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Message from Julie Houlder and Tracy Allen, on behalf of the DCHS Trust Board: Ongoing social unrest
St. Oswald's Hospital
https://dchs.nhs.uk/our-services-and-locations/our-locations/community-hospitals/st-oswalds-hospital
General Discussion
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Files
1205 - Control Drugs Authorised Signatory Record Sheet - Designated Practitioners
1205 Control Drugs Authorised Signatory Record Sheet - DESIGNATED PRACTITIONERS
L272 - Best Interest Document 2/3: What is important to you?
L272 - Best Interest Document 2/3: What is important to you? This booklet covers: • Some things about the Mental Capacity Act • What a best interest decision means
0182 - Request for the Provision of Negative Pressure Wound Therapy for Patients in Community Care
0182 - Request for the Provision of Negative Pressure Wound Therapy for Patients in Community Care
Appendix 3 - Guide to levels of risk of negative health consequences from dysphagia (G14)
Appendix 3 - Guide to Levels of Risk of Negative Health Consequences from Dysphagia
1060 - Anticipatory Medication (s.c.) Administration Chart and Stock Balance Sheet
1060 - Anticipatory Medication (s.c.) Administration Chart and Stock Balance Sheet
L29 - UTC Advice leaflet - Why an X-Ray may not be indicated
L29 - UTC Advice leaflet - Why an X-Ray may not be indicated
Identification and Treatment of Different Types of Moisture Lesions (G179)
A moisture lesion is most commonly associated with either incontinence or sweating between skin folds. If left untreated then skin is more at risk of pressure ulcer development. It is important to establish the cause of the moisture lesion in order to treat it correctly.
Informal Carers administration of PRN subcutaneous injection in Community Palliative care Guidelines for DCHS staff (G184)
A small number of dying patients’ relatives request permission to administer subcutaneous medication at home to enable symptom control. UK statutory law supports this practice within a safe governance structure. To support this in practice “The Derbyshire policy for Informal Carers Administration of an as required subcutaneous injection in Community Palliative care” has been developed and underpins these guidelines for Derbyshire Community Health Service (DCHS) staff.
Disconnection of Continuous Infusional Chemotherapy from a Central Venous Access Device (CVAD) in the Community SOP (S65)
The aim of this SOP is to provide guidance for staff in the clinical procedure of the disconnection of continuous infusion chemotherapy from a CVAD within a DCHS setting across adult services. This SOP is intended to reduce the level of risks associated with this procedure.
Was Not Brought - Did Not Attend - No Access Visit Policy (P88)
The purpose of this document is to outline the responsibilities of Derbyshire Community Health Services NHS Foundation Trust (DCHS) staff when parents/carers disengage from health services and there are concerns about the welfare of children and adults in their care. Laming (2003) and learning from serious case reviews and safeguarding adult reviews show that disengagement from healthcare may be partial, intermittent, persistent or terminal in nature. It is widely acknowledged that ‘was not brought’/‘non-attendance’ and avoidance of seeing health staff can be a sign that things are not as they should be within the family and/or person’s life. This may have serious consequences for some children and adults dependent on others to meet their care and support needs. It may also signal potential abuse or neglect. It is imperative that early non engagement with services is identified in order for health practitioners to consider if this is a safeguarding concern that requires a safeguarding referral, safety planning or escalation.