CLINICAL PROTOCOLS
Know your vitals
Age | Pulse (HR) | RR |
|
<1 | 110-160 | 30-40 | |
1-2 | 100-150 | 25-35 | |
2-5 | 95-140 | 25-30 | |
5-12 | 80-120 | 20-25 | |
>12 | 60-100 | 15-20 |
Always record the vitals, because if they are off, you generally need to worry! Always come back to the vitals when you are not sure what is going on – because they can help you decide whether to worry or not.
- Temperature
- Pulse or HR
- Blood Pressure
- Capillary Refill Time (CRT)
- Oxygen Sats
Our Clinical Protocols & Policies at a Glance
BRADFORD-WIDE PROTOCOLS
path: PLEASE INFORM RAM IF ANY ARE OUT OF DATE OR MISSING etc./mentalhealthworkbooks
- 00 how to use the workbooks.pdf
- 01a – the 5 areas model – for doctors (excellent thought investigation example).pdf
- 01b – Understanding anxiety panic and phobias.pdf
- 01c – understanding depression.pdf
- 01d – anxiety and depression (additional worksheet resources).pdf
- 02 – practical problem solving.pdf
- 03 – being assertive.pdf
- 04 -noticing extreme and unhelful thinking.pdf
- 05 – changing extreme and unhelpful thinking.pdf
- 06 – changing altered behaviours – reduced activity.pdf
- 07 – changing altered behaviours – unhelpful behaviours.pdf
- 08 – overcoming sleep and other problems.pdf
- 09 – understanding and using antidepressant medication.pdf
- 10 – planning for the future.pdf
- counselling leaflet bradford 2017.pdf
- positive mental training – patient leaflet.docx
- psychological therapies leaflet for bradford patients.pdf
ASHCROFT SURGERY PROTOCOLS
- Ambulance options & NEWS-2 scoring
- Bereavement Protocol: for those who have lost a loved one
- Blood & Test Results Protocol – requesting & actioning blood results, x-rays, scans and other tests
- Cervical Screening Programme
- Chaperone Policy
- Chronic Disease Management
- Consent
- Cremation Forms and Fees
- Doctors Bag – equipment and drugs
- ECGs – for nurses
- EMERGENCIES & URGENCIES
- Immunisations and TRAVEL Vaccinations
- Infection Control Policy- needlestick injury, human bites & spillages (blood, vomit, faeces, urine) etc
- Infectious Disease Outbreak (Emergency measures)
- Medication (prescriptions) – acute & repeats
- Medicine Stock – ordering, handling and storing
- Medico-legal matters
- Mortality & New Cancer Diagnosis Review Meetings
- Non-visible Haematuria Pathway
- Palliative Care MDT Meetings
- Prescribing
- Projects & Audits
- Rooms – equipment check
- Safeguarding – Adult Protection, Domestic Violence, MARAC & PREVENT
- Safeguarding – Child Protection
- Significant Event Analysis (SEA)
- Staff Training & Certification Matrix
- Task Messages for bloods, investigations, medications etc
- Tasks Protocol – allocation, timescales etc.
Please let me know if there is something missing, out of date or needs replacing.
Also remember that each individual doctor takes responsibility for their own clinical decision making. These protocols and policies are for guidance only. Each individual doctor has a responsibility for checking that any protocol, policy or guidance they are using is current and in keeping with standard clinical practice.