Safe KLOE by Ammar Salem

1. Safe ED
Safe Patients
Safe Staff

2. Safe : Mandatory Training
1. Mandatory training is annual, and includes face
to face and e-learning.
2. Staff can track their percentage training online.
3. We can access e-learning from home.
4. Managers check the compliance rate every
month and send reminders to staff.

3. Safe: Safeguarding
1. The trust has a Safeguarding policy which is regularly
reviewed.
2. Safeguarding training levels are set to individuals
needs.
3. We have designated adult and child safeguarding
leads.
4. Staff understand how and when to make a referral.

4. Safe: Infection Prevention & Control
1. We have a Trust policy for IPC; it is on the Intranet.
2. IPC training is mandatory and includes hand hygiene.
3. We work “bare below the elbows” and use hand gel.
4. We have access to and use personal protective
equipment.
5. Infection control audit results are discussed and
actioned.

5. Safe: Environment & Equipment
1. Are there curtains or blinds at all windows to
provide privacy and dignity?
2. Has all equipment, (scales, glucometers etc)
been calibrated and within date?
3. Has all electrical equipment been tested and
within date?

6. Safe: Environment and Equipment
1. Clinical and domestic waste must be correctly
segregated.
2. Are clinical areas dementia friendly?

7. Safe: Assessing Responding to Patient
Risk
1. You carry out personalised risk assessments to
keep people safe, e.g falls, nutritional status,
pressure ulcer screening.
2. You recognise a deteriorating patient using
specific tools such as NEWS and PEWS.
3. Are you sure your patients DNAR status is
currently up to date ?

8. Safe: Staffing
1. Staffing is checked every day at operational meetings, and
corporately at safe staffing reviews.
2. It aligns case load and patient acuity with staff specific
skills. Do you know what to do if staff go off sick?
3. How do you escalate this and gain access to bank staff?
4. Do Bank staff have up to date competences?
5. Have we used agency staff, and if so; do they always get a
full induction to the service?

9. Safe: Record Keeping
1. Records can be electronic, paper, or both.
2. Electronic must be password protected, and
monitors always logged out of when you
leave them.
3. Written records must be completely
readable, signed and dated.

10. Safe: Medicines Management
1. The Trust medicine management policy is available online.
2. If you use a BNF paper copy, please only use the latest
version, and discard old copies as they breach safe meds
management practice.
3. Fridge temperatures must be recorded: minimum and
maximum.
4. Any IV fluids must be in a locked cupboard and not stored
on the floor.

11. Safe: Medicine Management
1. FP10 pads must be locked away, and all numbers
accounted for.
2. CD records should be checked and accurate as
they will be counted and checked.
3. Medications should be checked for expiry dates
and re-ordered and disposed of as per policy.

12. Safe: Incidents
1. All staff should know how to report an incident; if you
don’t, please ask your manager.
2. Incidents are reviewed and learning should be fed back to
you, so you know changes were made as a result.
3. Incident learning could be recorded on team minutes, to
further spread this learning.
4. If you haven’t ever reported an incident, please ask for
help so you remember how to do this.

13. Safe: Duty of Candour
1. Duty of Candour may also be known as “being Open and Honest”.
2. The Trust has a Duty of Candour policy which you may be asked about: it
is on the Intranet and forms part of Induction.
3. If we cause “moderate or severe harm” to a patient, we must undertake
“Duty of Candour”.
4. This means we apologise, document the incident in the notes, start and
complete an investigation, and invite the patient or family to read this.
All of these steps must be recorded in the notes and we must also send
a letter of apology, outlining the next steps.
5. If the patient doesn’t want to be part of the investigation or read the
report; that is fine; but that decision must be recorded in the notes.