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the dudley group of hospitals nhs trust - Dudley Primary Care Trust

the dudley group of hospitals nhs trust - Dudley Primary Care Trust

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THE DUDLEY GROUP OF HOSPITALS NHS TRUSTMRSA BACTERAEMIA ROOT CAUSE ANALYSIS INITIAL ACTIONSCHECK LISTPatients nameReason for AdmissionConsultantDate <strong>of</strong> admissionWardUse <strong>the</strong> MRSA pathways on <strong>Care</strong>net as a guideActionYes / No - add reasonCheck was <strong>the</strong> patient a high risk?Was <strong>the</strong> patient screened?If yes, what was <strong>the</strong> result?Was result documented?If positive resultWas treatment started?Was this documented?Does <strong>the</strong> patient have an invasivedevice?Central line, peripheral cannula, urinaryca<strong>the</strong>ter, PEG, plural drain, o<strong>the</strong>r (specify)Does <strong>the</strong> patient have a wound/lesionYes / No add sites & dateResult and date availableYes/ No – add whereYes/No/ DateYes / NoYes / No- add typeYes / no =describe type andlocationWere blood cultures taken?Was <strong>the</strong> blood culture taken within 48hours <strong>of</strong> admission?If yesYes/ No - Add dateYes /NoPlease email thisinformation to Ann Close –Nursing Directorann.close@dgoh.<strong>nhs</strong>.ukForm Completed by:NameGradeSignature

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