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SOP For Designated Staff Accepting Influenza Vaccines Delivered from Walton Hospital Pharmacy Across Nominated DCHS Sites (S100)

Flu vaccination is offered to DCHS staff annually. Supplies are delivered directly to Walton Hospital Pharmacy, from where they need to be distributed to sites in a number of locations across Derbyshire prior to use. Flu vaccines require cold storage, in line with the product license. It is important to maintain the cold chain at all times as temperature excursions can adversely affect stability of the product. To set out a clear process for staff receiving deliveries of flu vaccinations in DCHS from Walton Hospital Pharmacy to ensure the cold chain is maintained and staff know what to do in the event of any breach.

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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.

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Nova Xpress 2 Blood Glucose Meters Standard Operating Procedure (S27)

Nova Xpress 2 Blood Glucose Meters Standard Operating Procedure

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Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)

The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.

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Inpatient Falls Prevention and Management Policy (P33)

The Trust’s aim is to prevent harm resulting from in-patient falls by assessing each patient individually and identifying their risk in order to develop a care plan to reduce these risks. There is an expectation that clinicians will use the policy framework within everyday practice within DCHS. DCHS Inpatient services are part of the DCHS Falls and Fracture Prevention framework which contributes towards the wider Derbyshire and Derby City Falls and Fracture Prevention Pathway in identifying and managing patients who are at risk of falls in hospital and onwards as part of discharge plans and communication. This policy incorporates guidance from the: - • NICE CG161(2013) “Falls: the assessment and prevention of falls in older people • National Patient Safety Agency (2011) on “Essential care after an inpatient fall” • NICE (2015) on “Head Injury: assessment and early management” The purpose of this policy is to support staff to identify patients who are at risk of falling and to identify the interventions required to reduce the risk of falls and minimise harm to each individual. This policy also provides guidance on how to implement the NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’

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Compressed Gases Operating Standards May 21

Compressed Gases Operating Standards

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Active Stand Standard Operating Procedure (S105)

To ensure that all staff are aware of the correct procedures when performing an active stand test. To ensure the protocol is standardised and staff are following safe working practices.

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A4 - Nail Surgery Post Operative Advice Sheet (S72)

Nail Surgery Post Operative Advice Sheet

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A1 - Hovermatt Brochure (S78)

Hovermatt Brochure

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APPENDIX 9 - Notes of Investigation Meeting.docx

HRP24 Appendix 9 - Notes of Investigation Meeting