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Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)

Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.

HRP05 Appendix A Close Personal Relationships at Work Policy Declaration Form.docx

HRP05 Close Personal Relationships at Work Policy Declaration Form

Reasonable Adjustments Passport Template.docx

Reasonable Adjustments Passport Template

Appendix 7a - Flexible Working Pattern Review - Confirmation Letter.docx

Appendix 7a - Flexible Working Pattern Review - Confirmation Letter

Appendix 1 Workplace Orientation Form.docx

Appendix 1 Workplace Orientation Form

Appendix 9 – Confidentiality Statement Work Experience Placement Return to Practice.docx

Appendix 9 – Confidentiality Statement Work Experience Placement Return to Practice

Temperature Monitoring of Medicines Storage Rooms SOP (S74)

Aim of SOP; to reduce risk to patient safety by monitoring exposure of medicines to high temperatures. DCHS accepts that the storage of medicines may exceed 25°C in exceptionally hot weather. However, all staff must follow the actions outlined in this SOP to reduce this risk.

Self Administration of Medicines Procedure (S28)

The aim of this procedure is to advise ward staff in the community hospitals of the process to be taken in supporting appropriate patients to self-administer their own medicines whilst an inpatient in a DCHS hospital.

HRP09 Maternity Leave and Pay Handbook_Appendix 1 Risk Assessment.docx

HRP09 Maternity and Pay Handbook Appendix 1 Risk Assessment

Reference Template.docx

Reference Request Template

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International Fraud Awareness Week – Stay Vigilant, Protect the NHS

Healthcare organisational changes from Friday 1 July

NHS Help Us, Help You campaign to help people get NHS advice quickly

Recognition Of Staff Excellence (ROSE) Awards - nomination form

Datix Incident/Risk Management system downtime

Breastfeeding events hosted to support families in Derbyshire

Q&A sessions for Band 2 (and some Band 3) colleagues

Industrial action – junior doctors strike (11-15 April)

My Download - 6 December 2021

Speech and language therapy for adults