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Missing Patient Procedure Including Section 18 Concern for Safety and Welfare (S23)

This procedure has been developed to inform hospital staff what action to take when a detained patient is absent without leave from the hospital where they are liable to be detained under the Mental Health Act 1983. Guidance when an informal patient’s whereabouts is unknown and this includes patients that may be missing from other in-patient areas. The procedure aims to provide a consistent and easy to follow approach thus supporting the staff and protecting some of our most at risk and vulnerable patients.

Requesting and Managing Pathology Results within DCHS Community Hospital Wards SOP (S98)

The purpose of this Standard Operating Procedure (SOP) is to outline the steps required to effectively manage the requesting, receiving, filing and actioning of all pathology results by either an electronic process or by a relevant paper-based system. Utilising an electronic system (such as ICE) enables pathology requests to be requested, reviewed and actioned electronically via the electronic patient record within TPP SystmOne. There are an estimated 1.12 billion pathology tests undertaken each year in England (NHS England, 2020) It is imperative a record of all pathology samples is accurately maintained to avoid patient harm and improve patient outcomes (WHO, 2021). The Care Quality Commission (2021) inspects the management of test results to ensure processes are robust, practice is safe and care is effective.

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.

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.

HRP05 Appendix A Close Personal Relationships at Work Policy Declaration Form.docx

HRP05 Close Personal Relationships at Work Policy Declaration Form

Reasonable Adjustments Passport Template.docx

Reasonable Adjustments Passport Template

Appendix 7a - Flexible Working Pattern Review - Confirmation Letter.docx

Appendix 7a - Flexible Working Pattern Review - Confirmation Letter

Appendix 1 Workplace Orientation Form.docx

Appendix 1 Workplace Orientation Form

Appendix 9 – Confidentiality Statement Work Experience Placement Return to Practice.docx

Appendix 9 – Confidentiality Statement Work Experience Placement Return to Practice

Temperature Monitoring of Medicines Storage Rooms SOP (S74)

Aim of SOP; to reduce risk to patient safety by monitoring exposure of medicines to high temperatures. DCHS accepts that the storage of medicines may exceed 25°C in exceptionally hot weather. However, all staff must follow the actions outlined in this SOP to reduce this risk.

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