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End of Life - Directory of Services

Information hub for all clinicians, carers and family members, signposting to end of life support and resources available throughout Derbyshire.

Podiatry - Community Podiatry Service

The community podiatry service provides assessment, diagnosis and treatment to a range of patients with lower limb and foot problems, including; - People with long term conditions such as diabetes, vascular disease, amputees, connective tissue disorders, stroke, Parkinson's disease - People with multiple and complex needs e.g. dementia, falls - People with biomechanical problems e.g. gait /postural problems - People requiring wound care to the foot - People requiring nail surgery - People with severe foot and ankle problems and conditions.

Files

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APPENDIX 7 - Investigation meeting - Witness.docx

HRP24 Appendix 7 - Investigation meeting - Witness

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Standard Operating Procedure For producing Certificates

Standard Operating Procedure For producing Certificates

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Template 04 Reporting Recording Monitoring Absence Flow Chart NEW.docx

HRP20 Supporting and Maintaining Attendance Manager Guide Template 04 Reporting Recording Monitoring Absence Flow Chart

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Template 22 Long term absence review invite NEW.docx

HRP20 Supporting and Maintaining Attendance Policy - Template 22 Long Term Absence Review Invite

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Appendix 7 - Flexible Working Pattern Confirmation Letter.docx

Appendix 7 - Flexible Working Pattern Confirmation Letter

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SAMA Template 03 Self Certificate Form

Template 03 Self Certification of Sickness Form

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A9 Management of Diabetic Patients on Insulin on Community Cardiac Rehabilitation Programmes (S109)

Procedure for how to manage diabetic patients on Insulin on Community Cardiac Rehabilitation Programmes

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Drug Fridge and Freezer Temperature Monitoring Procedure (S48)

A clear standard procedure to assist and enable ward/unit staff to comply with the Medicines Code requirement to routinely monitor, record and act on drug fridge and freezer temperatures thus ensuring that patients receive effective, correctly stored refrigerated products.

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Temperature Monitoring of Medicines Storage Rooms SOP (S74)

Aim of SOP; to reduce risk to patient safety by monitoring exposure of medicines to high temperatures. DCHS accepts that the storage of medicines may exceed 25°C in exceptionally hot weather. However, all staff must follow the actions outlined in this SOP to reduce this risk.

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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.