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Standard Operating Procedures for The Community Diabetes Specialist Nursing Team (S86)

Recommended practices that were evidence based and would provide guidance to all members of staff treating patients with Diabetes. This SOP should help to streamline care for patients with Diabetes and allow further integration with the acute team.

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A2 - Hovermatt User Manual (S78)

Hovermatt User Manual (S78)

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A5 – Referral back to podiatrist by podiatry assistant (S107)

Referral back to podiatrist by podiatry assistant

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SAMA Template 11 Wellbeing meeting invite

Template 11 Wellbeing Meeting Invite

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Template 26 SAMA Final review meeting record

Template 26 Final Review Meeting Record

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Tissue Viability Strategy 2021-2024

DCHS Tissue Viability Strategy 2021-2024

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Nail Surgery Protocol for Podiatrists (S72)

The purpose of this document is to provide an evidence based approach to the diagnosis and podiatric management of ingrown toenails.

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Transcribing Medicines including Insulin for Patients in their Own Homes (Including Care Homes) SOP (S29)

This procedure sets out how to record medicine administration, which will make use of transcribing as detailed in the above document.

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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.

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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.