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Missing Patient Procedure Including Section 18 Concern for Safety and Welfare (S23)

This procedure has been developed to inform hospital staff what action to take when a detained patient is absent without leave from the hospital where they are liable to be detained under the Mental Health Act 1983. Guidance when an informal patient’s whereabouts is unknown and this includes patients that may be missing from other in-patient areas. The procedure aims to provide a consistent and easy to follow approach thus supporting the staff and protecting some of our most at risk and vulnerable patients.

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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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A6 – Competency framework for podiatry assistants – wound care (S107)

Competency framework for podiatry assistants – wound care

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Patient (or carer) Initiated Follow-up SOP Dementia Palliative Care Service (S132)

Patient initiated follow-up (PIFU) describes when a patient (or their carer) can initiate their follow-up visit as and when required, e.g., when symptoms or circumstances change. This SOP defines the process, roles, and responsibilities for the following: • Identifying which patients PIFU is right for • Moving a patient onto a PIFU pathway • Booking visits which have been initiated by a patient or carer • Managing patients who do not initiate a review/home visit within the PIFU timescale • Discharging or booking reviews at the end of that patient’s PIFU timescale • Monitoring compliance Dementia Palliative Care Service are in the process of piloting a PIFU process for 12 months. The pilot will be reviewed every 3 months with a final review post 12 months.

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Appendix 6 – Confirmation Letter for Work Experience/Placement/Return to Practice Agreement .docx

Appendix 6 – Confirmation Letter for Work Experience/Placement/Return to Practice Agreement

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Staff in Mental Health Crisis - Support Pathway - Managers Guide.pdf

Staff in Mental Health Crisis - Support Pathway - Managers Guide

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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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Administration of Methylprednisolone Acetate Injection SOP for Podiatrists (Depo-Medrone +- Lidocaine) (S93)

Guidance on the appropriate and safe administration of the corticosteroid injections exempted under podiatry POM-A