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PUBLIC SECTOR
                                                                              POLICY SCHEDULE


                          PUBLIC AND PRODUCTS LIABILITY SECTION


                                                ENDORSEMENT

                                PL46(A) – HEALTH CARE EXTENSION

                           APPENDIX 1 – ACCEPTABLE TREATMENTS



            The following Health Care procedures are agreed by the Company subject to provisions (a) (b) and (c) above

                   Bathing (subject to routine visits to service users by senior officer to check for abuse)
                   Blood pressure monitoring by automated machine only following training and referral of variation
                    from specified limits to Health Care Professional
                   Blood sample taking by glucometer or fingerprick only used in accordance with the manfacturers’
                    guidelines
                   Body fluid balance monitoring subject to referral of variation from specified limits to Health Care
                    Professional
                   Breathing monitoring
                   Buccal midazolam administered orally
                   Catheters limited to changing of bags and cleaning of tube excluding insertion
                   Colostomy/stoma care limited to changing of bags and cleaning
                   Denture cleansing
                   Dressing care (external) application and replacement
                   Ear/nose drop application
                   Gastronomy tube peg feeding or bolus feed via a gastronomy tube or pump and cleaning and peg
                    feeding with medication prescribed by a medical professional and undertaken in consultation with a
                    pharmacist but excluding insertion/reinsertion of tube
                   Hearing aid checking fitting (excluding measuring) and replacement
                   Inhalers and nebulisers limited to the provision of assistance to user in application or fitting of mask
                   Injections limited to the administration of pre-packaged doses (intramuscular or subcutaneous only)
                    required on a regular basis or in a pre-planned emergency
                   Medipens (Epipens and Anapens) for anaphylactic shock with a pre-assembled pre-dosed epipen
                    epinaphrene or adrenaline/epinephrine
                   Oral hygiene for individuals unable to swallow
                   Nasal suction limited to the clearing of the nose via a fitted stent but excluding insertion of stent
                   Naso-gastric tube feeding/bolus feeding and cleaning of tube
                   Occupational therapy support through the provision of progress assessment for goals set by
                    professional physiotherapist and self-care assessments for capability of service users to live
                    independently in their own homes
                   Oral medication administered as prescribed by a Health Care Professional subject to the Named
                    Insured’s medication policy and obtaining parental consent forms for pupils at day schools
                   Oxygen administration limited to the provision of assistance to user in fitting of mask
                   Postural drainage exercise
                   Pressure bandage application to assist with positioning of digits
                   Pulse rate monitoring by finger pressure on wrist only and referral of variation from specified limits to
                    Health Care Professional
                   Rectal midazolam or rectal diazepam administration for repeated epileptic seizures or emergency in
                    a pre-packaged dose and subject to two members of staff being present
                   Splints braces corsets application
                   Swabs limited to the cleansing of skin or inside of mouth/nose and taking of samples from external
                    wounds for analysis
                   Temperature taking via ear only subject to referral of variation from specified limits to Health Care
                    Professional



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