- What does the Trust use for securing resus trolleys? For example is a tamper evident seal used, or a lock and key? (If a seal is used, could you provide a brief description of the type used?)
The Resuscitation Service at Heart of England NHS Foundation Trust implemented the bespoke sealed tray system in 2010 which was shortlisted for the Nursing times award in 2012 and we published an article on this quality improvement in 2014.
http://www.resuscitationjournal.com/article/S0300-9572(14)00695-9/fulltext
This system involves us producing three trays (Basic and advanced airway and IV access trays) for the entire trust and community sites. These trays and individual emergency items are barcoded and scanned into our itray database and traceable in the event of an MHRA alert.
Each tray has a unique tray number and on the outside of the sealed tray a sticker is visible stating what items are present, when the tray expires and what item has the nearest expiry. The ward / departmental staff must check the trolley on a daily basis and after use and they are expected to check the lose items (defib pads, oxygen mask etc) and that their trays are present, sealed and in date. This process is then documented on the standardised trolley check list, which are audited.
The resuscitation service monitors when trays are due for expiry, by checking the database and replace the required tray
When staff use a tray in an emergency they are returned to the tray collection rooms and staff can access replacement trays to re stock their trolleys 24 hours a day. Staff sign out the numbered tray so that we know the location of each one.
- How many are used by the Trust annually?
There are approximately 160 emergency trolleys (this changes due to ward moves etc.)
- What is the Trust’s annual spending on these?
The Trust does hold this information. However we are withholding this under exemption 43 (commercial interests) of the Freedom of Information Act: The Information is exempt information if its disclosure under this Act would, or would be likely to, prejudice the commercial interests of any person (including the public authority holding it) as the Trust will be retendering for this product and it is believed that releasing this could disadvantage the trust in future negotiations. In considering this, we have taken into account the public interest test and it is believed the public interest in securing the best possible price outweighs the public interest in releasing this at this time.”
- Where does the Trust order these from? (If they are procured through the NHS Supply Chain what is their product code?)
These are ordered from Bristol Maid
Adult trolley code CT110NH 352L http://www.bristolmaid.com/product.asp?strParents=&CAT_ID=445&P_ID=496
Paediatric trolley code CT210NH6S4L
http://www.bristolmaid.com/product.asp?strParents=0&CAT_ID=0&P_ID=497&strPageHistory=search&numSearchStartRecord=1
- Who is responsible for ordering this product?
The individual ward is advised by the Resuscitation Service which trolley they require (paediatric and adult are different) and what additional items are needed e.g. IV stand and oxygen holder – they are provided with the equipment codes and they responsible for ordering these items from iproc.
