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Patient Safety

Patient Safety is the freedom from harm in healthcare and is a process by which an organisation makes patient care safer.

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

Appendix 9 – Confidentiality Statement Work Experience Placement Return to Practice

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Post Registration Transition Programme for Newly Qualified Specialist Practice District Nurses Procedure (S53)

The aim of this document is to set out the processes that DCHS uses to support and develop Newly Qualified Specialist Practice District Nurses (NQDN) in their first year of employment. This is a process of support and guidance offered, on completion of the 1 year post reg. MSc/BSC SPQ during the first 12 months of employment as a band 6 Community Nursing caseload holder.

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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.

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HRP09 Maternity Leave and Pay Handbook_Appendix 1 Risk Assessment.docx

HRP09 Maternity and Pay Handbook Appendix 1 Risk Assessment

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Reference Template.docx

Reference Request Template

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Appendix 8 - Flexible Working Pattern.docx

Appendix 8 - Flexible Working Pattern

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Process Map 1 – Terminating Fixed Term Contracts Under Two Years’ Service and Over Six Month’s Probationary Service.docx

Process Map 1 – Terminating Fixed Term Contracts Under Two Years’ Service and Over Six Month’s Probationary Service

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Outcome stage 1 or 2 - Supporting Maintaining Attendance (SAMA).docx

Outcome Letter Stage 1 or 2 Supporting and Maintaining Attendance

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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.

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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.