Pages
Staveley Clinic
https://dchs.nhs.uk/our-services-and-locations/our-locations/clinics-health-centres/staveley-clinic
Quality and safe care champions
https://dchs.nhs.uk/about-us/quality-heart-our-care/quality-always/quality-and-safe-care-champions
Files
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.
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.
A4 - Nail Surgery Post Operative Advice Sheet (S72)
Nail Surgery Post Operative Advice Sheet
A4 - Hoverjack And Hovermatt User Log (S78)
Hoverjack And Hovermatt User Log (S78)
Appendix 2 - Launching a Video Consultation from the Appointment Ledger in SystmOne (S82)
Launching a Video Consultation from the Appointment Ledger in SystmOne
APPENDIX 7 - Investigation meeting - Witness.docx
HRP24 Appendix 7 - Investigation meeting - Witness
Fridge and Room Temperature Monitoring (A1 - S74)
Fridge and Room Temperature Monitoring
DNA ISHS Standard Operating Procedure
DNA ISHS Standard Operating Procedure
DCHS Draft Operational Plan BOARD Jun21 AccessStd (003).pdf
Operational Plan 2021-2022
SAMA Template 01 File Note
Template 01 - File note