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Potassium Permanganate SOP (S103)

The aim of this Standard Operating Procedure (SOP) is to provide staff with safety information and clear processes to follow for patients under their care who are prescribed or using potassium permanganate, or where it is required to be stored. This SOP forms part of DCHS’s response to the National Patient Safety Alert.

Assembly of Lung Volume Recruitment (LVR) Kit in the Community Respiratory Service SOP (S129)

To provide instructions to Community Respiratory Service clinical staff in how to assemble an LVR kit correctly, and where and how to store them safely and securely.

Implementation of National Guidance Policy (P44)

All patients should have fair access to high quality care which is based on clear evidence of best practice. There are many examples of documents issued either by the Department of Health or bodies such as the National Institute of Health and Care Excellence (NICE) which set out the requirements for organisations to follow either as mandatory targets or as best practice guidance and professional advice. This policy sets out the process for the dissemination and implementation of national guidance within Derbyshire Community Health Services NHS Foundation Trust (DCHSFT). This policy aims to provide a clear process to ensure that national guidance for example NICE, Care Quality Commission Reviews, or NHS Improvement, are appropriately disseminated implemented and monitored across the organisation.

Undertaking a trial without catheter in a community setting Guideline and protocol (G93)

A trial without catheter (TWOC) is an essential part of the community nurse role. This routine procedure supports patients to remain within their own homes to receive health care. The Royal Marsden Manual Online of Clinical Nursing Procedures (2018) offers nursing guidance for urinary catheter removal but does not provide guidance for staff on how to undertake a TWOC safely at home or in a community hospital. This Guideline and protocol aims to provide evidence based recommendations to enable a trial without catheter to be undertaken in a community hospital or patients own home by a qualified competent practitioner.

Home Visit Standard Operating Procedure (S75)

Home Visit Standard Operating Procedure

Administration of Methylprednisolone Acetate Injection SOP for Podiatrists (Depo-Medrone +- Lidocaine) (S93)

Guidance on the appropriate and safe administration of the corticosteroid injections exempted under podiatry POM-A

Interim Standard Operating procedure for delivering intravenous (IV) diuretics within a patient’s home (S106)

An Ambulatory Heart Failure (AHF) service has been delivered by DCHS, in partnership with UHDB, on a day case basis at the Royal Derby Hospital site since 2016. Treatment is given using Intravenous (IV) diuretics which can be given daily either following discharge from the acute hospital or referral from the community setting. The development of a Cardiology Virtual Ward has been discussed during 2022 which once implemented will see intravenous diuretics being administered to patients in their own home in addition to the existing AHF service. As an interim step and to support the transition away from hospital and to home delivery along with assisting University Hospitals Derby and Burton (UHDB) with current bed pressures; it has been proposed that one of 3 rooms currently used for AHF on CCU be converted back to a bedroom and a small number of patients receive their treatment at home instead. This will also help assess the process prior to commencing the virtual ward on a larger scale.

APPENDIX 10 - Investigation meeting notes letter.docx

HRP24 Appendix 10 - Investigation meeting notes

A1 – Documentation on SystmOne TPP (S107)

Documentation on SystmOne TPP

Appendix 1 – Application for Employment Break Form.docx

Appendix 1 – Application for Employment Break Form

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