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Active Stand Standard Operating Procedure (S105)

To ensure that all staff are aware of the correct procedures when performing an active stand test. To ensure the protocol is standardised and staff are following safe working practices.

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Uniform and Dress Code Policy (P3)

Staff working within Derbyshire Community Health Services (DCHS) NHS Foundation Trust are required to adhere to a safe, hygienic and appropriate uniform and dress code policy. Therefore the purpose of this policy is to clarify the standards that staff are required to comply with. DCHS recognises the importance of appearance and attire in providing a professional image when working with clients and representing the Trust. All staff working clinically or visiting a clinical area have a responsibility for safeguarding patients in respect of reducing hospital acquired infections, therefore all clinical staff should adhere to the best practice guidelines as set by the Department of Health’s Best Practice Guidelines found in Uniforms and Work Wear DOH March 2010, An Evidence Base for Developing a Local Policy (DH)

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Adult Enteral Feeding Policy (P48)

The purpose of the policy is to provide best practice guidance for the care of adults fed via with an enteral feeding tube. The aim of the policy is to ensure delivery of safe and effective care for patients who are enterally tube fed within Derbyshire Community Health Services: • Community Hospitals, • Community Services • Care Homes And to ensure continuity of care within Derbyshire Community Health Service Foundation Trust.

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Guidelines for the Recognition and Management of Infected Wounds (G29)

A framework to enable health care practitioners to deliver best practice in wound care, specifically by providing a tool to be utilised to aid the recognition and management of infected wounds

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Standard Operating Procedure (SOP) for The T34 and Bodyguard Syringe Drivers (S61)

A subcutaneous infusion pump is an effective method of administering therapeutic drugs via subcutaneous route, which can no longer be tolerated orally or rectally by the patient. The aim of this SOP is to provide guidance for staff in the use of the McKinley T34 pump across adult services. Using a uniform SOP will reduce the level of risks associated with syringe pump management within DCHS.

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Deprivation of Liberty DoLs Policy (P35)

The Mental Capacity Act 2005 aims to empower people to make decisions themselves wherever possible and sets out the steps which must be taken to promote this. Where a person lacks the capacity to make a particular decision it provides a statutory framework for acting and making decisions on their behalf, and in their best interests (see the DCHS Mental Capacity Act Policy and Appendix 3 Tips on assessing capacity) The Deprivation of Liberty Safeguards (DoLS) is an addendum to the Mental Capacity Act (2005) that came into force in 2009. It ensures that any Best Interests decision that deprives someone of their Article 5 right to liberty (European Convention of Human Rights) is made according to defined processes and in consultation with specific authorities. It applies where a person needs to be accommodated in a hospital or a care home in order to receive care or treatment for which they cannot consent. The DoLS were introduced to protect an individual’s rights under such circumstances, and ensure that any care or treatment that they receive, including where this involves the use of restraint or restrictions, is proportionate to the risk of harm they would otherwise be at and in their best interests.

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ReSPECT Policy (P89)

This policy aims to clarify the ReSPECT process and takes into account the complex clinical considerations and ethical issues regarding both the making and the communication of decisions relating to limiting potentially life sustaining treatments, including CPR. The policy encourages health and social care professionals to engage in conversations with patients about advance care planning and to recognise our responsibility to do so. Application of this policy will assist our patients and the public to anticipate having these conversations as a routine part of their care and to recognise the importance of planning ahead for a future emergency.

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Urgent Community Response Clinical Lead Role Statement v2

Urgent Community Response Clinical Lead Role Statement - includes how to apply and ask questions

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DCHS Blood Glucose Collection Points

Blood glucose monitor drop off points - including xxxx details

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Domestic Abuse and Sexual Violence - Guidance for Supporting Patients (G248)

The purpose of this document is to outline the responsibilities of Derbyshire Community Health Services NHS Foundation Trust (DCHS) staff when patients disclose that they are either victims or perpetrators of domestic abuse and/or sexual violence. To raise awareness and understanding about the impact of domestic abuse and sexual violence on victims and their families. To provide information about the practical help and support that is available to patients of DCHS who are currently experiencing domestic abuse or are experiencing trauma as a result of their past experiences of abuse.