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My Download - 18 January 2022

Apologies for missing last week - we are very depleted in numbers in Comms and had to make some difficult decisions about priorities - last week media enquiries, the web, Operational Update and Team Brief made the list! Lots to share this week .... including how to access the new web, details about the mileage consultation, an update on the Belper plans and so much more!

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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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Patient Medication Reminder Cards SOP (S155)

The aim of this Standard Operating Procedure (SOP) is to advise staff which patients should be considered for a Patient Medication Reminder Card and to provide guidance on producing them.

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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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Standard Operating Procedures for The Community Diabetes Specialist Nursing Team (S86)

Recommended practices that were evidence based and would provide guidance to all members of staff treating patients with Diabetes. This SOP should help to streamline care for patients with Diabetes and allow further integration with the acute team.

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Driver Delivering Flu Vaccines - Standing Operating procedure for the flu campaign (S116)

Standing Operating procedure for the flu campaign September 2023

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Patient Initiated Follow-Up SOP for Community Therapy (S126)

Patient Initiated Follow-Up SOP for Community Therapy

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A6 – Competency framework for podiatry assistants – wound care (S107)

Competency framework for podiatry assistants – wound care

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Appendix 7 Secondment Evaluation Form.docx

Appendix 7 – Secondment Evaluation Form

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HRP14 Appendix 4 Wellbeing conversation template.docx

HRP14 Wellbeing Conversations Template

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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.