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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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Standard Operating Procedure for the Issue of Procaine Penicillin outside of ISHS services (S83)

This SOP sets out the actions which should be taken to facilitate the administration of the procaine penicillin outside of ISHS opening hours.

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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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APPENDIX 5 - Allegations under the Disciplinary Policy.docx

HRP24 Appendix 5 - Allegations under the Disciplinary Policy

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Cancellation of Clinic Standard Operating Procedure (S153)

Cancellation of Clinic Standard Operating Procedure

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Appendix C Standard Factual Reference Template.docx

Appendix C Standard Factual Reference Template

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Appendix 4 GD40 - Job Evaluation Questionnaire (JAQ) Flowchart.docx

GD40 - Job Evaluation Questionnaire (JAQ) Flowchart

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Sudbury Prison Patients referred to DCHS Outpatient Therapy, MSK & Podiatry Services (S69)

When patients from Sudbury Prison are referred from secondary care to Out Patient therapy, MSK or Podiatry, for example post-operative patients, they occasionally require a chaperone. Sudbury prison is a category D prison. Some prisoners will need one officer to accompany them whilst on probation. Prisoners may be able to attend appointments alone in line with prison risk assessment. Prisoners requiring two officers should not be seen in the department as advised by Head of Security at Sudbury Prison

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Near Patient Testing Standard Operating Procedure (S59)

S59 - Near Patient Testing Standard Operating Procedure