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SPARKLES ladies Nurse's fancy dress red Cross full bib apron white Victorian Edwardian WW1 size options available

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raise awareness amongst staff of the signs of dehydration and heat stress and measures that can be taken to reduce the risk The RCN expects all health and social care organisations to have and to follow their policies on the management of latex allergy in staff and patients. The RCN expects employers to meet their legal duties by taking all appropriate steps to both assess and mitigate the risk of nursing staff developing heat stress and related illnesses. These steps include: Our publication Removing disabling barriers at work and our online guide on health ability passportscover the benefits of a diverse workforce including those with impairments and the reasonable adjustments process.

Where risk assessments require staff to wear FFP3 masks, all staff must have passed a face fit test for the mask being worn. Further information

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HSC Business Services Organisation procurement and Logistics Service manage procurement to all public health and social care organisations in Northern Ireland. Wales Any allergic type reactions to PPE, including skin rashes, should be reported using the organisations incident reporting form and through the yellow card reporting system to the MHRA. The RCN expects that all employers support their staff to make known their needs in respect of PPE. Where there is a change in PPE requirements such as in response to a pandemic, new issues can arisefor health care professionals who have not previously been disabled at work. It is essential that processes allow theopportunity for employees to discuss their specific needs regarding PPE and that theyare supported by managers in this process. The NMC statement on personal protective equipment during the COVID-19 pandemic(April 2020) supports the RCN guidance and reflects the realities of clinical decision-making in the context of this pandemic.

RCN guidance on skin health, also RCN publication on Maintaining skin health when using PPE. Raising concerns Fit tests must also be carried out whenever there is a change to the type or model of FFP3 mask or whenever there is a change in circumstances of the wearer that could alter the fit of the mask e.g. weight loss or gain or substantial dental work. Our guidance on skin health is here along withour publication on maintaining skin health when using PPE. Raising concerns For information on how to reduce the risk of heat stress and related illness, please see Rest, Rehydrate and Refuel. HSE have also produced a heat stress risk assessment toolkit for employers The RCN also recognise that certain health conditions will make it more difficult to tolerate wearing PPE. Employers should assess any risks to these individuals and make necessary adjustments under both health and safety and equality law. See ‘PPE for staff with disabilities or impairments’ above. You can also see our Health ability passport guidance. Further informationMany health care professionals have impairments that could mean standard issue PPE is not effective. These include but are not limited to: For those experiencing symptoms due to menopause, this can sometimes add to the burden of working in intensive areas of practice.

A list of external accredited fit testerscanprovide training for additional fit testers within your organisation. Raising concerns Wearing PPE can be uncomfortable and can lead to heat stress, fatigue and heat related illness. It is recognised that wearing PPE for long periods can also create additional health and safety risks for staff. Symptoms can be compounded when having to wear PPE, especially for long periods of time, and it is important that staff are supported to enable them to cope in these challenging times. the workplace temperature: while there is no upper legal limit on workplace temperatures, the regulations state that workplace temperatures should be reasonable; the Chartered Institute of Building Engineers recommend that hospital environments should be 18 degrees centigrade.It is important, to remain hydrated and to use a good hydrating moisturiser which can be applied under masks and to keep some cool wet wipes handy. You can find further guidance in The menopause and work: guidance for RCN representativeswhich outlines some of these symptoms and possible adjustments to be considered in the workplace. It is recognised that wearing PPE for long periods can also create additional health and safety risks for nursing staff. PPE can be uncomfortable and potentially lead to heat stress, fatigue and heat related illness.

If there is an urgent requirement that cannot be currently met, please call the National Supply Disruption Response (NSDR) team on 0800 915 9964. See also NHS England and NHS Improvement: Accessing supplies of Personal Protective Equipment (PPE). Scotland Remember, PPE is just one way of protecting staff at work. Handwashing, social distancing measures, training, workplace cleaning practices, ventilation, vaccination and risk assessments for staff health also play an important role in infection prevention and control and managing the safety of staff and patients. Safer alternatives or latex free products should be used and staff and patients with known latex allergy should never be exposed to NRL containing products. Powdered NRL gloves should never be used. Place your fabric template over the left side of the main fabric and draw a mirroring outline and seam allowance on the left-hand side.

Grab a marker or tailor's chalk and mark the measurements for your apron on the fabric (25" x 4" x 9"). Cut the fabric accordingly, and you will have your template. The RCN advice is that members outside of the acute hospital setting, should conduct a risk assessment and use their professional judgement to decide whetheror not toprovide Basic Life Support CPR; taking into consideration the individual needing CPR, the current situation, the environment and their own safety, local policy, and any knowledge of the individual. Standards in the NMC Code must continue to be upheld, as they are useful to support decision making. For some, PPE is a disabling barrier, for example, employees who communicate well through the ability to lip read will have this communication route disrupted if colleagues are wearing face masks.

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