NUH Guidelines App

9th Mar 2018

Updates

• Urology and Urinary Tract Infections

 

5th March 2018

New

• Pain and Symptom management after Scoliosis Correction
• Nusinersen

 

28th Feb 2018

Updates

• Prosthetic join infections antibiotics guideline
• Neonatal Hypoglycaemia

 

27th Feb 2018

Updates

• Urinary tract infections in adults
• Orthopaedics Antibiotics Prophylaxis
• Severe Sepsis in Paediatrics

Deadline for expiring guidelines extended for 2 months

 

23th Feb 2018

New

• Colposcopy Service Guidelines

Updates

• Hypoglycaemia - Neonatal
• Resuscitation on the Post-Natal Wards, Emergency Department & Patient hotel
• Resuscitation at Birth
• Resuscitation on the Neonatal Unit
• Ensuring all Histology Specimens and Diagnostic Tests are Reviewed, Guideline for

 

20th Feb 2018

Updates

• Neonatal Hypoglycaemia
• Congenital Syphilis

 

14th Feb 2018

New

• CQC Radiation Incidents
• Hepatitis B management of Babies Born to Mothers Infected

Updates

• Hypocalcaemia in Adults
• Congenital Syphilis
• Prosthetic Joint Infections
• Surfactant Therapy
• Delirium - Drugs causing delirium
• Hypoglycaemia - Neonatal

 

7th Feb 2018

New

• Intrapartum Care Guidelines

Updates

• Treatment Guideline for Adult Patients With Influenza
• Haemodialysis (HD) Patients Who Require Intradialytic Parenteral Nutrition (IDPN)
• Referral for Out-Patients from Primary Care
• Guideline for the Management of Infections in Eyes, Ears, Nose and Throat in adults
• Oncoplastic Breast Reconstruction
• Major Trauma Adult 2018
• Major Trauma Paediatric 2018

Removed

• First Stage Of Labour (including suspected delay)
• Second Stage of Labour
• Management of third stage of labour, Retained Placenta and Acute Uterine Inversion
• Status Epilepticus (Adult Critical Care)
• Latent phase of labour
• PE Diagnosis and Management

 

1st Feb 2018

Server issue now resolved.

Update

• Phone number for Victoria Health Centre

Removed

• Status Epilepticus - Critical Care Management

Deadline for expiring guidelines extended for 2 months

 

30th Jan 2018

ERROR! Update server down at the moment! Hopefully fixed in the next 24 hours! Sorry!  

 

26th Jan 2018

Update

• Naloxone in Adult

 

25th Jan 2018

New

• CICU Standard Intravenous Infusions Chart

Update

• Reversal of Anticoagulation - Dabigatran

 

23rd Jan 2018

Updates

• Pregnant Women with Diabetes
• Pulmonary Emboli Guidelines

 

22nd Jan 2018

New

• Status Epilepticus - Management

Updates

• Everolimus (Affinitor) Guidelines for use with oncology patients (Renal, Breast and PNETS patients)
• Domestic Abuse (Intranet Only)

 

19th Jan 2018

New

• Borderline Tumours of the Ovary - Management and Follow-up
• Injectable Medical Guide - Adults (MEDUSA)
• Ventilator Hyperinflation (VHI)
• NexoBrid treatment

Updates

• Oxygen Administration   
• Antimicrobial Dosing for Adults in Renal Impairment
• Major Trauma Adult
• Major Trauma Paediatric
• Adult Critical Care Nursing Bedside Information Folder  

 

15th Jan 2018

Removed

• Pulmonary Emboli - Management for ED

 

10th Jan 2018

New

• Adult Critical Care Nursing Bedside Information Folder

Updates

• Adrenal Insufficiency
• Fentanyl - Paediatrics Pharmacopeia
• Sodium nitroprusside - Paediatrics Pharmacopeia

 

29th Dec 2017

New

• Obstetric Ultrasound Practice

 

 

28th Dec 2017

Update

• Delirium in Adult Critical Care, Detection and Management of

 

27th Dec 2017

Updates

• New HIV patient, Assessment of a
• Unwell Returned Traveller, Management of the
• Skin and Soft Tissue Infection Guideline  
• Typhoid Enteric Fever, Management of
• Traveller’s Diarrhoea, Management of 
• Sickle Cell Disease - Chronic complications

Removed

• Gastrointestinal Disease in HIV patients

 

22nd Dec 2017

New

• Stop Before You Block - Safe Performance Of Peripheral Nerve Blockade
• Portable X-ray Requests
• Pulmonary Emboli - Management

Update

• Safety of antimicrobial agents in pregnant patients

 

20th Dec 2017

New

• Blood Tests and Interventional Radiology Procedures

Updates

• Diabetes Management for Adult Gastrointestinal and Respiratory Endoscopy
• Hypoglycaemia - Neonatal
• Turning Patients Into The Prone Position (Adult Critical Care)
• Neutropenic Sepsis in Haematology Sepsis
• Status Epilepticus (Adult Critical Care)
• Local Anaesthetic Doses Guidance - NCH only
• Local Anaesthetic Doses Guidance - Paediatrics
• Local Anaesthetic Doses Guidance - QMC only
• Urology and Urinary Tract Infections
• Low BM in Diabetic Patients
• Adult Burns Patients with Mental Health Problems

  

App change

• Deadline for expiring guidelines extended for 2 months

 

16th Dec 2017

New

• Anticoagulants (DOAC) - Management for Elective Surgery

 

13th Dec 2017

New

• Antibiotic Line Lock Guideline
• Gabapentin for Acute Pain After Surgery in Paediatrics
• Small for Gestational Age Fetus

Updates

• Guidelines for Administration of Intravenous Iron in Adults with Chronic Kidney Disease
• Surgical Antibiotic Prophylaxis - Orthopaedic surgery in adults
• Naloxone in adults
• Iron Chelation Therapy
• Treatment Guideline for Adult Patients With Influenza
• NUH Guide to Intravenous Therapy in Paediatrics

 

6th Dec 2017

New

• 5-Aminosalicylates in Adult Inflammatory Bowel Disease

  

Updates

• Fall Prevention - Intervention Guidance
• Fall Prevention - Introduction
• Fall Prevention - Medications
• Fall Prevention - Post Fall Guidance
• Fall Prevention - Assessments and Checklists
• Fall Prevention - Root Cause Analysis Documentation
• Fall Prevention - Appendices
• DVT Management
• General Surgery - Junior Doctor’s Handbook
• Paediatric Pharmacopaeia - Herapin
• Paediatric Pharmacopaeia - Morphine
• Paediatric Pharmacopaeia - Octreotide
• Royal Marsden Clinical Procedures used within NUH
• Paediatric Renal Pharmacopaeia - Methylprednisolone
• Stage 1a1 cancer of the cervix follow-up guidance (not initial management)

 

Removed

• Antibiotic Prescribing Guidelines for the Stroke Wards

 

5th Dec 2017

Update

• DVT Management in ED

Removed

• Antibiotics Prescribing in Stroke Ward

 

1st Dec 2017

Updates

• Empirical Treatment of Sepsis in Adults
• Antibiotics Guidelines for Adult Patients with Spontaneous Bacterial Peritonitis or Liver Cirrhosis with Upper GI Bleed
• Diabetic Foot Infection
• Surgical Antibiotic Prophylaxis - Urology adult patients

What is NUH Guidelines App?

NUH Clinical Guidelines App is a mobile app that holds all Trust-approved clinical guidelines, some commonly used national guidelines, and other useful tools. It is a free app designed for all healthcare professionals working for Nottingham University Hospitals NHS Trust (NUH).Healthcare profesionals affilated to NUH (GPs, community midwives, District nurses etc) may also find the app relevant to the care of their patients.

This app has been designed using a user-centred design approach, with input from over 400 healthcare professionals across Nottingham University Hospitals NHS Trust (NUH). We have tested the app extensively and hope that you will find it intuitive to use.

 

What are the key features of the app?

• Use-centred design
• All documents within 3 clicks away - easy to navigate menu system
• Improved search function - search for your guidelines using keywords
• In Case of Emergency - quick access to guidelines for commonly encountered emergencies
• Customisable - choose you own frequently used list of guidelines
• Clinical scoring charts - a list of commonly used clinical scoring charts
• Phone directories - reverse searchable list of phone numbers for clinical areas within QMC and NCH, and bleep numbers for on-call personnel
• Consultant code finder - reverse searchable list of consultants code for NUH
• Offline access - no internet connection required during everyday use

 

Which devices is the app compatible with?

The app is designed for Android (Google) and iOS (Apple) mobile devices only. The app will be pre-installed on all iPod Touch devices to be used for the eObs project within the Trust.

 

Does this replace the guidelines system on the intranet?

The app should be treated as an add-on to the existing guidelines system on the intranet. The intranet guidelines page has been updated by Dr Adrian Kwa using the same menu structure as the app. It should be just as intuitive to use.

 

Would I find nursing guidelines in the app?

All Trust-approved clinical guidelines registered with Clinical Quality Safety and Risk Team can be found in the app. This includes nursing guidelines. However we are unable to include the Royal Marsden Nursing Guidelines within the app because of copyright issues. You can access this on your own mobile devices via an internet browser (Safari or Chrome) with an Athens login.

 

Do I need internet access to use the app?

The app will function without an internet connection. However, to ensure the content within the app is always up to date, it will attempt to connect to the server on each start up. You must allow the App an internet connnection at least once every 90 days for this to complete. 

 

Who should I contact if I have any suggesitons or issues regarding to the app?

We welcome feedback from all users. Please send us your questions and/or suggestion via email to adrian.kwa2@nuh.nhs.uk.

 

Who designed the app?

The app is designed by Dr Adrian Kwa, Anaesthetic Fellow in Patient Safety and Project Lead for the app. It has been developed in conjunction with the NUH Applications Development Team (Tony Wilson, Mark Carter and Duane Page).

 

Who do I contact if I want to adopt this App for my hospital trust?

We believe this app to be an invaluable resource for all NHS Trust, and we aim to share the design and technology of the app. Please get in touch with us at adrian.kwa2@nuh.nhs.uk to discuss your requirement.

• Health Education East Midland Quality Improvement Awards 2015 - Winner
• NUH Patient Safety Team Awards 2015 - Winner
• Patient Safety Awards 2016 - Finalist
• Association of Anaesthetists of Great Britain and Ireland Patient Safety Prize 2015 - 2nd Runner-up
• NHS Innovator of the Year 2015 - East Midland Finalist
• Health Service Journal Awards 2015 - Finalist
• Health Service Journal Value in Healthcare Awards 2015 - Finalist
• NHS Innovation Challenge Prize 2014/5 - Finalist
• East Midlands Academic Health Science Network Innovation in Healthcare Awards 2014 - Finalist