Beruflich Dokumente
Kultur Dokumente
Procedure
1.
Procedure Number
Version Nos:
CHC-PC-0012
Purpose
This Procedure is performed as a means of providing visitation and to assure the safety of West
Coast District Health Board (WCDHB) Inpatients and staff members.
2.
Application/Responsibilities
This Procedure is to be followed by all WCDHB staff members, Inpatients and their
visitors/support person.
3.
Definitions
There are no definitions associated with this Procedure.
4.
Responsibilities
For the purposes of this Procedure:
Patient/clients are required to inform WCDHB staff members if they do not wish to receive
visitors
Visitors/Support Persons are required to accept the directions of WCDHB staff members and
respect the rights of staff members, other patients/clients and their visitors.
Resources Required
This Procedure requires no specific resources.
6.
Process
1.00
Introduction
1.01
WCDHB will make every effort to accommodate patient/client visitors where it is clinically
appropriate.
1.02
1.03
educating
1
Procedure Number
Version Nos:
CHC-PC-0012
1.04
Visits to a patient should be beneficial to both the patient and visitor. Where staff have
any concerns regarding this, they are to discuss with the patient/their representative
whether or not the visit will be therapeutic and desired (See also Section 1.05 and 1.09)
1.05
1.06
Patients/clients have the right to refuse visitors. When this occurs WCDHB staff are to
explain the circumstance to the visitor. Information about the patient/clients refusal is to
be recorded in their clinical record.
1.07
WCDHB staff members are to make reasonable efforts to meet with visitors when
requested.
1.08
Visitors and their possessions will not be searched by WCDHB staff, but any item given to
the patient/client may be checked for dangerous items (See WCDHB Search Of Patients
Procedure)
1.09
Visitors who are intoxicated, abusive or other wise disruptive to patient/client treatment or
the safe operation of WCDHB will be asked to leave the WCDHB Hospital.
1.10
Visitors may be restricted from accessing patients who have a communicable disease. This
decision will be made by the patients responsible clinician. Visitors may also be required
to wear personal protective equipment (PPE).
1.11
Visitors may be restricted from accessing patients where there is a risk of a communicable
disease being brought into the Facility from the community. This decision is to be made
by the relevant Facility Manager in consultation with the Infection Control Advisor and
Chief Medical Advisor.
1.12
1.13
1.14
1.15
Patient/clients are allowed to have a support person present when they are receiving a
service from WCDHB, except where the safety of any person may be compromised, or the
rights of another patient/client may be unreasonably infringed. (see also WCDHB Third
Person present During Consultation Procedure).
Uncontrolled Document West Coast District Health Board
Procedure Number
Version Nos:
CHC-PC-0012
2.00
2.01
Excess persons within the Operating Theatre can lead to problems of unsterility and also
affect the ability of staff to work effectively within a limited space, especially in
emergency/acute situations.
2.02
2.03
Prior permission must be obtained from the patient/clients (or their representative)
Surgeon, Anaesthetist, or Operating Theatre Manager, and this is to be documented in the
patients clinical record.
2.04
2.05
All visitors/support persons who have been given permission to accompany the patient
must wear a Visitors ID Tag, available from the Operating Theatre Reception. (See
WCDHB Visitor Identification Procedure).
2.06
All Operating Theatre staff are to be informed by the Surgeon, Anaesthetist, or Operating
Theatre Manager that visitor(s)/support person(s) are to be present in the Operating
Theatre.
3.00
Visitors To PACU
3.01
Generally the PACU is not the ideal situation for visits, as it is an acute area, small in size
and as such is not appropriate for normal ward activities . Restricting access to the PACU
is in order for the PACU to function effectively as a recovery room, and is done in the best
interests of patients.
3.02
However, there may be circumstances where visitors may be allowed into the PACU to see
a patient.
3.03
3.04
The decision to allow visitor access to the PACU is to be based on the following:
(i)
appropriateness of the visit; and
(ii)
relationship of the visitors to the patient; and
(iii)
patients condition; and
(iv)
number of patients present in the PACU ad their condition; and
(v)
total work load of the PACU; and
(vi)
pending patient arrivals into the PACU.
3.05
The visitor(s) may be asked to leave if an emergency situation develops. The visitor(s) is to
be escorted to the reception area of the Operating Theatre.
Uncontrolled Document West Coast District Health Board
Procedure Number
Version Nos:
CHC-PC-0012
4.00
4.01
At the earliest opportunity following admission, the Primary Nurse and the Client will draw
up a contact plan, identifying potential visitors the client would like to see and any
limitations agreed to. This should be recorded in the clients file and reviewed as necessary
during the progress of the admission.
4.02
When a visit cannot be accommodated (client too unwell, child/young person reluctant,
ward environment unstable), staff will explore other forms of contact with the client and
family/Whanau and ensure support for the family including the children and young people
is offered.
4.03
Reasons for a decision not to allow visits should be documented in the clients file
4.04
Decisions to not allow visits, need to be continually reassessed to accommodate the clients
changing mental state, and/or the ward environment
4.05
The ICU is generally not a suitable area for children/young people to visit, although the
primary nurse in conjunction with the consultant psychiatrist have discretionary powers to
allow this if they assess it as appropriate. All visitors to the ICU must be prearranged.
4.06
Children /young people 0 -15 years of age, may only visit when accompanied by an adult,
who is responsible for maintaining direct supervision of the child for the entire time the
child is present on the ward
4.07
Young people 16-17years may visit unsupervised, after arranging this with the primary
nurse or team leader.
4.08
Ward staff will identify the designated visiting area, and explain to the supervising adult
their responsibility for keeping the Child /Young Person safe and in this area. If the adult
visitor fails to maintain adequate supervision the visit will be terminated and they will be
asked to leave the Unit.
4.09
Should the Child /young person become distressed while in the ward, the visit may be
terminated and the family offered support by the staff and the child/ young person
referred to the Child & Adult Resource Worker.
4.10
Client files should be updated with details of the visit, any observations relevant to care
planning and any actions resulting from that visit
5.00
5.01
8.
Version Nos:
CHC-PC-0012
6.00
Buller Hospital
6.01
Foote Ward patients have a defined rest period between 2.00 pm to 3.30 pm (14.00 to
15.30 hrs) daily.
6.02
6.03
There are no restrictions on visitors for Dunsford, Kawatiri and Kynnersley. However,
Staff in charge of these areas, may at their discretion, restrict visitors due to clinical or
safety reasons.
7.00
Reefton Hospital
7.01
7.
Procedure Number
There are no restrictions on visitors for Reefton Hospital. However, Staff in charge of
the various areas within Reefton Hospital, may at their discretion, restrict visitors due to
clinical or safety reasons.
WCDHB will make every effort to accommodate visitors when clinically appropriate.
Visits should not interfere with patient/client involvement in scheduled treatment activities
Visitors may be restricted if visits interfere with patient/client treatment or create a risk to
patient/client, staff members or public safety.
References
Code of Health and Disability Services Consumers Rights (1996)
9.
Related Documents
WCDHB Clinical Documentation Procedure
WCDHB Search Of Patients Procedures
WCDHB Third Person Present During Consultation Procedure
Version:
Developed By:
Revision
History
Authorised By:
Date Authorised:
Date Last Reviewed:
Date Of Next Review:
6
Quality Improvement Co-Ordinator
Chief Executive Officer
January 1998
February 2010
February 2012