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FOI Request

Disclosure ID
FOI/02320
Request Date
March 28, 2018
Subject
Incontinance
Description
  1. How many times a day (24 hours) do you change a patient with a urinary incontinence pad/bed pad?
  2. What is the average length of time per patient to change a soiled urinary incontinence pad/bed pad?
  3. Of those patients who have a urinary incontinence pad, what proportion do you estimate will develop incontinence associated dermatitis over time?
  4. How many patients today have incontinence associated dermatitis in your Trust?
  5. How many times a day (24 hours) do you assist a patient with incontinence associated dermatitis?
  6. What is the average length of time per patient to assist with incontinence associated dermatitis?
  7. How many incidences of incontinence related dermatitis or skin breakdown associated with pad use were there in your institution in the last 12 months? How many patients, what percentage of all patients in a body worn/non-body worn pad is this?
  8. What 3 main actions has the trust deployed or is planning to deploy to reduce incontinence related dermatitis?
  9. What is the impact on increased length of stay for an average patient in your trust with incontinence related dermatitis?
  10. What is the increased per patient cost of a incontinence related dermatitis treatment ( eg. Cauti, extended hospital stay, nursing time, drug treatment, bed blocking etc.)
Response
  1. As many times as necessary dependent on amount and type of incontinence
  2. Whenever a pad is soiled or wetness indicator changes colour
  3. We do not routinely record the requested data and to determine if we hold this information would require a manual trawl through paper records. This would constitute a disproportionate effort to retrieve and would exceed 18 hours. This information is therefore exempt on the grounds of cost (Section 12(1)).
  4. We do not routinely record the requested data and to determine if we hold this information would require a manual trawl through paper records. This would constitute a disproportionate effort to retrieve and would exceed 18 hours. This information is therefore exempt on the grounds of cost (Section 12(1)).
  5. Intentional rounding would be carried out 2-4 hourly and assistance occurs based on patient need
  6. We do not routinely record the requested data and to determine if we hold this information would require a manual trawl through paper records. This would constitute a disproportionate effort to retrieve and would exceed 18 hours. This information is therefore exempt on the grounds of cost (Section 12(1)).
  7. To determine if we hold this information and retrieve it would require a manual trawl of patient case notes which would exceed 18 hours. This information is therefore exempt on the grounds of cost (Section 12(1)).
  8. Good basic hygiene education, appropriate pad availability, barrier preparation usage to maintain skin integrity
  9. IAD is not impacting on length of stay
  10. None – cost of barrier products is for all incontinent patients not just those with IAD
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