Preventing infection in hospital
We want to protect you, your visitors and other patients from the risk of infections in hospital.
If your visitors are feeling unwell please ask them not to visit until they are feeling better. This is really important and helps to protect you from infection brought in from outside the hospital.
When you do have visitors, please ask them to sit on a chair, not on your bed.
Washing your hands is important to help prevent the spread of infection.
When to clean your hands:
- After visiting the toilet
- Prior to eating
- Coughing and sneezing
- On returning to your bed
- Visibly dirty hands
If you are unable to wash your hands at the sink, you will be provided with hand wipes.
How to use a hand wipe:
- Palm of hands
- Back of hands
- Each finger and thumb
Please tell us if you have any diarrhoea that is not usual for you. We may require a sample to send to the laboratory for testing.
We also encourage you to help us keep our hospital clean and put things away so that cleaning can take place more easily.
Preventing pressure ulcers in hospital
A pressure ulcer (sometimes called bed sore or pressure sore) is damage to the skin and the deeper layer of tissue under the skin. This happens when pressure is applied to the same area over a period of time which cuts off its blood supply. You are more at risk of developing a pressure ulcer if you stay in bed or a chair for long periods of time or have damage to the skin from sliding or slumping down a bed or chair.
You and your carers can help prevent skin damage by the SSKIN approach:
- Skin inspection - means early detection
- Surface - having the right support surface
- Keep moving regularly helps to prevent pressure ulcers
- Incontinence - keep skin clean and dry
- Nutrition - eat a healthy diet and drink plenty of fluids
Managing your pain
Pain can be a warning sign that all is not well. Please tell the nursing staff if you are in pain. This includes pain when you deep-breathe, cough or move. The nurse will ask you if your pain is mild, moderate or severe. Please tell your nurse as soon as you feel pain as this is easier to treat.
Preventing falls in hospital
People often feel unsteady when unwell and can be at greater risk of falling. However, there are some things you can do to help reduce the risk of a fall and keep yourself safe.
- Keep your nurse call buzzer within easy reach - ask your visitors to leave your call buzzer where you can reach it when they leave.
- Be careful of obstacles in your way.
- If your bed, chair or toilet seat are too low, please let your nurse know.
- Please use your own footwear to walk on the ward. Safe footwear should be firm-soled and well fitting. We can provide slipper socks as a last resort.
- Please bring in your own walking aid or ask someone to bring it in for you. Always use your walking aid and please tell your nurse if you don't have it with you.
- Please bring in your glasses and hearing aids and help us keep them safe in hospital.
- Always tell your nurse or doctor if you have fallen recently or if you have a fear of falling.
- Don't be worried about asking ward staff for help or assistance.
- Tell the nurse looking after you if you feel dizzy or unwell or are worried about going to the toilet.
- Sometimes it can help to sit upright for a few moments at the edge of your bed to help you get your balance before moving.
- Do not use hospital furniture to help you walk as this could be unstable.
For more information, read the get up and go leaflet.
Preventing blood clots in hospital
Venous Thromboembolism (VTE) is the name given to a deep vein thrombosis (DVT) or a pulmonary embolism (PE).
A DVT is a blood clot (thrombus) that forms in a deep vein, most commonly in your leg or pelvis and can cause pain and swelling. In the longer term, DVT can cause painful swelling and ulcers.
If the blood clot becomes dislodged, passes through your circulation and reaches your lungs it is called a PE. A PE can cause coughing, chest pain and breathlessness.
When in hospital, we will encourage you to move around if you are able and to drink plenty of fluid to keep hydrated. This will help reduce your risk of a VTE. If you are at risk, you may be asked to wear anti-embolism stockings or prescribed an anticoagulant tablet or injection, which reduces the chance of your blood clotting and stops a VTE from forming.
Sometimes VTE can develop after you have been discharged from hospital. If you think you have developed VTE after discharge, please consult your GP immediately.
Preventing acute kidney injury in hospital
Acute kidney injury (AKI) is sudden damage to the kidneys that causes them to not work properly. It can range from minor loss of kidney function to complete kidney failure. AKI normally happens as a complication of another serious illness. It's not the result of a physical blow to the kidneys, as the name might suggest. This type of kidney damage is usually seen in older people who are unwell with other conditions where the kidneys are also affected.
If you are at risk of AKI, you will be monitored with regular blood tests. It is also useful to check how much urine you are passing, which is recorded to check there is a balance with how much you are drinking.
If you have warning signs of AKI such as vomiting or producing little urine, this will require immediate investigation and treatment. If you are dehydrated, or at risk of dehydration, you may need to be given fluids via a drip and/or have some of your medication paused.
If you feel thirsty, please tell the nurse in charge as this may be a sign you are dehydrated. If you are unable to tell us what drinks you like, please make sure you have a person-centred care communication tool completed and it is passed to the ward staff.
Sleep helps healing (Shh)
We all feel better after a good night's sleep. Sleep is even more important to help healing and avoid harm. To help you get a peaceful night's sleep, we have adopted the Sleep Helps Healing (Shh) principles and we aim to keep noise at night down to a minimum between the hours of 11pm and 6am.
You and your visitors can help us by:
- Keeping mobile phones on silent after 11pm
- If you do need to receive or make a call, please speak quietly and keep phone calls short or move away from sleeping patients
- Use the call buzzer if you need assistance rather than shouting
- Draw curtains around your bed if you are using the reading light
- Use headphones when listening to radio or television
Please speak to the nurse looking after you if you feel the noise at night is too loud.
Mouth care matters
Good mouth care is vital for your recovery in hospital. It will help you to eat and drink and reduce the risk of some infections like pneumonia as well as help your general health. Brushing your teeth twice a day, looking after your dentures and keeping your lips moistened can help too.
Please tell the nursing staff if you don't have a toothbrush. We will help you if you are unable to brush your teeth or look after your dentures without assistance.
Alcohol and other substances
The use of alcohol, drugs or other substances not prescribed by your hospital doctor is not permitted as this may affect your treatment. If you have concerns over your own or someone else's alcohol or drug use and would like to talk to someone about this, please talk to your nurse who can arrange for our alcohol nurse service to visit you.
Safeguarding
Every patient should feel safe and secure during their stay in hospital. However, if you have any safeguarding concerns please talk to a member of the ward staff who will advise what to do. This may be a referral to the Safeguarding Team for specialist help and advice.
If you do not wish to speak to someone working on the ward, you can contact the Patient Experience Team and ask to speak to the matron in charge of the ward. Matrons can offer advice, support and information, and will involve the Safeguarding Team as required.
Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions
DNACPR stands for do not attempt cardiopulmonary resuscitation. This means if your heart or breathing stops your healthcare team will not try to restart it.
A DNACPR decision is made by you and/or your doctor or healthcare team and is usually recorded on a special form. Different doctors or hospitals might use different forms but they all serve the same purpose. Some examples are a DNACPR form, a treatment escalation plan, or a recommended summary plan for emergency care and treatment (ReSPECT) process.
All these forms are easily recognised by doctors, nurses and healthcare workers so they know what to do in an emergency. This form is kept in your medical records. It may also be printed and kept with you if you are at home or in a care home.
You and the people important to you should know that a DNACPR decision has been made and a form has been put in your medical records.
Organ donation
Healthcare professionals have a duty of care to save your life first. If, despite their best efforts, death is inevitable organ and tissue donation will be considered as end of life care discussions start with your loved ones.
Only when end of life care planning is started is the NHS Organ Donor Register assessed by a specialist nurse for organ donation and the possibility of organ donation discussed with your family. There are strict criteria in place in the United Kingdom to help those caring for the dying, and providing safe, timely and consistent criteria for the diagnosis of death.
Most people do not die in circumstances that make it possible for them to donate their organs. In fact, only around one in 100 people who die in the UK are usually able to be donors. Donors are typically those who have died in a hospital intensive care unit or emergency department.
Within an opt out system the decision about whether or not you choose to donate your organs is still yours to make. If you don't want to donate, it's really quick and simple to record your decision on the NHS Organ Donor Register.
Duty of Candour - being open and honest
Whilst we always strive to deliver high standards of care and treatment for our patients, on rare occasions we may not achieve these standards due to unexpected outcomes. As a learning organisation, we will always try to understand why something has happened and then address the issue or concern as soon as possible. Our staff are required to report patient safety incidents. The incidents are investigated to help us make improvements. We will always tell you if we know there has been an incident involving you. Sometimes, we may undertake a more in-depth investigation. When this happens we nominate a senior member of the team to liaise with you and ensure you receive a written apology.
As part of any investigation we will also endeavour to understand how this has affected you and address any of your concerns. If you require more information about our investigation process, please speak to a senior member of the team.
Stopping smoking
All sites within The Rotherham NHS Foundation Trust are smoke free.
If you are a smoker the Tobacco Treatment Team are here to support you in stopping smoking during your time with us and remaining non-smoking in the community. Our Tobacco Treatment Advisors will come to see you in hospital to support you in stopping smoking. This may include advice, motivational support and free nicotine replacement therapy. If you smoke and are yet to be seen by one of our Tobacco Treatment Advisors, please inform your nurse who will happily refer you.