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Industrial Action Update - Issued on 16 January 2023

Ahead of this week’s planned industrial action by the Royal College of Nursing (RCN), we’ve developed an in-depth briefing which we hope colleagues will find useful. It also signposts to other helpful sources of information.

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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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The-DCHS-Clinical-strategy-Final-Version-3rd-June.pdf

DCHS Clinical Strategy 2019-2020

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Administration of Insulin Injection Policy and Standard Operating Procedure (P4)

There are a growing number of people who, because of disability, increasing age or infirmity, are unable to administer their own insulin and will need support. This guideline aims to promote standardisation and safety of insulin administration within Derbyshire Community Health Services (DCHS NHS FT). This document aligns with the Professional Guidance on the Administration of Medicines in Healthcare Settings (Royal Pharmaceutical Society 2019). Patient centred care based upon different ways of working underpins this policy and procedure as identified within the NHS Plan (DH 2000), the NSF for Older People (DH 2001), Making a Difference (DH 2001) and the NSF for Diabetes (DH 2002). UK Injection technique Recommendations have been considered alongside the need to consider safer sharps for staff (Forum for Injection Technique 2016). Underpinning the guidance are the most recent NICE and Derbyshire guidance for the management of diabetes (Joint Area Prescribing Committee 2018 NICE 2015) and National Patient Safety Alert (NPSA), ‘Risk of severe harm and death due to withdrawing insulin from pen devices,’ 16 November 2016.

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Adult Nutrition Food and Hydration Policy (P50)

This policy aims to improve the nutrition and hydration of all adult patients cared for by staff working throughout Derbyshire Community Health Services NHS Foundation Trust (DCHSNHSFT) including those with special/therapeutic dietary requirements. It explains how patients who are at nutritional risk can be identified, how nutritional status may be improved, what support there is from members of the multidisciplinary team and how support and training can be accessed. The major challenge for community hospitals and staff working within the community will be meeting the nutritional requirements of patients who are nutritionally vulnerable; hence much of this policy is based around nutrition support. By achieving the care in the Policy, it will allow the Trust to meet a number of voluntary and mandatory standards including the Care Quality Commission (CQC) Regulation 14: Meeting nutrition and hydration needs (2015), The Hospital Food Standards Panel’s report on standards for food and drink in NHS Hospitals (2014), NICE - Nutrition support in adults. Quality standard 24 (2012) and the British Association of UK Dieticians (BDA) – The Nutrition and Hydration Digest: Improving Outcomes through Food and Beverages Services 2nd Edition (2017) Whilst this Policy focuses primarily on nutrition, as an important nutrient, water cannot be overlooked. Detailed information on assessing and maintaining patients hydration needs can be found in the Appendix

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Manual Handling Operating Standards January 2022

Manual Handling Operating Standards January 2022, includes TILEO

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Stress Risk Assessment Discussion Template

DCHS Stress Risk Assessment Discussion Template: use this template as a guide for a team discussion and assessment on team areas of stress and solutions.

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GD35 Employment Break Guide - Appendix 1 Application Form

GD25 Employment break guide application form

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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.

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A4 - Nail Surgery Post Operative Advice Sheet (S72)

Nail Surgery Post Operative Advice Sheet

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A4 - Hoverjack And Hovermatt User Log (S78)

Hoverjack And Hovermatt User Log (S78)