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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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Learning from Death’s Policy (P72)

This policy confirms the process to ensure a multi-disciplinary, consistent and coordinated approach for the review of deaths that occur in all DCHS in-patient and community team caseloads. The aim of the learning from deaths process is to identify any areas of practice both specific to the individual case and beyond that could potentially be improved, based upon peer group review. Areas of good practice are also identified and supported. To describe in detail the three-stage mortality review process within the Trust, detailing how reviews should be completed, by whom and when to ensure that learning from deaths is made a Trust priority and leads to developments and improvements in patient care.

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L226 – “Working Together” Patient and Public Involvement (PPI) Information Leaflet

Patient information leaflet about PPI, Patient and Public Involvement.

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Tier 3 Weight Management A4 patient information NS.pdf

Tier 3 Weight Management patient information leaflet

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Declaration - Staff Nursing.pdf

Staff Nursing Declaration

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Outpatient physio FAQs Jan 2022.pdf

DCHS outpatient physio FAQs Jan 2022

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Patient Guidance for Video Consultations.pdf

Patient Video Consultation – Joining a call

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A6 – Audit template - Transfusion activity (P25)

Audit template - Transfusion activity (P25)

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Site Specific Decontamination Roles and Responsibilities

Site Specific Decontamination Roles and Responsibilities

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0004 - Management of the Deceased - Infection Control Notification Form

0004 - Management of the Deceased - Infection Control Notification Form