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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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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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A2 - Hovermatt User Manual (S78)

Hovermatt User Manual (S78)

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APPENDIX 9 - Notes of Investigation Meeting.docx

HRP24 Appendix 9 - Notes of Investigation Meeting

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A2a – Eligibility for NHS Podiatry service (S107)

Eligibility for NHS Podiatry service

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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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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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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.