USE OF THE DE-ESCALATION ROOM Standard Operating Procedure
|
|
- Linda Hunt
- 6 years ago
- Views:
Transcription
1 USE OF THE DE-ESCALATION ROOM Standard Operating Procedure DOCUMENT CONTROL: Version: 1 Ratified by: Quality & Safety Sub-Committee Date ratified: 31 October 2016 Name of originator/author: Modern Matron AMH Doncaster Inpatients/ Coral Lodge Ward Manager Name of responsible Clinical Quality Group committee/individual: Date issued: 24 November 2016 Review date: October 2019 Target Audience All clinical staff and students
2 1. Aim The primary focus for managing patients who may present with disturbed or violent behaviour should be the provision of a positive and therapeutic culture; aimed at prevention, early recognition and de-escalation (Mental Health Act Code of Practice 2015 Chapter 26). De-escalation is a secondary preventative strategy involving the gradual resolution of a potentially violent situation and the aim of this standard operating procedure is to ensure: The correct and appropriate use of the designated De-escalation Room, by detailing the conditions and processes for its use. That there is a consistent approach to the use of the De- escalation Room. Staff and patient safety by providing a framework for the correct use of the de-escalation room. This serves to emphasise and encourage the use of the de-escalation room as a less restrictive option in the management of disturbed / escalating behaviour. 2. Scope All clinical staff and students on placement. 3. Link to overarching policy and/or procedure The contents of this standard operating procedure are to be read in conjunction with the Trust Reducing Restrictive Interventions, Proactive Care policy. 4. Procedure 4.1 DEFINITIONS De-escalation was defined by NICE guidance (NG ) as a complex range of skills designed to abort the assault cycle during the escalation phase. The guidance also noted that a De-escalation room should be a low stimulus room, where a patient could go to calm down. De-escalation strategies promote relaxation, e.g. through the use of verbal and physical expressions of empathy and alliance (MHA Code of Practice 2015, p288) 4.2 Supporting Information Adherence to this procedure is intended to ensure that the appropriate use of the de-escalation room will not inadvertently constitute a de facto seclusion. Healthcare professionals must be aware that the following situations should be viewed as an incident of seclusion, unless the practice can be justified, even when the designated seclusion room has not been used: Placing a patient in a room with the door locked Page 2 of 10
3 Placing a patient in a room with the door held shut Placing a patient in a room in which his ability to leave is somehow restricted eg by suggesting that any attempt to leave the room will result in physical restraint or compulsory medication or other means. DIFFERENCE BETWEEN DE-ESCALATION AND SECLUSION TABLE 1 Differences Between the use of the De Escalation Room and Seclusion DE ESCALATION 1. Always used with the patient s agreement (unless used to facilitate the safe disengagement of staff from Teamwork / RRI restraint). 2. A therapeutic measure. Aims to reduce the patient s distress and propensity to harm self and/or others. 3. Patient can leave the de-escalation room, but may be encouraged by staff to stay. 4. The use of the De-escalation room is not time constrained and will take as long as needed. SECLUSION 1. Not negotiated with patient. Often implemented against the patient s will. 2. An Emergency Management Intervention Solely used to protect other people from physical aggression. 3. Patient cannot leave the seclusion room, until staff assess that the risks have changed and the patient can be managed in a less restrictive manner. 4. Seclusion should be used as a last resort and for the shortest possible time. The decision to continue or cease attempts at de-escalation must be based on the clinical judgement of the nurse in charge of the incident. If there remains little perceivable prospect of continued de-escalation efforts being effective, then other alternatives as detailed in the patient s Behavioural Support Plan (BSP) should be considered; e.g. the use of prn(as required) medications, low level physical intervention. The patient will never be left alone in the de-escalation room unless previously agreed as part of their BSP. If appropriate, staff will remain within physical sight of the patient, and complete visual checks at regular agreed intervals. NICE (2015) recommended that: All staff whose need is determined by risk assessment should receive ongoing competency training to recognise anger, potential aggression, antecedents and risk factors of disturbed/violent behaviour and to monitor their own verbal and non-verbal behaviour. Training should include methods of anticipating, de-escalating or coping with disturbed/violent behaviour. Page 3 of 10
4 Rapid tranquillization, physical restraint and seclusion should only be considered once de-escalation and other strategies have failed to calm the patient (Mental Health Act 1983 Code of Practice ch. 26). The intervention selected must be a reasonable and proportionate response to the risk posed by the patient. Verbal de-escalation should continue throughout the intervention, and negotiations with the patient to comply with requests to stop the behaviour should continue, where appropriate (Mental Health Act 1983 Code of Practice ch 26). De-escalation should not be seen solely as the placing of a patient in a room. Throughout any period of physical restraint staff should continue to employ de-escalation (Mental Health Act 1983 Code of Practice ch 26) 4.3 De-escalation Room Environment. Planned de-escalation should only take place in the designated room which is situated opposite the shared bathroom; it is situated away from the main ward area to provide a private low stimulus environment for the patient. The De-escalation room contains specialist seating that enables staff to perform LLI de-escalation transfers (three seats wide and be sited against a wall). The door furniture (lock) enables the door to be locked from the outside when the room is not in use, but allows those inside the room to leave without a key. The room may contain additional equipment (e.g. bean bag, games console, ipod) that will allow the patient to appropriately vent their feelings but access to and use of such equipment, will be strictly supervised by staff, and be identified as part of the patient s BSP. The De-escalation room will be checked in accordance with the weekly environmental Health & Safety checks, and any damage will be reported in a timely manner. The nurse in charge will ensure that the de-escalation room is checked and fit for purpose before and after its use. 4.4 Decision to use de-escalation. Planned de-escalation is agreed with the patient as part of their BSP. The nurse in charge is responsible for the decision to use the de-escalation room (in consultation with the clinical team) outside these parameters; patient risk assessment and BSP will be reviewed as part of this process. Page 4 of 10
5 4.5 De-escalation Room and its staffing The escorting and support of the patient during a period of de-escalation will be determined by global risk assessment, including safe staffing levels. Consideration must be given to the Trust Policies regarding Supportive Observations, and Reducing Restrictive Interventions e.g. if the patient requires constant observation, or LLI during the de-escalation period. It is paramount that the de-escalation room is used for the shortest period of time; therefore the first review will take place after 15 minutes. This review will be led by the Nurse in Charge and will consider: The need for the patient to continue to utilise the de-escalation room. The frequency of on-going reviews. 4.6 Use of the De-escalation Room When the de-escalation room is NOT in use it will remain locked. The door to the de-escalation area will remain unlocked whilst in use. The De-escalation room is only for the use of patients admitted to the area in which the room is located. The room will be used by patients who require an opportunity to reduce their levels of emotional arousal in a safe environment. The room will be used for patients that have been physically restrained using RRI techniques and have been relocated to the room as part of the disengagement process Only one patient at any given time will use this facility. There may be occasions where a patient may request to use the deescalation room as part of their self-management; such use should ideally identified within the patient s BSP, however, ad hoc use will be at the discretion of the nurse in charge. The privacy screen in the de-escalation room door will be kept closed when the patient is accompanied by staff (unless otherwise indicated), and open when a patient is unaccompanied. All patients will be offered the opportunity to evaluate their experience by the use of Appendix 3.Patient Evaluation of De-escalation The clinical team will re-visit the patient s BSP following a period of deescalation. All de-escalation records must be accurately maintained throughout the process. (see appendices1- De-escalation Record & 2 Record of Patient Observations during De-escalation period) Page 5 of 10
6 It is the responsibility of the ward managers to audit the above records following each period of de-escalation. 4.7 Action in the event of de-escalation proving ineffective. This should normally be included in the patient s BSP; however, in the event of unplanned use of the de-escalation room, the nurse in charge may need to consider the following after a period of one hour: The use of prn(as required) medication. Medical review. Transfer to acute services. 5. REFERENCES /Reference_Guide.pdf Page 6 of 10
7 DATE: DE-ESCALATION RECORD APPENDIX 1 Please state intervention(s) used prior to de-escalation commencing; eg distraction, diversional therapy, medication. Y/N/ n/a SIGNATURE COMMENTS Has a visual safety check been completed prior to the patient entering the room? Please state name of staff making the decision to commence a period of deescalation, in agreement with the patient. Is there evidence that the patient was searched before entering the room, as per Trust policy? If required: Is there evidence that to ensure the safe transfer of the patient to the de-escalation room: a. Use of a 3 person RRI team (or extra if required) is used to safely transfer the patient to the de-escalation room. b. All staff involved have completed the Trust approved RRI training and yearly updates. c. Each team member was given a specific role during the transfer, with 1 person allocated to communicate Page 7 of 10
8 with the patient at all times. d. The route to the deescalation room was cleared of patients, visitors, obstructions etc. Is there evidence that the patient is aware of the agreed time period to be spent in the room prior to initial review? Is there evidence of: a. An assessment of the risk posed by the patient to self and others b. An assessment of any risk to the patient from deliberate or accidental self-harm c. An assessment of the need for continued de-escalation and whether it is possible for other measures to be applied more flexibly e.g. use of headphones. Is there evidence that visual checks are completed at least every 5 minutes when a patient is assessed as safe to be alone in the room? (Appendix 2) Record of Patient Observations during De-escalation period Is there evidence that a 1:1 debriefing session occurred with the patient on completion of de-escalation? Is there evidence that an internal MDT discussion occurred post de-escalation? Is there evidence that BSP, care plans and FACE risk assessments were reevaluated post de-escalation ( if indicated ) Is there evidence of a visual check of the room post deescalation? Y/N/ n/a SIGNATURE COMMENTS Page 8 of 10
9 APPENDIX 2 RECORD OF PATIENT OBSERVATIONS DURING DE-ESCALATION PERIOD DATE: COMMENCING: Time Staff Name Initial Time Staff Name Initial Page 9 of 10
10 APPENDIX 3 Patient Evaluation of De-escalation This intervention helped me learn skills to cope with my behaviour and emotions Learned nothing Yes This intervention helped me to feel safe and supported Felt unsafe Yes felt more safe This intervention improved my mood Not at all Yes felt a lot better This intervention helped me to take control of my feelings Not at all Yes Any other comments. Jane Curtis/Susan Halder May 2016 Page 10 of 10
Control of the Airlock (Amber Lodge Forensic Service) Standard Operating Procedure
Control of the Airlock (Amber Lodge Forensic Service) Standard Operating Procedure DOCUMENT CONTROL: Version: 3 Ratified by: Quality and Safety Sub Committee Date ratified: 4 September 2017 Name of originator/author:
More informationMEDICAL GAS CYLINDERS AND MEDICAL PIPELINE SYSTEMS (MGPS) POLICY
MEDICAL GAS CYLINDERS AND MEDICAL PIPELINE SYSTEMS (MGPS) POLICY Version: 4 Date issued: April 2018 Review date: April 2021 Applies to: All staff (excluding office and clerical staff) This document is
More informationHealth & Safety Guidance
St Bartholomew & All Saints Parochial Church Council Health & Safety Guidance Section C.04 Lone Working and Personal Safety Document No: SBC.06 Issue No: 01 Issue Date: Feb. 2010 Review Date: Feb. 2013
More informationCOMMUNITY SUPPORT PROGRAM
COMMUNITY SUPPORT PROGRAM Providers contracted for this level of care or service will be expected to comply with all requirements of these service-specific performance specifications. Additionally, providers
More informationREASONABLE USE OF FORCE IN COUNTY JAILS
THE KENTUCKY ASSOCIATION OF COUNTIES IN PARTNERSHIP WITH THE KENTUCKY JAILER S ASSOCIATION 25 JUNE 2012 REASONABLE USE OF FORCE IN COUNTY JAILS G. SCOTT COLVIN,CJM PRINCIPAL AGENT COMMONWEALTH CORRECTIONS,LLC
More informationWORKING AFTER-HOURS OR ALONE GUIDELINE
WORKING AFTER-HOURS OR ALONE GUIDELINE Section Health and Safety Contact University Health and Safety Manager Last Review December 2014 Next Review December 2017 Approval University Health and Safety Manager
More informationHYDROTHERAPY POLICY. Signature: Version: 1.0. Issue Date: March Next Review Date: March 2021
HYDROTHERAPY POLICY Category: Authorised By: Hydrotherapy Director for Schools Signature: Signed By: Author: Jarlath O Brien Hilary McDermott Version: 1.0 Status: Ratified Issue Date: March 2018 Next Review
More informationTHE FOOTBALL ASSOCIATION DISCIPLINE PROCESS FOR SMALL-SIDED FOOTBALL
432 THE FOOTBALL ASSOCIATION DISCIPLINE PROCESS FOR SMALL-SIDED FOOTBALL Introduction Implementing an effective disciplinary process is an important factor for all formats of football, helping to establish
More informationGeotechnics, Face and Stockpile Operations
Quarries National Joint Advisory Committee (QNJAC) Geotechnics, Face and Stockpile Operations Information Sheet 4 October 2012 Duties of the Operator This information sheet has been developed by the Quarries
More informationEastwood Park Academy Trust
Eastwood Park Academy Trust Redundancy Policy Author s Name: Mr. N. Houchen Date Reviewed March 2017 Date Ratified by Trust Signature of CEO Signature of Chair of Trust Contents 1.0 Definition of Redundancy...
More informationICC AFFILIATE MEMBERSHIP CRITERIA & GUIDELINES. As at January 2015
ICC AFFILIATE MEMBERSHIP CRITERIA & GUIDELINES As at January 2015 ICC AFFILIATE MEMBERSHIP CRITERIA Criteria Application Requirements (for inclusion in an application for Affiliate Membership) 1. PLAYING
More informationICC AFFILIATE MEMBERSHIP CRITERIA & GUIDELINES. As at June 2016
ICC AFFILIATE MEMBERSHIP CRITERIA & GUIDELINES As at June 2016 ICC AFFILIATE MEMBERSHIP CRITERIA Criteria 1. PLAYING 1.1 Laws of Cricket Cricket within Affiliate Members must be played in accordance with
More informationIsolation Lockout and Tagging
PURPOSE To define the minimum system requirements for isolation of plant and equipment from hazardous substances, mechanical, electrical or other energy sources to protect all workers from personal injury
More informationLifting Equipment Procedure. Committees / Group Date Consultation: Health and Safety Sub Committee Nov 2016
Title of Standard Operation Procedure: Lifting Equipment Procedure ocedure: Person(s) responsible for the Health and Safety Manager production of report e Reference Number: H&S Procedure 16 Version No:
More informationCOMPLIANCE GUIDELINES FOR. Departmental Health and Safety Inspections
COMPLIANCE GUIDELINES FOR Departmental Health and Safety Inspections CONTENTS 1 INTRODUCTION...1 2 WHY INSPECTION...1 3 OBJECTIVES AND METHODS...2 3.1 Safety Tours...2 3.2 Safety Inspection...2 3.3 Other
More informationLone Working Guidance for University Departments and Functions December 2009 Safety Services Office
Lone Working Guidance for University Departments and Functions December 2009 Safety Services Office Introduction Lone working is not covered by any specific piece of legislation and, indeed, there is no
More informationRecruitment Pack. Team Scotland Gymnastics Team Manager
Recruitment Pack Team Scotland 2018 Gymnastics Team Manager December 2016 Team Scotland 2018 Team Manager: Gymnastics Commonwealth Games Scotland (CGS) is the lead body for Commonwealth Sport in Scotland
More informationWinchester Science Centre (WSC) provides portable planetarium experiences to public, schools, businesses and private individuals across the UK.
Method Statement Winchester Science Centre () provides portable planetarium experiences to public, schools, businesses and private individuals across the UK. The digital mobile planetarium dome is 6m in
More informationCommittee Input No. 35-NFPA [ Chapter 1 ] Submitter Information Verification. Committee Statement
Committee Input No. 35-NFPA 1670-2015 [ Chapter 1 ] Chapter 1 Administration 1.1 Scope. 1.1.1* This standard shall identify and establish levels of functional capability for conducting operations at technical
More informationChief Operating Officer Approved by. Responsible Officer. Vice-Chancellor Approved and commenced 25 September, 2017 Review by September, 2020
Work Health and Safety Policy Responsible Officer Chief Operating Officer Approved by Vice-Chancellor Approved and commenced 25 September, 2017 Review by September, 2020 Relevant Legislation, University
More informationSutherland District Hockey Club Inc. Junior Hockey Policies
Policy Purpose To provide clear principles, guidelines and procedures by which the Club will organise its junior hockey operations. These policies will assist players, parents, selectors, coaches and managers
More information2.0 ROLES AND RESPONSIBILITIES
SWIMMING POLICY UNCRC Article 3: (best interests of the child) The best interests of the child must be top priority in all decisions and actions that affect children. UNCRC Article 6: (Survival and development)
More informationNewtown Neighbourhood Centre
Policy Name Policy Number 1.10.1.1 Relevant procedures Work Health and Safety All procedures relating to the health, safety and well being of individuals in the workplace are relevant to this policy. Author
More informationUNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER INSTITUTIONAL REVIEW BOARD CONTINUING REVIEW OF RESEARCH
UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER INSTITUTIONAL REVIEW BOARD CONTINUING REVIEW OF RESEARCH I. PURPOSE This document outlines the University of Tennessee Health Science Center Institutional
More informationWHS PROCEDURE P Plant Isolation. Approved by: Ruth Hampton Review Date: 6 th December 2015
5 WHS PROCEDURE P29-02 Page 1 of 7 Issue: 2 1. Intent The Salvation Army Australia Eastern Territory (TSA-AUE) is committed to the provision of a safe, healthy and injury free environment within the mission
More informationANTI-DOPING POLICY OF SINGAPORE
ANTI-DOPING POLICY OF SINGAPORE 1 TABLE OF CONTENTS ARTICLE SECTION PAGE 1 Introduction 3 2 Purpose of the Policy 3 3 Aim and Objectives of the Policy 4 4 Education 5 5 Application to and Obligations of
More informationSCRUTINY PANEL EXTERNAL PROVIDER QUALITY ASSURANCE
SCRUTINY PANEL Report No: 74/2017 PUBLIC REPORT 6 April 2017 EXTERNAL PROVIDER QUALITY ASSURANCE Report of the Director for People Strategic Aim: Meeting the health and wellbeing needs of the community
More informationTRANSPORTATION POLICY
TRANSPORTATION POLICY Contents 1 NQS... 2 2 National Regulations... 2 3 Aim... 2 4 Related Policies... 2 5 Implementation... 2 6 General Transport Guidelines... 4 7 Guidelines for Seatbelts and Restraints...
More informationUnless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version
Policy No: RM13 Version: 7.0 Name of Policy: Provision and Use of Work Equipment Policy Effective From: 26/04/2016 Date Ratified 10/03/2016 Ratified Health and Safety Committee Review Date 01/03/2018 Sponsor
More information2017 IIHF BID REGULATIONS
2017 IIHF BID REGULATIONS May 2014 Preface The foregoing IIHF Bid Regulations has been developed by the IIHF strictly for the purpose of improving the selection process for the venues of IIHF top-level
More informationPASSENGER SHIP SAFETY. Review of Operational Safety Measures to Enhance the Safety of Passenger Ships. Submitted by ICS SUMMARY
MARITIME SAFETY COMMITTEE 92 nd session Agenda item 6 MSC 92/6/XX 2013 Original: ENGLISH PASSENGER SHIP SAFETY Review of Operational Safety Measures to Enhance the Safety of Passenger Ships Submitted by
More informationMINE SAFETY TARGETED ASSESSMENT PROGRAM. Ground or strata failure NSW metalliferous mines. April
MINE SAFETY TARGETED ASSESSMENT PROGRAM Ground or strata failure NSW metalliferous mines April 2017 www.resourcesandenergy.nsw.gov.au Document control Publication title: Ground or strata failure NSW metalliferous
More informationHollow Spike Tyre Deflation System
Hollow Spike Tyre Deflation System Standard Operating Procedure Notice: This document has been made available through the Police Service of Scotland Freedom of Information Publication Scheme. It should
More informationAFFILIATION & MEMBERSHIP PROCEDURES
AFFILIATION & MEMBERSHIP PROCEDURES Version: Final Creation Date: 17-10-18 Type: Operational Approved by CEO on: 21-12-18 Author: Member Services Approved by Board on: N/A Responsible department: Member
More informationCONTRACTOR SAFETY INDUCTION HANDBOOK
CONTRACTOR SAFETY INDUCTION HANDBOOK As a valued contractor for Total Group we would ask that you read and carefully consider the details included in this document. Total Group carry out work for a number
More informationWorking Alone Safety Program
Facilities Operations and Development Environmental Health and Safety 1314 Kinnear Road #106 Columbus, OH 43212-1168 614-292-1284 Phone 614-292-6404 Fax www.ehs.osu.edu Working Alone Safety Program Prepared
More informationOxfordshire Hockey Umpires Association
Oxfordshire Hockey Umpires Association Core Competencies for Umpire Grading Panels Version 1.1 draft Introduction For the first time next season (2010/2011) OHUA will introduced an umpire grading system.
More informationConcussion Policy (Upper School)
Policy: Concussion Policy (Upper School) Date of issue: June 2016 Date of Review: June 2019 References: The International Rugby Board (IRB) The Rugby Football Union (RFU) England Hockey Responsible Person:
More informationGuidance on Rules for the Use of Force (RUF) by Privately Contracted Armed Security Personnel (PCASP) in Defence of a Merchant Vessel (MV)
Guidance on Rules for the Use of Force (RUF) by Privately Contracted Armed Security Personnel (PCASP) in Defence of a Merchant Vessel (MV) References: A. GUARDCON B. IMO MSC Circular 1405 Rev1. 1. Introduction
More informationPlant Isolation Lock out/tag out Procedure
Plant Isolation Lock out/tag out Procedure Related Policy Responsible Officer Approved by Work Health and Safety Policy Approved and commenced November, 2014 Review by November, 2017 Responsible Organisational
More informationLifting Operations and Lifting Equipment Regulations (LOLER) Policy. Version No. 2. Review: May 2019
Livewell Southwest Lifting Operations and Lifting Equipment Regulations (LOLER) Policy Version No. 2 Review: May 2019 Notice to staff using a paper copy of this guidance The policies and procedures page
More informationSWIMMING CANADA SENIOR NATIONAL TEAM PROTOCOLS
SWIMMING CANADA SENIOR NATIONAL TEAM PROTOCOLS Overall Team Principles 1. Aspire to be the most professional Canadian Sporting team, across all sports. 2. Aspire to be the most professional Swimming team
More informationRISK ASSESSMENT RECORD SHEET
RISK ASSESSMENT RECORD SHEET Activity/Equipment/Process Hazard Use of public museum spaces Use of public museum spaces Risk of stranger danger - harm and abduction Risk of missing pupil - harm/abduction
More informationContractor handbook. Purpose
Page no: 1 / 6 Contractor handbook Purpose Mitie aims to ensure that the highest levels of performance are achieved by all persons working for us or on our behalf. We require the same level of performance
More informationSFHCHS78 Administer oxygen safely and effectively
Overview This standard is about the safe and effective administration of oxygen in all healthcare settings, at home and in any environment where an individual requires oxygen therapy. Users of this standard
More informationDockless Cycle Share
Dockless Cycle Share Code of Practice December 2017 135 Albert Street Private Bag 92300, Auckland 1142 aucklandcouncil.govt.nz Ph 09 301 0101 1. Introduction Auckland has seen a significant increase in
More informationData Mining Data is logged every 3 hours 11 parameters : 1. Number of call 2. Correspondents and calls pattern 3. Call duration 4. Circle of friend 5.
Data Mining Data is logged every 3 hours 11 parameters : 1. Number of call 2. Correspondents and calls pattern 3. Call duration 4. Circle of friend 5. Total time 6. GPS location analysis (delta) and total
More informationZERO TOLERANCE POLICY
ZERO TOLERANCE POLICY Preamble NDSA recognises the importance of providing a safe and enjoyable environment for all those who participate in softball. NDSA does not lerate abuse in any of its forms, and
More informationRisk Assessment: Biological Agents. David Bryant CMIOSH Corporate Health and Safety Advisor
Risk Assessment: Biological Agents David Bryant CMIOSH Corporate Health and Safety Advisor Content Risk assessment what is it (for)? What are you assessing? Competence to risk assess Factors influencing
More informationHealth and Safety Inspection Procedure
Template v4 WILTSHIRE POLICE FORCE PROCEDURE Health and Safety Inspection Procedure Effective from: 25.03.2012 Last Review Date: 10.05.2015 Version: 2.0 Next Review Date: 10.05.2018 TABLE OF CONTENTS PROCEDURE
More informationAiming for Zero Road Worker Safety. Mark Pooley Highways Agency Road Worker Safety Programme Manager Monday 11 June 2012
Aiming for Zero Road Worker Safety Mark Pooley Highways Agency Road Worker Safety Programme Manager Monday 11 June 2012 1. Road Worker Safety Strategy. RWS Strategic Target No. 1: achieve a substantial
More informationMadras College Site Traffic Management Plan (Kilrymont Road)
Madras College Site Traffic Management Plan (Kilrymont Road) December 2012 Reviewed / Updated December 2013, 2014, 2015, & 2016 (Next review due December 2017) South Street, St. Andrews, KY16 9EJ Kilrymont
More informationHOE TONGA REGIONAL WAKA AMA DEVELOPMENT OFFICER. Regional Waka Ama Development Officer. Board of Hoe Tonga Pacifica Waka Ama Association
JOB DESCRIPTION HOE TONGA REGIONAL WAKA AMA DEVELOPMENT OFFICER SUMMARY POSITION TITLE: REPORTS TO: FORMAT: KEY RELATIONSHIPS: Regional Waka Ama Development Officer Board of Hoe Tonga Pacifica Waka Ama
More informationICC AFFILIATE MEMBERSHIP CRITERIA & GUIDELINES. As at July 2013
ICC AFFILIATE MEMBERSHIP CRITERIA & GUIDELINES As at July 2013 ICC AFFILIATE MEMBERSHIP CRITERIA (for inclusion in an application for Affiliate Membership) 1. PLAYING 1.1 Laws of Cricket Cricket within
More informationPOOL OPERATING PROCEDURES & EMERGENCY ACTION PLAN Policy Owner Bursar
POOL OPERATING PROCEDURES & EMERGENCY ACTION PLAN Policy Owner Bursar This is a whole School policy and applies to all members of Copthorne Preparatory School including EYFS. 1 Aim To provide and operate
More informationSELBORNE CHAMBERS EQUALITY & DIVERSITY POLICY
SELBORNE CHAMBERS EQUALITY & DIVERSITY POLICY Introduction 1. Selborne Chambers ( Chambers ) is a forward-looking set, firmly committed to promoting and advancing equality so that its working environment
More informationSurf Kayak Leader Training Notes
Surf Kayak Leader Training Notes Technical Syllabus Training at Surf Kayak leader level should aim to equip the paddler with the skills to control their craft with purpose on the wave face. The paddler
More informationLockout/Tagout Plan Environmental Health & Safety Office July 2017
July 2017 Table of Contents Acronyms... iii Foreword... iv Document History... iv 1.0 Introduction... 1 1.1 Purpose... 1 1.2 Scope... 1 1.3 Lockout/Tagout Program... 1 2.0 Roles and Responsibilities...
More informationTRANSPORTATION POLICY
TRANSPORTATION POLICY Contents 1 NQS... 2 2 National Regulations... 2 3 Aim... 2 4 Related Policies... 2 5 Implementation... 2 6 General Transport Guidelines... 4 7 Guidelines for Seatbelts and Restraints...
More informationFalling Supervisor Certification Assessment
Tickets & Documents Falling Supervisor Certification Assessment Falling Supervisor's Name Falling Supervisor's Faller Certification # Auditor's Name Date Phone # Multiple Employer Workplace? Current Faller
More information1 AIM 2 4 REASONS FOR INCLUSION 3 6 PLANT AND EQUIPMENT REQUIREMENTS 4 7 SYSTEM AND PROCEDURAL REQUIREMENTS 4 8 PEOPLE REQUIREMENTS 6
CONTENTS PAGE 1 AIM 2 2 APPLICATION 2 3 DEFINITIONS 2 4 REASONS FOR INCLUSION 3 5 REQUIREMENTS 3 6 PLANT AND EQUIPMENT REQUIREMENTS 4 7 SYSTEM AND PROCEDURAL REQUIREMENTS 4 8 PEOPLE REQUIREMENTS 6 APPENDIX
More informationNetball Australia Bench Officials Accreditation Framework. Updated 2015
Netball Australia Bench Officials Accreditation Framework Updated 2015 Contents 1.1 Introduction... 3 1.2 Licensing/Franchise Arrangements... 3 1.3 Insurance... 3 1.4 Bench Officials Code of Behaviour...
More informationManual Handling Policy
Manual Handling Policy Version No V1.0 DRAFT Author Date Comments Approved by Bridget Meats 2-10-15 Recommended for Approval by H&S Group V1.0 29-10-15 APPROVED For approval by QRC V2.0 13-10-16 Recommended
More informationISOLATION ISSUE 2 1 AIM 2 4 REASONS FOR INCLUSION 3 6 PLANT AND EQUIPMENT REQUIREMENTS 3 7 SYSTEM & PROCEDURAL REQUIREMENTS 4 8 PEOPLE REQUIREMENTS 6
CONTENTS PAGE 1 AIM 2 2 APPLICATION 2 3 DEFINITIONS 2 4 REASONS FOR INCLUSION 3 5 REQUIREMENTS 3 6 PLANT AND EQUIPMENT REQUIREMENTS 3 7 SYSTEM & PROCEDURAL REQUIREMENTS 4 8 PEOPLE REQUIREMENTS 6 APPENDIX
More informationPROCEDURES FOR STANDBY
1 SCOPE This Procedure details both the circumstances in which standby shall be provided and the responsibilities borne by the Standby Man in such circumstances. 2 ISSUE RECORD This is a maintained/controlled
More informationACCIDENT REPORT AND INVESTIGATION POLICY. Ratified by VDA Board: Review date:
ACCIDENT REPORT AND INVESTIGATION POLICY Ratified by VDA Board: Review date: / / / / 1. AIM 1.1. The aim of this policy is to ensure a professional and consistent approach is taken for accident reporting
More informationMadras College Site Traffic Management Plan (South Street) August 2015 Reviewed / Updated August 2016, August 2017 (Next review due August 2018)
Madras College Site Traffic Management Plan (South Street) August 2015 Reviewed / Updated August 2016, August 2017 (Next review due August 2018) South Street, St. Andrews, KY16 9EJ Kilrymont Road, St.
More informationStandard Operating Policy and Procedures (SOPP) 3:
Standard Operating Policy and Procedures (SOPP) 3: INITIAL AND CONTINUING REVIEW BY THE IRB: REQUIREMENTS FOR SUBMISSION OF APPLICATIONS, APPROVAL CRITERIA, EXPEDITED AND CONVENED COMMITTEE REVIEW AND
More informationMilford Tritons CC. Winter Turbo Training
Milford Tritons CC Winter Turbo Training RUNNING THE SESSION: On arrival the key can be collected from the Main Gatehouse. Tell the Security Staff why you are there and that you are from Milford Tritons
More informationNetball Australia Bench Officials Accreditation Framework. Updated 2018
Netball Australia Bench Officials Accreditation Framework Updated 2018 Contents 1.1 Introduction... 3 1.2 Licensing/Franchise Arrangements... 3 1.3 Insurance... 3 1.4 Bench Officials Code of Behaviour...
More informationArchery Australia Inc High Performance Committee
Policy Name: National High Performance Program (NHPP) - Recurve 2014 Responsibility Archery Australia Inc High Performance Committee Effective 1 st April 2014 Policy Number 1060 Version Version 3 CONTENTS
More informationWAIS Swimming Scholarship Selection Guidelines, Criteria and Process
WAIS Swimming Scholarship Selection Guidelines, Criteria and Process Approved by: Podium Performance Team Director Effective from: January 23 2018 Next review date: January 2019 Last Date of Edit: January
More informationInternational Convention on Maritime Search and Rescue, 1979
International Convention on Maritime Search and Rescue, 1979 http://www.imo.org/conventions/contents.asp?doc_id=653&topic_id=257#top Adoption: 27 April 1979 Entry into force: 22 June 1985 Introduction
More information2. Fair and unfair play According to the Laws the umpires are the sole judges of fair and unfair play.
THE LAWS OF CRICKET THE PREAMBLE THE SPIRIT OF CRICKET Cricket is a game that owes much of its unique appeal to the fact that it should be played not only within its Laws but also within the Spirit of
More informationIAAF Starting Guidelines. For IAAF World Athletics Series Competitions. March March
IAAF Starting Guidelines For IAAF World Athletics Series Competitions March 2014 March 2014 1 IAAF STARTING GUIDELINES 1 Introduction The need to improve the quality and consistency of the starters performances
More informationSafety Guidelines for Commercial High-Speed / Thrill-Ride Vessel Experiences December 2014
Safety Guidelines for Commercial High-Speed / Thrill-Ride Vessel Experiences December 2014 Disclaimer Relevant legislation, including the Maritime Transport Act 1994, Maritime Rules and the Health and
More informationReport to COUNCIL for decision
17 152 Title: Section: Prepared by: Olympic Pool Business Case Community & Recreation Andrew White (Community & Recreation Manager) Meeting Date: 18 May 2017 Legal Financial Significance = Medium Report
More informationUse of Force Monitoring Form: Guidance.
Use of Force Monitoring Form: Guidance. This guidance document is provided to assist forces in understanding the requirement for their officers and staff to record data surrounding their use of force.
More informationLockout/Tagout - Control of Hazardous Energy Program
Lockout/Tagout - Control of Hazardous Energy Program The University Of Iowa Environmental Health & Safety 122 Grand Avenue Court Iowa City, IA 52242-1000 Phone: 319-335-8501 Date Revised/Reviewed: 6/8/2018
More informationA Membership of the Bromley High School Swimming Club ( the Club ) is open to:
RULES OF BROMLEY HIGH SCHOOL SWIMMING CLUB ("BHSSC ) 1 MEMBERSHIP A Membership of the Bromley High School Swimming Club ( the Club ) is open to: i ii iii iv v vi girls at Bromley High School ( the School
More informationPRESSURE REDISTRIBUTION SYSTEM. with people in mind
ALPHA RESPONSE PRESSURE REDISTRIBUTION SYSTEM with people in mind introduction superior Features For over 0 years the Alpha range of pressure redistributing mattresses has been proven to offer patients,
More informationType: Policy. Working at Heights Policy. Register No: Status: Public. Developed in response to: Work at Height Regs 2007
Working at Heights Policy Type: Policy Register No: 09085 Status: Public Developed in response to: Work at Height Regs 2007 Contributes to CQC Outcome: Regulation 15 - Premises and equipment Consulted
More informationElectrical Equipment Protocol
Policy No: RM18 Version: 6.0 Name of Policy: Electrical Equipment Protocol Effective From: 11/03/2016 Date Ratified 14/01/2016 Ratified Health and Safety Committee Review Date 01/01/2018 Sponsor Deputy
More informationBOARD VENUES POLICY. Effective from 16 September 2015
BOARD VENUES POLICY Effective from 16 September 2015 Purpose To assist in limiting the harm of problem gambling in the community. To encourage responsible gambling practices and attitudes in stand alone
More informationHAZARD MANAGEMENT PROCEDURE
TABLE OF CONTENTS 1. OBJECTIVE... 2 2. SCOPE... 2 3. DEFINITIONS... 2 4. RESPONSIBILITIES... 2 5. HAZARD IDENTIFICATION... 3 5.1 HAZARD AND RISK IDENTIFICATION TOOLS AND METHODS... 3 5.1.1 Take 5 Risk
More informationTHREE PHASE EQUITATION RULES
HORSE RIDING CLUBS ASSOCIATION OF VICTORIA INC. (A0002667H) THREE PHASE EQUITATION RULES PROVISIONAL RULES: Includes all amendments made up to 5/3/2018 Important Notice: The contents of the manual are
More informationEast of England Ambulance Service NHS Trust
East of England Ambulance Service NHS Trust Incident date: 21 October 2013 Date of Final Report: 23 January 2014 Investigating Manager: Incident Type: Medication Incident Incident Level: Level 1 Concise
More informationThe term MAYDAY typically will be used in the following situations:
Page: 1 of 6 This procedure identifies individual, company, and command level activities for the search and rescue of a lost or trapped firefighter(s). LOST OR TRAPPED FIREFIGHTER The rescue of trapped
More informationSite Traffic Management Plan
Prescot Primary School Site Traffic Management Plan January 2017 (Next review date January 2018) 1. Introduction 2. Layout / Access 3. Pedestrians 4. Pupils / Students 5. Staff 6. Visitors 7. Servicing
More informationTRAFF IC CALMING POLICY
TRAFF IC CALMING POLICY Policy No: 45396 Approved by Council 28 May 2008 C11/05/08 Further amendment by Council 22 June 2011 vide c08/06/11 Contents 1 Problem Statement 1 2 Desired Outcomes 2 3 Strategic
More informationIsolation of power supplies
Isolation of power supplies Guidance Note 14 Jan 14 1 Isolation of power supplies Legal Obligations The Health and Safety at Work Act 1974 sets out the general health and safety duties of employers, employees
More informationINTERIM ADVICE NOTE 150/12. Guidance for Alternative Temporary Traffic Management Techniques for Relaxation Schemes on Dual Carriageways.
INTERIM ADVICE NOTE 150/12 Guidance for Alternative Temporary Traffic Management Techniques for Relaxation Schemes on Dual Carriageways Summary Guidance for temporary traffic management (TTM), on the approach
More informationCOLD ASH BOYS & GIRLS FOOTBALL CLUB Founded PLAYER MEMBERSHIP FOR 2015/16 SEASON
Dear Player/Parent, COLD ASH BOYS & GIRLS FOOTBALL CLUB PLAYER MEMBERSHIP FOR 2015/16 SEASON We are pleased to invite you to join Cold Ash Football Club for next season starting the 1 st September 2015.
More informationLIFT MAINTENANCE POLICY
LIFT MAINTENANCE POLICY Originator: Policy and Strategy Team Approval date: August 2018 Review date: August 2019 1 Introduction 1.1 1.2 Pine Court Housing Association (PCHA) treats the health and safety
More informationPolicies, Procedures, Guidelines and Protocols
Policies, Procedures, Guidelines and Protocols Document Details Title Portable Electrical Equipment Management Policy Trust Ref No 701-29768 Local Ref (optional) Main points the document Responsibilities
More informationGuidance for Officials. Officiating Youth Football (Mini Soccer, 9 v 9 & 11 v 11)
Guidance for Officials Officiating Youth Football (Mini Soccer, 9 v 9 & 11 v 11) March 2018 Contents Page Introduction / FA Respect 2-4 Mini Soccer (Under 7 s and Under 8 s) 5 Mini Soccer (Under 9 s and
More informationDromana Football & Netball Club. Information for players for 2015 season
Dromana Football & Netball Club Information for players for 2015 season Training Training sessions are held on a Thursday night at Marna St Courts, Dromana. All players should arrive 5 minutes before the
More informationRISK ASSESSMENT FORM Department: Location: Ice Rinks Date of Assessment: Assessment Number:
IK AEMENT FOM Department: Location: Ice inks Date of Assessment: Assessment Number: Activity or Task being assessed: (In case of an Event: Dates From to should be included) Disabled kating essions Including
More informationWilson County Emergency Management Agency 110 Oak Street Lebanon, Tennessee 37087
SOG Name: One and Two Family Dwellings SOG Number: 403.18 Effective Date: February 2, 2015 Approved: Joey Cooper, Director Reviewed: Scope This procedure will provide an organized method in which to carry
More informationTHE WORK OF THE RANGE OFFICER By Gary Anderson, Director of Civilian Marksmanship Emeritus
4 By Gary Anderson, Director of Civilian Marksmanship Emeritus Editor s Note: This article on The Work of the Range Officer is the first of a planned series of articles by Gary Anderson on How to Conduct
More information