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Administration of Methylprednisolone Acetate Injection SOP for Podiatrists (Depo-Medrone +- Lidocaine) (S93)

Guidance on the appropriate and safe administration of the corticosteroid injections exempted under podiatry POM-A

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Interim Standard Operating procedure for delivering intravenous (IV) diuretics within a patient’s home (S106)

An Ambulatory Heart Failure (AHF) service has been delivered by DCHS, in partnership with UHDB, on a day case basis at the Royal Derby Hospital site since 2016. Treatment is given using Intravenous (IV) diuretics which can be given daily either following discharge from the acute hospital or referral from the community setting. The development of a Cardiology Virtual Ward has been discussed during 2022 which once implemented will see intravenous diuretics being administered to patients in their own home in addition to the existing AHF service. As an interim step and to support the transition away from hospital and to home delivery along with assisting University Hospitals Derby and Burton (UHDB) with current bed pressures; it has been proposed that one of 3 rooms currently used for AHF on CCU be converted back to a bedroom and a small number of patients receive their treatment at home instead. This will also help assess the process prior to commencing the virtual ward on a larger scale.

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APPENDIX 10 - Investigation meeting notes letter.docx

HRP24 Appendix 10 - Investigation meeting notes

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A1 – Documentation on SystmOne TPP (S107)

Documentation on SystmOne TPP

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Appendix 1 – Application for Employment Break Form.docx

Appendix 1 – Application for Employment Break Form

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Appendix 2 - Application for Work Experience .docx

Appendix 2 - Application for Work Experience

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A6 - Foot Dressing Clinic – Requesting ABX via Podiatry Route (S149)

Foot Dressing Clinic – Requesting ABX via Podiatry Route

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Information and Fire Prevention Guidance in relation to Dynamic Air Flow Pressure Relieving Mattresses in Community (G96)

Dynamic Air Flow Pressure Relieving Mattresses are provided to people who spend extended periods of time in bed or are bedbound due to illness and impaired mobility. This means that if a fire starts or smoke detection activates, the individual using the bed is unlikely to be able to respond/escape without assistance. When the mattresses are provided in a home setting, living alone or being alone in the property is therefore a risk factor for consideration.

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Tissue Viability Strategy 2021-2024

DCHS Tissue Viability Strategy 2021-2024

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ICS Wound Clinic Video Consultation SOP (S82)

This Standard Operating Procedure (SOP) aims to outline the purpose and process for offering a video consultation service to patients referred to the DCHS Wound Clinics. This SOP outlines the patient selection criteria, referral process, follow up process, DNA process and will provide support to staff in delivering care to patients via video consultation.