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Standards › Standard 2E › Standard operating procedures (SOPs)

Standard operating procedure (SOP) · WRK-SOP-004 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 2E.3

At a glance

  • After a distressing event, offer support to every staff member involved within 24 hours.
  • Offer a confidential route to occupational health or a counsellor.
  • Check on the staff member again after one week.
  • Record the offer and the response.
  • Stop and get help straight away if: a staff member involved in a serious event has not been offered any support.

1. Purpose

To make sure staff affected by serious or distressing events get timely, confidential support [EC].

2. Scope

Applies to All staff involved in or affected by a serious event, including patient deaths, serious harm and violence
Locations All services
When Within 24 hours of the event, with follow-up at one week
Does not apply to Routine stress without a specific event

3. Definitions

Term Meaning
Distressing event An event that may cause significant psychological distress to people who were involved
Debrief A structured conversation after an event to share what happened and what support is needed

4. Background

Staff who are not supported after distressing events are at higher risk of burnout and of leaving the service. Early support is quick and low cost.

5. Responsibilities

Role Responsibility Competence
Service manager Starts the support process within 24 hours Management
Occupational health Provides confidential support and follow-up Occupational health
Staff member Accepts or declines support and tells the manager what helps Own role

6. Materials and equipment

Item Requirement Condition
List of confidential support contacts Current Printed in every staff room

7. Safety

8. Before you start

9. Procedure

Step 1. Identify those affected.

  • List everyone involved or affected by the event.

Key point: Do not assume only the person at the centre is affected.

Step 2. Offer support within 24 hours.

  • Speak to each person privately.
  • Give the support contacts in writing.

Key point: The offer is made, and recorded, within 24 hours.

Step 3. Hold a debrief where needed.

  • Hold a short, facilitated debrief for the team within 72 hours, if the team wants one.

Key point: The debrief is not a review of individual blame.

Step 4. Follow up at one week.

  • Check with each person how they are coping.
  • Record the response and any further support.

Key point: The one-week check is the one most often missed.

10. Decision points

11. Special situations

Situation Action
Patient death Support is offered in the same way, and the family liaison process runs in parallel.

12. Escalation

13. Monitoring

Measure Target Frequency Owner If not met
Affected staff offered support within 24 hours 100% Each event Service manager Escalate to chief executive
Follow-up at one week recorded 100% Each event Occupational health lead Escalate to occupational health lead

14. Records

Record Kept in Retention
Support offer and follow-up record Occupational health file Employment plus 40 years

15. Training

16. Related documents

ID Title Use
WRK-POL-003 Occupational health, safety and wellbeing policy Policy this procedure supports
WRK-SOP-006 Violence and aggression prevention and response Events that involve violence

17. Evidence

Reference Note
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

18. Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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