18th October, 1973Vol. 3. No. 14 (12).

Contents -

Around the Hospital
Letters to the Editor
Round the N.H.S.
Nursing News


Joint Consultative Staffs Committee

Enforcement of fire precautions now clarified

Information on the enforcement of fire precautions in the hospital has now been produced following a series of Officers' Meetings.

The subject was originally raised at last January's Consultative Staffs Committee meeting, when the staff side, prompted by the release of the report of the Committee of Inquiry into the fire at Coldharbour Hospital, submitted a list of ten questions to the Committee. Following this, a Working Party was set up to discuss the staff side's document and to formulate replies, and consisted of the Head of Nursing Services, Medical Superintendent, Hospital Secretary, Group and Hospital Engineers, Night Superintendent, Fire Safety Officer, and the chairman and secretary of the staff side. After two meetings the conclusions of the Working Party were submitted to the May meeting of the J.C.S.C., but the staff side proposed that further discussion should take place on certain of the recommendations.

The revised recommendations were received at the July meeting of the J.C.S.C., and - apart from one sentence - subsequently approved by the Hospital Management Committee.

Hospital Officers on the Working Party have continued to meet in order to produce a comprehensive policy for the prevention of fire and the action to be taken by staff in event of fire. It is understood that this is shortly to be circulated to staff.

In order to emphasise the importance of clear understanding of the responsibilities of staff in fire prevention, we publish below the ten questions originally submitted by the staff side, together with the answers arrived at by the multi-disciplinary Working Party:-

(1a) What is the present policy regarding smoking in the hospital by Patients?

Smoking by staff and patients is prohibited in dormitories, single rooms, store rooms, cleaners rooms, kitchen and CSSD/Clinic rooms by day or night, and in any other area where this is indicated. Where a patient is confined to bed, smoking may be permitted during the daytime at the discretion of the nurse in charge of that area and under nursing supervision. During the night, smoking is permitted only at the discretion of the nurse in charge of that area and under nursing supervision, in an area designated by that nurse. Contravention of these smoking regulations by patients should be recorded in the Ward Report Book and brought to the immediate attention of the Medical Officer.

(lb) What is the present policy regarding smoking in the hospital by staff?

The policy of the DOHSS as stated in HM 71/53 is recommended as follows:-

'The example of staff is particularly important and hospital authorities should, therefore, seek their co-operation not only in the guidance of patients but also in their own actions. Doctors and nurses do not smoke in treatment areas and would no doubt agree to refrain from smoking in any part of the hospital which is open to the patients or the public. Smoking is forbidden in kitchens and food preparation rooms and staff are asked to refrain from smoking in waiting rooms, lifts, corridors and the administrative areas of the hospital. Some staff will find it easier to comply with these rules and to encourage the public to comply if there, is a place where they can smoke when off duty.

Staff must restrict their smoking to the designated area of their ward or department.

(2) If patients insist on smoking in unauthorised areas, what is the immediate procedure to be adopted by staff?

Staff should direct patients to go to an authorised area to smoke. Again, any contravention of smoking regulations should be entered in the Ward Report Book and reported to the Ward Medical Officer.

(3) If a fire occurs due to patient smoking in an unauthorised area, will the person in charge of that immediate area be held responsible for the fire?

The person in charge of that area will be held responsible for carrying out the HMC's instructions. regarding fire prevention.

(4) Which patients may carry lighters or matches? If some may not, how should staff enforce this?

It is virtually impossible to stop patients carrying matches, and in many eases undesirable to do so. Although the official policy has always been that patients should not be allowed to do this we recommend that the policy be brought up to date. The Hospital Management Committee recognise that patients may carry matches. Where a patiient is considered to be unsafe to have matches, cigarettes, etc, he/she should be asked by the nurse in charge to surrender these. Any refusal should be noted in the Ward Report Book and reported to the Ward Medical Officer. Patients considered by the Medical Officer to be fire risks should be designated as such in their case notes and deprived of matches, etc. All Ward staff should be aware of any such patients on their ward and should supervise them closely at all times.

(15) If a dormitory is left unstaffed at night and a fire occurs, who will be held responsible?

It would be the responsibility of the agent of the Management Committee who was responsible for the staffing of the wards providing this agent has been provided with adequate resources to fill the establishment. If staff had left their post without permission they too would be guilty of a breach of regulatlons.

(6) Is it in order for a nurse to leave a dormitory unattended at the end of a shift if no nurse is allocated to the ward to supervise that dormitory?

A nurse should not leave the ward unattended without the permission of the Duty Nursing Officer.

(7) As most wards have some locked exit doors, can the policy regarding the locking of ward doors be clearly defined on a ward to ward basis?

The ward policy for locking fire exit doors should be reviewed, ward by ward, by each individual Consultant and Nursing Officer, as soon as possible.

(8) Should a fire occur in a ward where staff have not been supplied with pass keys, and evacuation is thereby impeded, who will be held responsible for any injuries or deaths caused?

Any member of ward staff without a pass key should inform his/her charge nurse or domestic supervisor who, in turn, should inform the Unit Officer or Domestic Superintendent. Thus, officers should be aware of the number of staff on a ward or department who are without keys, and take steps to remedy this, either by a re-distribution of keys or by requisitioning additional keys fron their senior officer.

As a long-term measure and following on the reviewing of the policy of locking exit doors, many wards should have the standard locks removed from all doors and panic bolts fitted to exit doors. This would release locks and keys for those wards which still require their use.

It is suggested that an immediate safeguard could be obtained by all staff handing over their ward keys to the staff relieving them on a change of shift and thus preventing the keys being taken off the premises as happens at the moment. The withdrawal of a personal issue of keys would necessitate the Management Committee absolving the staff from financial responsibility of a personal key issue.

(9) If evacuation is impeded by faulty locks, who will bear responsibility for any injuries or deaths caused?

Where any lock is found to be faulty, the person concerned should report this to the nurse in charge of the ward or department, who would telephone the Engineer's Department requesting urgent repair.

(10) Can clear instructions be given as to the maximum period a nurse on night duty may leave a dormitory unattended?

A nurse on night duty should not leave the dormitory unattended for more than 5 to 6 minutes. If it is necessary to leave the dormitory for a greater length of time, then a relief night nurse must be requested.


Powder Blue Diary.
Finder please contact Ward 35.

Social Club News

Dancing Section commencing again every Monday evening. All Welcome.

M. Milner.

Anafranil Film

Hospital staff packed the In-Service Training Room to capacity last week when Dr. P. O'Flanagan showed a film on the administration of Anafranil - an antidepressant drug - by intravenous infusion.

The film, which was made in the hospital, demonstrated the technique of the treatment, and tabulated the results of a small study of the effects of the drug. Afterwards Dr. O'Flanagan answered questions from the audience.

It is hoped that the film will be shown again for the benefit of staff who were unable to attend.


24 Vista Avenue,
15th October, 1973.

Dear Sirs,

May I be allowed, through the medium of the 'Standard', to express my gratitude to all the members of the Staff, and I include all branches, with whom I have had the pleasure of being associated during the period of my employment as Clerk/Storekeeper, Engineers Stores, at the Hospital.

During the few weeks of my retirement (in the limited spare moments of inactivity), I have considered how very fortunate I was to receive the valued co-operation, in varying forms, from so many people - perhaps a word of encouragement - a kind offer of assistance - a timely word of advice - a 'pat on the back' (not really deserved) from a fellow workmate.

Naturally; I encountered many anxious moments of course. I arrived at 'Wits end corner' but largely thanks to all of you my friends, I was enabled to arrive at my destination, and the quality of the work maintained thereby.

Thank you for the space allowed to me in your publication.


Dear Mr. French,

I would like to thank you, Mr. G. Dilworth and all who helped in the collection for me. Also all friends, workmates and staff of Winwick Hospital for their thoughtfulness and kindness in helping ne and for the lovely flowers sent to Eddie's funeral. Please accept my most grateful thanks to everyone as they have helped me a lot in my sad loss.

Yours sincerely,

Dear Editor,

I noticed in Sunday's "Express" an advertisement for a swimming pool at Winter bargain price, installation, lighting - you name it. Dare I suggest (or is it a question not to be talked about?) that we spend our Swimming Pool Fund monies on these "Bargains".

H. Appleton.


Warrington League of Friends

At a ceremony held in Richnonds' Recreation Club Warrington, on Friday, October 12th, Mr. J. Richardson, chairman of the League of Friends of Warrington Hospitals, received a cheque for £150.

The money was raised by the Warrington Charities Bowling Association, and was presented by their chairman Mr. William Bibby.

'Mind' Director's Criticism

Mr. David Ennals, Director of the MIND campaign, has strongly criticised the Secretary of State for Social Services, Sir Keith Joseph, for 'putting the brakes' on local authorities planning additional services for the mentally disordered.

Salford Recruitment Scheme

In an effort to attract nursing staff to the group, Salford Hospital Management Committee are providing cut-price holidays in Spain.

Members of the HMC recently visited NERJA in MALAGA on the Costa del Sol to negotiate for two holiday flats. Each flat has two twin-bed rooms, and will be available from the beginning of next year.

Survey on Hospital Uniform

Last week's 'Nursing Times' carried an article on a study conducted at Warlingham Park Hospital, Surrey, on the necessity for nurses' uniforms in psychiatric hospitals.

The article needs to be read to appreciate the full results of the survey, but, briefly, out of a total of 101 nurses returning a questionnaire, 80 were in favour of wearing uniform, 19 preferred mufti, and 2 were undecided.

Further, out of a total of 179 patients responding, 134 thought nurses should be in uniform, 42 preferred them in their own clothing, and 1 was undecided.

New Association Formed

An Association of Nursing Auxiliaries has been inaugurated at a meeting in London. Amongst its aims are the establishing of a nationally agreed job description and the extension of in-service training for nursing auxiliaries. The Association intends to apply for affiliation to the Royal College of Nursing.

Voluntary Organisations Urged to Come Forward

St. Helens District Community Council, which was formed last May to protect the interests of local voluntary organisations after April 1974, has urged them to make themselves known to the town's Metropolitan District Council, which comes into operation next April.

The Metro District Council needs much information from the voluntary organisations in order that they can consider what provisions to make in their estimates for grants and other help.

New Wigan Unit

An observation and assessment unit to be provided in Wigan as part of the social services' programme will cost £60,000.

Metro Nursing and Administration Posts

Miss Maude Storey, of Whelley, Wigan, has been appointed regional nursing officer for the new Mersey Regional Health Authority. The appointment will make her the most senior nurse in the metropolitan county district of Merseyside and the county of Cheshire.

Miss Storey, formerly nurse tutor at Wigan Infirmary and lecturer in community medicine at the University of Manchester, is at present Principal Regional Nursing Officer to the Liverpool Regional Hospital Board. She has also been appointed a member of the Wigan area health authority.

Another new appointment goes to Mr. J.E. Shepperd, chairman of the Council of the Institute of Health Service Administrators and Secretary to the Liverpool RHB. He has been made Regional Administrator for the new health authority.

Mr. J.W. Pearson, at present treasurer to the Board of Governors of St. Thomas' Hospital, London, has been appointed Regional Treasurer.

Green Shield Gift

The Green Shield Stamp Company have presented a chairmobile to Wigan Social Services Department for use by a physically handicapped person.

Charges Up

The standard charge for residential accommodation at the various old people's homes in Wigan has been increased from £13.65 per week to £16.63.


Technical Nursing Library

New books available on loan -

'Nursing Management for Patient Care' - Beyers & Phillips
'Notes on Surgical Nursing' - W.C. Fream
'Midwifery' - Law & Friedman
'Infantile Autism: Concepts, Characteristics and Treatment' - M. Rutter.

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