Acute Cystitis and Pyelonephritis Pathway
August 11, 2021A joint Medical-Urology pathway has been agreed for Pyelonephritis Study Running – Send Urine Sample prior to Antibiotics (if this does not interfere with treatment of Red-Flag… Read more
Antibiotics Guides
September 22, 2020Sepsis – Click Here Suspected Covid-19 – Click Here Site Specific – Click Here Paediatric – Click Here Can’t find it in our drug cupboard… Read more
Avian Flu – 2022
November 12, 2022Avian flu is droplet spread and can sometimes effect humans as well as birds. Severity varies in human cases varies widely from mild to severe… Read more
Be #urosceptical
July 1, 2019Ditch the Dipstick – for patients >65Yrs or Catheterised! Approx. 50% of over 65’s and most of those with catheters have asymptomatic bacteriuria. The patient… Read more
COVID-19 (40 Step Desaturation Test)
April 12, 2020NHS England has introduced the use of a “40 step desaturation test” into discharge planning from the ED. You will have heard Covid -19 patients… Read more
COVID-19 (Awake Self-Proning)
April 8, 2020There is increasing evidence that Awake Self-Proning of our Covid-19 patients can improve oxygenation. Proning the patient can has several effects which can dramatically improve their SaO2… Read more
COVID-19 (CPAP)
March 19, 2020NIV/CPAP is NOT an Aerosol Generating Proceedure (AGP) [As of Sept 2022] CPAP/EPAP levels of 8-15cmH2O is suggested to work well by the Italian society of… Read more
COVID-19 (Doning/Doffing Video)
March 10, 20202 video links to PHE how to Don and Doff your PPE Read more
COVID-19 (Donning/Doffing-LOCAL)
March 25, 2020Local instructional videos for donning/doffing Non-Aerosol Generating Procedures Aerosol Generating Procedures Disponible FFP3 (Leeds) Read more
COVID-19 (Paediatric multisystem inflammatory syndrome)
May 13, 2020AKA: Paediatric Inflammatory Multi-system Syndrome – Temporally associated with SARS-CoV 2 Although COVID-19 seems a benign disease in almost all children there are increasing evidence (however… Read more
COVID-19 (X-Ray learning resource)
March 15, 2020British Society of Thoracic Imaging (BSTI) have released a free learning resource containing CXR and CT of confirmed Covid-19 cases, will short history including time… Read more
Covid-19 Trust Isolation (Dec 2021)
December 24, 2021The trust isolation policies have been updated inline with national guidance. Scenario 1 – Staff member Symptomatic Scenario 2 – Staff member asymptomatic, with a… Read more
Covid-19: Oximetry @home pathway
January 14, 2022In 2022 we can now refer Covid-19 patients who are being discharged into the “Oximetry @home” pathway. CHFT staff need to complete the attached referral… Read more
Gentamicin – Prescribing on EPR
September 12, 2019Do NOT use this regime for: Pregnant women Children under 16 years Urology surgery prophylaxis patients ANY patient who has ascites, limb amputation, cystic fibrosis,… Read more
Influenza POCT (Adult)
December 17, 2019Flu season has arrived, and we need to be thinking about who to test and who to treat. Full guide HERE But don’t forget MERS!! Q1.… Read more
Legionnaires Disease
July 20, 2021There has been a resent increase in cases of Legionnaires Disease in the North West. So remember to request Urine Legionella Antigen test, if you… Read more
Measles
January 23, 2024Suspected/Confirmed patients should be ISOLATED & wear PPE Treating Staff – (should not be; non-immunised, pregnant or immunocompromised) single-use, disposable gloves single-use, disposable apron (or… Read more
Meningitis – Adults
January 15, 2021Keep your suspicions high – early signs it may not be clear Sepsis Kills – give antibiotics & fluid early Consider Acyclovir Give Dexamethasone with Antibiotics… Read more
MERS Standard Operating Procedure
August 22, 2019Please see the updated SOP for Middle East respiratory syndrome coronavirus. Make sure you are familiar with this protocol and for anymore information please contact… Read more
Mpox (Formerly: Monkeypox)
September 6, 2024Wear Gloves & Wash Your Hands!!! There have been >100 patients identified as having Mpox in the UK during the current outbreak. Most of these… Read more
Notifiable Diseases
May 10, 2019Registered Medical Practitioners in England and Wales have a statutory duty to notify Public Health about the following diseases. To facilitate rapid treatment and control… Read more
OPAT – Cellulitis 2023
February 10, 2023Our OPAT service can provide IV antibiotics for cellulitis for those patients that can be managed as out patients but either require IV antibiotics or… Read more
Paediatric Infections – School Exclusion/Isolation
April 26, 2023Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly hand-washing, and maintaining a clean environment. However, Public… Read more
Pneumonia – Paeds
November 28, 2019CAP is far less common than URTI’s, however, it needs to be considered within your differentials. Depending on severity there is a guide to investigation… Read more
Rabies [notifiable disease]
April 4, 2021Recent Incident: Bat contact was not recognized (effectively touching a bat without gloves means treatment is recommended) Rabies is an acute viral encephalomyelitis caused by members of… Read more
SEPSIS
June 13, 2024Three large scale multi-centre trials into Severe Sepsis and Septic Shock: ProCESS (USA), ARISE(Aus), ProMISe(UK), all showed the same thing. What works is good early… Read more
Sepsis- A leaflet for Patients
August 28, 2019Sepsis – Keeping the patient informed A patient information leaflet about sepsis is now available by searching for Sepsis here: Patient Information Leaflet This can… Read more
Sex, Bites, and Needle Sticks
September 12, 2019First Aid (ALL) Encourage bleeding Wash with copious amounts of water or saline Don’t Suck Don’t use Caustic agents Read more
Sore Throat
November 13, 2020Background Acute sore throats are often caused by a virus, last about a week and get better without antibiotics. withholding antibiotics rarely causes complications. Antibiotic… Read more
Sore Throat and Group A Strep 2022
December 15, 2022Due to the increased prevalence of Group A Strep (GAS) during winter 2022-23 national guidance on how we treat sore throats was updated (National advice… Read more
Tick-Bourne Diseases
August 6, 2020The prevalence of diseases transmitted by tick bite have increased in recent years, within the UK. And it is now recognised that there are 3… Read more