Fractured Neck of Femur | Right Decisions

Update your RDS mobile app to v4.7.2 to download toolkits even when website is down.

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.

Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Fractured neck of femur have a thorough proforma that goes through all the essentials for patients. The ED is monitored for compliance with the 'Big 6' which includes:

Bloods being taken - NOF order set on Trakcare
IV Fluids prescribed and started
Analgesia prescribed on Kardex
NEWS documented
Completion of pressure area assessment
Delirium screening performed (4AT)

Unfortunately our performance on these can be inconsistent, please ensure that patients get all of these done. The rest of the proforma ensures that X-rays and ECG have been checked and covers whether or not a Fascia Iliaca block can be done. The only contraindications to this are patients being anticoagulated, infection at the injection site, local anaesthetic allergy or patient refusal. Patients should be moved to a monitored bay or Resus to have a FIB performed. Remember to STOP before you block and confirm the correct side of radiologically confirmed fracture.

NOF Proforma (SharePoint)

Next review date: 28/02/2025

Author(s): Dr K Kilmurray; Dr J Anderson; J McKenna and Mr M Blyth.

Version: 8

Reviewer name(s): Kim Kilmurray.

Document Id: 231