.
2.4.4 The Registered Nurse must feel confident in undertaking MRF before assuming the role unsupervised. Health care assistants would NOT be expected to carry our MRF in an acute situation, but maybe asked to assist with monitoring blood pressure (if competent)
2.4.5 The NMC Code places specific responsibilities on Registered Nurses, including a) being personally accountable for actions and omissions in practice and able to justify decisions

Kent Community Health NHS Foundation Trust Protocol for manual removal of faeces (acute) In adults over the age of 18 years V Page of July 2016 b) always act lawfully whether those laws relate to your professional practice or personal life c) recognising and working within the limits of their own competence d) undertaking appropriate learning and practice activities that maintain and develop their competence and performance. (NMC 2008); e) ensure policy and associated policies are followed and that information is disseminated to relevant parties.


Clinical protocol
Executive summary
Governance arrangements
Related policies/procedures
Document tracking sheet
Contents page
Ethnicity and diversity
Contraindications
Training and awareness
Monitoring compliance and effectiveness of this policy
Monitoring matrix:
Equality analysis
Glossary and abbreviations
Appendix 2 bristol stool form scale
Knowledge and
Performance criteria
Interpersonal
Appendix 3 care and management of autonomic dysreflexia
Common causes of autonomic dysreflexia.
Signs and symptoms
Specialist advice



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