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World Arthritis Day - 12 October 22

The theme this year is - 'It's in your hands, take action'. It aims to encourage people with arthritis, their caregivers, families, and the general public to avail every opportunity to take action to improve their lifestyle.

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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.

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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.

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Remote Consultation (telehealth) – Standard Operating Procedure Planned Care and Specialist Services (S120)

This standard operating procedure sets out the process by which we will determine, for each patient, for each contact, when it is safe and effective to offer a remote consultation, and when a face to face consultation will be needed. This will ensure that all patients who wish to access remote consultation are able to do so equitably, based on clear clinical decision making.

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Appendix B Relocation Expenses Agreeement.docx

Appendix B Relocation Expenses Agreement

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Appendix 16 - Work Experience Matters - A Managers Guide.pdf

Appendix 16 - Work Experience Matters - A Managers Guide

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Supporting Maintaining Attendance (SAMA) Policy Transition to New Procedure Letter.docx

Supporting Maintaining Attendance (SAMA) Policy Transition to New Procedure Letter

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Clinical Strategy.pdf

DCHS Clinical Strategy

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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.