University Hospital of North Midlands

“The Trust is in the process of establishing a fully electronic case notes system, however, this is a planned programme over a number of years due to the scale and complexity of the requirements which also requires funding. Nevertheless, there are currently well established processes in place to access medical records for urgent admissions. All staff have access to the Trust 'file-fast case- note tracking system' to identify the location of the medical records and are able to request retrieval of”

“Following the investigation into the care provided to Mr [name redacted] (Root Cause Analysis), it was identified that a rapid tilting trolley may have assisted in treating Mr [name redacted]. Measures were taken at the time to ensure that rapid tilt trolley was on standby for those high risk patients. It is my understanding that all beds and trolleys have a rapid tilt facility for emergency situations.”

“In the initial stages of aspiration, 'blind' endotracheal suction can often suffice to treat the presenting problem. It is only once the majority of the aspirate has been removed by this technique, that it is possible to perform bronchoscopy to attempt to remove further debris and wash out the lungs. Throughout the UK, bronchoscopes are not a standard piece of equipment on the 'difficult airways trolley'. However, currently, our Critical Care areas are reviewing the use of disposable bronchosc”

“The joint RCS/ASGBI emergency general surgery commissioning guidelines recommend placement and regular aspiration of nasogastric tubes in all patients with either large bowel or small bowel obstruction. However, this is a guideline only and a decision not to place a nasogastric tube can be taken by the treating surgeon”