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Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)

The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.

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Inpatient Falls Prevention and Management Policy (P33)

The Trust’s aim is to prevent harm resulting from in-patient falls by assessing each patient individually and identifying their risk in order to develop a care plan to reduce these risks. There is an expectation that clinicians will use the policy framework within everyday practice within DCHS. DCHS Inpatient services are part of the DCHS Falls and Fracture Prevention framework which contributes towards the wider Derbyshire and Derby City Falls and Fracture Prevention Pathway in identifying and managing patients who are at risk of falls in hospital and onwards as part of discharge plans and communication. This policy incorporates guidance from the: - • NICE CG161(2013) “Falls: the assessment and prevention of falls in older people • National Patient Safety Agency (2011) on “Essential care after an inpatient fall” • NICE (2015) on “Head Injury: assessment and early management” The purpose of this policy is to support staff to identify patients who are at risk of falling and to identify the interventions required to reduce the risk of falls and minimise harm to each individual. This policy also provides guidance on how to implement the NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’

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0-19 Children’s Services Standard Operating Procedure (S92)

This Standard Operating Procedure gives an overview of the service provided by the 0-19 Children’s Community Services. It also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the national commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care. This Standard Operating Procedure should be used in conjunction with other DCHS Childrens and DCHS Trust policies along with The NMC Code.

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Delegation of Administration of Insulin to Adults in Residential Care Policy (P100)

There are a growing number of people who, because of disability, increasing age or infirmity, are unable to administer their own insulin and will need support. This guideline aims to promote standardisation and safety of insulin administration supported by Derbyshire Community Health Services (DCHS NHS FT). It underpins the guidance set out by governing bodies and organisations within the Acknowledgement of this policy

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Podiatry Service Wound Care Health Care Assistant (HCA) Protocol (S114)

The purpose of this document is to provide guidance on the delegation of podiatry care to a Wound Care HCA.

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Employee Record Summary Template - Feb 2024

An employee record summary template

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A2 - Advice for manual handling when working at low level (S96)

Advice for manual handling when working at low level

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APPENDIX 11a - Issues which require further investigation (unrelated to this case).docx

HRP APPENDIX 11a - Issues which require further investigation (unrelated to this case)

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A4 - Patient next appointment information slip (S107)

Patient next appointment information slip

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Service Level Clinical Harms Standard Operating Procedure (S139)

This document should be read in conjunction with the overarching DCHS patient access and safe waiting policy which outlines the processes to be followed in order to deliver a consistent approach to. • Utilising a proactive method of risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which take into account health inequalities. • Monitoring waiting times against defined thresholds across pathways of care. • Delivering personalised, patient-centred communications to patients who are waiting for care. • Implementing Harm Reviews for the that support the Trusts governance and assurance processes and maintains practice in line with national expectations.