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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.

Smallpox Vaccine for Mpox– Receiving Delivery, Unpacking of Frozen Vaccine and Transfer to Fridges to Thaw Standard Operating Procedure (S97)

As part of the national response to the monkeypox incident, DCHS will be receiving frozen smallpox vaccine (currently Imvanex and Jynneos, may be alternative brand in future) the modified vaccinia Ankara (MVA-BN) to be able to vaccinate appropriate people in line with national guidance. This SOP describes the process of receiving a delivery of the smallpox vaccine, unpacking frozen smallpox vaccine and transfer into a fridge to thaw.

Children’s Services Immunisation Policy 0-19 Years (P2)

The current immunisation schedule has been designed to provide early protection against infections that are most dangerous for the very young. This is particularly important for diseases such as whooping cough, pneumococcal, Hib and meningococcal serogroup C infection. Providing subsequent immunisations and booster doses ensures continued protection against these diseases. Additional vaccinations are offered at specific points throughout the child, young person, and adult’s life to provide protection against infections before they reach an age at which they become at increased risk from certain vaccine-preventable diseases. Recommendations for the age at which vaccines should be administered are therefore informed by the age-specific risk for a disease, the risk of disease complications and the ability to respond to the vaccine. The recommended immunisation schedule should therefore be followed as closely as possible. Health Care professionals employed by Derbyshire Community Services Foundation Trust (DCHSFT) have a responsibility to promote the benefits of immunisation in a consistent, clear and evidence based way to parents, carers, and young people. The overarching aim of the policy is to therefore support practitioners to fulfil the requirements of their commissioned role in delivering the national universal childhood immunisation programme, alongside any targeted immunisation schedules safely and competently.

A2 - Hovermatt User Manual (S78)

Hovermatt User Manual (S78)

APPENDIX 8 - Investigation meeting Invite.docx

HRP24 Appendix 8 - Investigation meeting invite

Template 06 Return to Work Meeting Form NEW.docx

HRP20 Supporting and Maintaining Attendance Manager Guide Template 06 Return to Work Meeting Form

Template 23 Long term review meeting record NEW.docx

HRP20 Supporting and Maintaining Attendance Policy - Template 23 Long Term Review Meeting Record

Appendix 7a - Flexible Working Pattern Review - Confirmation Letter.docx

Appendix 7a - Flexible Working Pattern Review - Confirmation Letter

Appendix 1 Workplace Orientation Form.docx

Appendix 1 Workplace Orientation Form

Appendix 9 – Confidentiality Statement Work Experience Placement Return to Practice.docx

Appendix 9 – Confidentiality Statement Work Experience Placement Return to Practice

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