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DCHS employs temporary staff via our bank or from agencies. The temporary staffing team support this activity, including Covid-19 temporary staffing.

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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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Stress Risk Assessment Discussion Template

DCHS Stress Risk Assessment Discussion Template: use this template as a guide for a team discussion and assessment on team areas of stress and solutions.

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DCHS operational plan 19-04-22

DCHS Operational Plan 2022-2023 (Board approved) - includes details on our 7 priorities and how we will measure our activity/achievment in these priority areas.

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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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Standard Operating Procedure for Medicines Management in the ISHS Community Setting (Pop up Clinic) (S134)

This SOP sets out the actions taken to facilitate the safe transportation, administration and monitoring of any medications used in the community setting in line with the medicines code.

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The-DCHS-Clinical-strategy-Final-Version-3rd-June.pdf

DCHS Clinical Strategy 2019-2020

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SAMA Template 13 Review meeting invite

Template 13 Review Meeting Invite Letter

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SAMA Template 29 OH Referral Questions

Template 29 OH Referral Questions

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Administration of Medicines in an Emergency Situation for Adults SOP (S30)

S30 - Administration of Medicines in an Emergency Situation for Adults SOP

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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