Policy

Vascular & Neurological Assessment Policy

When assessment is required, the technique and equipment used, how findings are recorded, and what each finding triggers

For Podiatry & ChiropodyRef BS-POD-POL-005See a sample (PDF) →
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. When assessment is required
  • 6. Carrying out the vascular assessment
  • 7. Carrying out the neurological assessment
  • 8. What each finding triggers
  • 9. Equipment
  • 10. Recording
  • 11. Roles and responsibilities
  • 12. Training and competence
  • 13. Records, monitoring and audit
  • 14. Version control and review
  • 15. Common failure modes
  • 16. Appendix A - Assessment record
  • 17. Appendix B - Equipment log
  • 18. Related documents
  • 19. Disclaimer

CQC fundamental standard

Regulation 12 (Safe care and treatment)
This document is written to evidence that standard. Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - in particular Regulation 12 (Safe care and treatment), Regulation 15 (Premises and equipment), Regulation 17 (Good governance) and Regulation 18 (Staffing)
  • National Institute for Health and Care Excellence guideline NG19, Diabetic foot problems: prevention and management
  • National Institute for Health and Care Excellence guidance on peripheral arterial disease: diagnosis and management
  • Medical Devices Regulations 2002 (SI 2002/618, as amended)
  • Health and Care Professions Council standards of proficiency for chiropodists and podiatrists

Who it applies to

All podiatrists and clinical staff carrying out assessment, and the clinical lead and registered manager of [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

ABPI
A comparison of the blood pressure at the ankle with that in the arm, used to check the blood supply to the leg.
Biothesiometer
A device that measures how much vibration a patient can feel, as a test of nerve function.
Capillary refill
Pressing the skin and timing how quickly the colour returns, as a quick check of blood supply.
Claudication
Cramping pain in the leg brought on by walking and relieved by resting.
Critical limb ischaemia
Severely reduced blood supply causing pain at rest, wounds that will not heal, or tissue death.
Doppler
A handheld device that listens to blood flow in the arteries.
Dorsalis pedis
An artery on the top of the foot where a pulse can usually be felt.
Monofilament
A small nylon filament pressed against the foot to test whether the patient can feel it.
Monophasic
A Doppler sound with one phase instead of the usual three, suggesting narrowed arteries.
Posterior tibial
An artery behind the inner ankle bone where a pulse can usually be felt.
Protective sensation
Enough feeling in the foot to notice damage and react to it.
Rest pain
Pain in the foot when not walking, often worse at night, which suggests a serious circulation problem.
TBPI
A blood pressure comparison using the toe rather than the ankle, more reliable when the ankle arteries are hardened.
Triphasic
The normal three-part Doppler sound of a healthy artery.

How it works

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  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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