Canberra Hospital and Health Services Operational



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CHHS17/136




Canberra Hospital and Health Services

Operational Procedure

Dhulwa Mental Health Unit (DMHU): Provision of Hairdressing Services

Contents





Contents 1

Purpose 2

Alerts 2

Scope 2


Section 1 –Hairdressing service arrangements 2

1.1 Cost of and payment for hairdressing services 3

1.2 Location of hairdressing services 3

Section 2 –Hairdressing services approval and preparation 3

2.1 Requesting a hairdressing service 3

2.2 Approval of the hairdressing service request 4

2.2.1 Request for hairdressing service approved 4

2.2.2 Request for hairdressing service not approved 4

2.3 Preparing for a hairdressing service 4

Section 3 – Security 5

3.1 Consumer risk assessment 5

3.2 Hairdresser entry to DMHU 5

3.3 During provision of hairdressing services 5

3.4 Hairdresser exit from DMHU 7

Implementation 7

Related Policies, Procedures, Guidelines and Legislation 7

Policies 7

Procedures 7

Legislation 8

Search Terms 8





Purpose

The purpose of this procedure is to ensure that any risks associated with hairdressing services provided to Dhulwa Mental Health Unit (DMHU) consumers in DMHU are minimised.


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Alerts

This procedure should be read in conjunction with the Mental Health Act 2015 and the Mental Health (Secure Facilities) Act 2016.


If, during the provision of a hairdressing service, any item goes missing and cannot be located after a search of the room (see DMHU Search Procedure), the Nurse in Charge (NIC) should be advised immediately. The NIC will initiate appropriate searches to locate the item(s) (see Control of Tools, Cutlery, Equipment and Materials Procedure and DMHU Search Procedure for more information).
A Riskman must be completed whenever tools or equipment cannot be located.
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Scope

This procedure applies to all staff working in DMHU, including:




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Section 1 –Hairdressing service arrangements

DMHU will ensure that consumers have access to hairdressing services (relating to cutting, styling, colouring or otherwise significantly altering a consumer’s hair) through an external community provider. Staff should email Hairdressing Service Request Forms to DMHU@act.gov.au. The administration team will collate these and book hairdressing services as required, in consultation with the CNC.


At no time may a DMHU staff member or another DMHU consumer cut, style, colour or otherwise change a consumer’s hair.
With the exception of the use of razors to cut or trim facial hair, a consumer may not cut or shave their own hair (see DMHU Use of Razor’s Procedure for more information).

1.1 Cost of and payment for hairdressing services


DMHU consumers will need to pay for their own hairdressing services (see section 3.1 DMHU Consumer Money Procedure).
In the event that a consumer does not have access to any finances, DMHU will pay for the consumer to have a basic haircut, i.e. to ensure that a consumer’s hair is of a length and style that is comfortable and can be hygienically maintained. Approval for DMHU to pay for a consumer’s hairdressing service must be sought from the CNC.
Charges for hairdressing services will be set by the external community provider. Consumers can obtain up-to-date information about hairdressing service costs from their allocated nurse, who will consult with the Data and Administration Manager.

1.2 Location of hairdressing services


All hairdressing services at DMHU will be located on the wing on which the consumer resides. For consumers in Lomandra, services will be provided in the low-stimulus lounge (seclusion). If the low-stimulus lounge in not available, and another suitable room cannot be found, the hairdressing service will be rescheduled. For consumers in Cassia, services will take place in the low-stimulus lounge (seclusion) or the industries room, depending on the consumer’s risk assessment (see Section 3).
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Section 2 –Hairdressing services approval and preparation

All DMHU consumers will be advised when the hairdresser will be visiting DMHU at the regular DMHU community meetings.



2.1 Requesting a hairdressing service


Consumers seeking hairdressing services must speak with their allocated nurse who will assist them to complete a Hairdressing Request Form, available on the clinical forms register.
The Hairdressing Request Form will indicate the type of hairdressing service the consumer is requesting and must be completed at least 24 hours prior to the hairdresser visiting DMHU.
The completed Hairdressing Request Form must be placed on the consumer’s Electronic Clinical Record (ECR).

2.2 Approval of the hairdressing service request


The consumer’s allocated nurse can approve the hairdressing service request.
If the allocated nurse has concerns about the consumer’s decision-making capacity to make extreme changes to their hairstyle these must be taken to the next Multi-Disciplinary Team (MDT) meeting for discussion. The MDT must make an assessment of the consumer’s decision-making capacity. If the MDT determines that the consumer does not have capacity to make decisions about their hairstyle, the consumer may be advised that the hairdressing service they requested will not be occur.

2.2.1 Request for hairdressing service approved


If the consumer’s requested hairdressing service is approved, the consumer’s allocated nurse will advise the consumer of the approval as soon as possible.


2.2.2 Request for hairdressing service not approved


If the MDT assesses that the consumer does not have capacity to make the decision about the requested hairdressing service, the consumer’s allocated nurse will discuss this, and the possible alternatives, with the consumer.
If the consumer has an Advance Agreement (AA) which sets out their preferences for hairstyle, these preferences should be actioned as far as reasonably practicable when the consumer does not have decision-making capacity.
Alternatively, the consumer may be encouraged to consider a different style of haircut.
If the consumer is unable or unwilling to consider an alternate style of haircut, the hairdressing service will be denied until the MDT has determined that the consumer has the capacity to make decisions about their hairstyle.
Note: A consumer must not be assessed as lacking decision-making capacity solely on the basis of the hairstyle they have decided upon.

2.3 Preparing for a hairdressing service


Consumers must wash their hair on the day or within the 24 hours prior to their hairdressing appointment.
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Section 3 – Security


3.1 Consumer risk assessment


On the morning that the hairdressing service is booked for, the consumer’s allocated nurse will assess the consumer’s mental state and review their recent dynamic risk appraisal to ensure that the consumer is stable and able to receive the hairdressing service.
If the consumer’s allocated nurse has concerns about the consumer’s safety or the safety of the hairdresser or staff, they should raise these with the NIC.
A consumer’s hairdressing appointment may be cancelled if the consumer’s risk cannot be safely managed.

3.2 Hairdresser entry to DMHU


The hairdresser’s attendance will be booked into the DMHU Security outlook calendar, ideally with at least 24 hours notice by the DMHU administration staff. Any other required assets, i.e. the room in which the service is to occur, will also be booked at this time and the Clinical Nurse Consultant (CNC), ADON and Therapy Manager will be included in the Outlook booking.
The hairdresser will enter DMHU through security and will undergo the visitor search process (see DMHU Search Procedure for further information). All tools and equipment to be brought in by the hairdresser will be counted in, by security staff, using the Tool and Material Checklist. Security Staff will provide multiple copies of the checklist to the hairdresser, to be used between consumers (see DMHU Prohibited and Restricted Items and Items Requiring Approval Procedure).
The hairdresser must be escorted by the member of staff assigned by the CNC at all times while in DMHU (see DMHU Visitor Procedure for more information).
If for any reason the unit is unsettled, hairdressing appointments will not take place and the NIC, via the DMHU administration staff, will ensure the hairdresser is informed of this at the earliest opportunity and appointments rebooked.

3.3 During provision of hairdressing services


To ensure that Security turn the security cameras on during hairdressing services, the NIC will notify security control on ext 79600 when haircuts are to commence and the location of where the hairdressing service is being performed. Security must be notified by the DMHU staff member escorting the hairdresser in the event of the hairdresser moving from one wing to the other during their visit.
Depending on each consumer’s risk, the NIC will determine the minimum number of staff, not including the hairdresser, to be present during a hairdressing service.
A member of staff assigned to assist with supervising the provision of hairdressing service will accompany each consumer from the unit to the location where the service is being performed.
The door of the room hairdressing services are being provided in should be closed during the provision of the service.
Only one consumer will be in the room where hairdressing services are being performed at any time.
The hairdresser will ensure that all tools and equipment, including electric shavers, scissors, etc, not in use are located behind the consumer, under the constant observation of a staff member. The position of staff supervising the hairdressing service will be determined based on the consumer’s clinical risk assessment.

3.3.1 Tool and equipment count between consumers

A count of tools and equipment will be made by the hairdresser and a member of staff assigned to supervise the provision of hairdressing services and recorded on the Tool and Material Checklist, as provided by security staff on entry, between each consumer, before the consumer leaves the room. If there is a discrepancy in the count, a recount will be undertaken.


If any item remains missing, the NIC should be advised. The NIC will initiate appropriate searches to locate the item(s) (see Control of Tools, Cutlery, Equipment and Materials Procedure and DMHU Search Procedure for more information).
A Riskman must be completed whenever hairdressing tools or equipment cannot be located.



3.3.2 Cleaning up after hairdressing services

The Facilities Manager will arrange for the contracted cleaning service to clean up the area at the end of the last appointment. Staff present will use the hairdressing kit, available from the Facilities Manager, to:



  • sweep up hair etc between appointments; and

  • ensure that any contaminated waste is disposed of in the appropriate bins.


3.4 Hairdresser exit from DMHU


At the conclusion of hairdressing services, the hairdresser will be escorted back to the security desk. All tools and equipment will be counted out using the Tool and Material Checklist.
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Implementation

The contents of this procedure will be communicated through training provided to DMHU staff.


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Related Policies, Procedures, Guidelines and Legislation




Policies


ACT Health Work Health and Safety Policy

ACT Health Work Health and Safety Management System

ACT Health Incident Management Policy

ACT Health Consumer and Carer Participation Policy

ACT Health Waste Management Policy

ACT Health Electrical Safety Policy

DMHU Search Policy

Procedures


ACT Health Incident Management Procedure

ACT Health Significant Incident Procedure

ACT Health When Death Occurs

CHHS Clinical Handover Procedure

CHHS Healthcare Associated Infections Procedure

CHHS Mobile Electrical Equipment including Clinical Equipment

DMHU Assessment and Management of Violence Procedure DMHU Assessment and Management of Violence Procedure

DMHU Consumer Money Procedure

DMHU Search Procedure

DMHU Visitor Procedure

DMHU Control of Tools, Cutlery, Equipment and Materials Procedure

DMHU Use of Razor’s Procedure


Frameworks

DMHU Security Procedural Framework



Legislation


Mental Health Act 2015

Mental Health (Secure Facilities) Act 2016

Health Records (Privacy and Access) Act 1997

Human Rights Act 2004

Work Health and Safety Act 2011

Electrical Safety Act 1971
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Search Terms

DMHU, Dhulwa, hairdressing, tools and equipment, hairdressing service, haircut, hairstyle




Disclaimer: This document has been developed by ACT Health, Canberra Hospital and Health Service specifically for its own use. Use of this document and any reliance on the information contained therein by any third party is at his or her own risk and Health Directorate assumes no responsibility whatsoever.



Date Amended

Section Amended

Approved By

Eg: 17 August 2014

Section 1

ED/CHHSPC Chair













Doc Number

Version

Issued

Review Date

Area Responsible

Page

CHHS17/136

1

06/06/2017

01/06/2018

MHJHADS - JHS

of




Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register





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