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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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APPENDIX 5 - Allegations under the Disciplinary Policy.docx

HRP24 Appendix 5 - Allegations under the Disciplinary Policy

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Cancellation of Clinic Standard Operating Procedure (S153)

Cancellation of Clinic Standard Operating Procedure

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Appendix C Standard Factual Reference Template.docx

Appendix C Standard Factual Reference Template

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Appendix 4 GD40 - Job Evaluation Questionnaire (JAQ) Flowchart.docx

GD40 - Job Evaluation Questionnaire (JAQ) Flowchart

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Sudbury Prison Patients referred to DCHS Outpatient Therapy, MSK & Podiatry Services (S69)

When patients from Sudbury Prison are referred from secondary care to Out Patient therapy, MSK or Podiatry, for example post-operative patients, they occasionally require a chaperone. Sudbury prison is a category D prison. Some prisoners will need one officer to accompany them whilst on probation. Prisoners may be able to attend appointments alone in line with prison risk assessment. Prisoners requiring two officers should not be seen in the department as advised by Head of Security at Sudbury Prison

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Near Patient Testing Standard Operating Procedure (S59)

S59 - Near Patient Testing Standard Operating Procedure

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Procedure for the Disposal of unwanted patient’s medicines in the community setting (patient’s own home) (S7)

Guidance to community staff on the procedure to follow regarding the destruction of a patient’s own medicines that are no longer required and are within the home setting.

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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.