New guidelines for reporting inherited pressure ulcers
Community clinicians have been asking for a review of inherited pressure ulcers and the requirement to report all pressure ulcers via DATIX. Inherited pressure ulcers account for approximately 43% of the pressure ulcers reported annually in DCHS and there is no national requirement to report these as the harm did not occur in the trust.
We have listened and are making some key changes. From 1 June there will no longer be a requirement to report inherited pressure ulcers on DATIX. Instead Community clinicians will capture this information within the wound assessment on TPP SystmOne and Community Hospital staff (until they have access to TPP SystmOne) will report the detail in the Inpatient Safe-care Assessments book.
What is changing?
From the 1 June 2018 community clinicians will no longer be required to report Pressure Ulcer Noticed on Admission on Datix. Only pressure ulcers graded 2-4 which are developed or deteriorated within DCHS care need to be reported via Datix. This information must be clearly documented on SystmOne.
Please be reminded, however, that DCHS includes all DCHS Community Hospitals, DCHS clinics and the 3 GP practices managed by DCHS (Castle Street Medical Centre Bolsover, Ripley Medical Centre and Creswell/Langwith Medical Centre) as well as Integrated Community Teams (Nursing, Therapy and Podiatry).
What you will now need to do going forward
You will be required to identify that these pressure ulcers have been inherited from an organisation outside of DCHS on the wound assessment template on SystmOne.
Crib sheets have been developed to highlight where these options are and which to choose. Please note there is a different crib sheet for Derby City community staff as they currently use a different wound care template. Please amke sure you use the correct guidance.
See ALL staff except Derby City HERE.
See Derby City ONLY HERE.
Transfers of care within DCHS
If a patient is transferred into your care from another DCHS provider it is essential that you check with the previous provider that all relevant reporting is in place and provide clear identification of where the ulcer originated. If the patient was transferred to a DCHS inpatient setting from the community it is essential that this detail is passed on, on admission, to the inpatient unit by the DCHS community care provider or DCHS GP practice and is clearly identified within the patient record.