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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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A5 – Referral back to podiatrist by podiatry assistant (S107)

Referral back to podiatrist by podiatry assistant

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Patient (or carer) Initiated Follow-up SOP Dementia Palliative Care Service (S132)

Patient initiated follow-up (PIFU) describes when a patient (or their carer) can initiate their follow-up visit as and when required, e.g., when symptoms or circumstances change. This SOP defines the process, roles, and responsibilities for the following: • Identifying which patients PIFU is right for • Moving a patient onto a PIFU pathway • Booking visits which have been initiated by a patient or carer • Managing patients who do not initiate a review/home visit within the PIFU timescale • Discharging or booking reviews at the end of that patient’s PIFU timescale • Monitoring compliance Dementia Palliative Care Service are in the process of piloting a PIFU process for 12 months. The pilot will be reviewed every 3 months with a final review post 12 months.

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HRP02 Secondary Employment Policy Appendix B Working Time Regulation Opt Out Form.docx

HRP02 Secondary Employment Policy - Appendix B Working Time Regulation Opt Out Form

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Template 11 Wellbeing meeting invite NEW.docx

HRP20 Supporting and Maintaining Attendance Manager Guide Template 11 Wellbeing Meeting Invite

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Template 28 OH Referral Questions NEW.docx

HRP20 Supporting and Maintaining Attendance Policy - Template 28 Occupational Health Referral Questions

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Word Mediation Referral Forms - DCHS.docx

Mediation Referral Form - DCHS

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DCHS Draft Operational Plan BOARD Jun21 AccessStd (003).pdf

Operational Plan 2021-2022

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SAMA Template 01 File Note

Template 01 - File note

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Clinical Strategy.pdf

DCHS Clinical Strategy