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Child Visiting Policy (P18)

The aim of this policy is to provide a process for staff when facilitating visits by a child/ren to (Derbyshire Community Health Services FT) DCHS inpatient and day case services, including services where patients are detained under the Mental Health Act (1983). Maintaining effective family contact and dynamics has been shown to often be crucial for a full recovery for people with mental health problems. Health professionals must be aware that the needs of the child come first, and they must not be put at significant risk of harm. Working Together to Safeguard Children (2018) sets out how organisations and individuals should work together to safeguard and promote the welfare of children and young people in accordance with Section 11 of the Children Act 2004. All health professionals and organisations have a key role to play in safeguarding and promoting the welfare of children. Many DCHS services do not directly work with children; staff working within these services may indirectly become involved in the welfare of child visitors as part of their daily case management.

Suicidal_thoughts_-_how_to_support_someone_factsheet.pdf

Overcoming communication difficulties for staff, patients and visitors during COVID-19

Overcoming communication difficulties for staff, patients and visitors during COVID-19

DCHS Policy Update_October 2024.docx

Promotion and Management of Continence for Adult Services Policy (P10)

This policy aims to identify a framework for the standards of care and best practice for bladder, bowel and continence promotion. The range of multidisciplinary professionals involved in continence care is diverse, and it is therefore essential that a continence service delivers integrated working practices across organisational and professional boundaries in order to provide effective care and efficient use of resource. The information detailed within this document will assist healthcare professionals who are undertaking a continence assessment and sets the standards of care for patients who present with a bladder or bowel problem. The continence advisory service aims to provide a quality service to all adults registered with a Derbyshire or Derby City GP. People with continence needs should be seen at the most appropriate time by the most appropriate professional. Excellence in continence care (2018) suggests that the initial assessment is best undertaken by staff trained in continence care within in a community setting, the provision of a high-quality assessment is the foundation of high-quality continence care.

1195 - Blood Transfusion Pathway – Stepping Hill Hospital

1195 BLOOD TRANSFUSION PROCEDURE WITH STEPPING HILL HOSPITAL (SHH) BLOOD BANK

L223 - Managing Breathlessness Leaflet

L223 - Managing Breathlessness. A Respiratory Service patient information leaflet leaflet.

Guidelines for Using the Abbey Pain Scale (G204)

The Pain Scale is an instrument designed to assist in the assessment of pain in patients who are unable to clearly articulate their needs.

Medicine Code (S2)

This Code defines the roles and responsibilities of all health care professionals and ancillary staff involved in the ordering, storage, distribution, prescribing, dispensing and administration of medicines within DCHS. This Medicines Code extends the previous Medicines Codes and reviews them in light of current legislation and guidelines.

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.