Pages
My Download - 29 November 2021
DCHS weekly staff news and update
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/my-download-29-november-2021
Prem Singh – reflections from a career in public service
https://dchs.nhs.uk/news/prem-singh-reflections-career-public-service
Files
DCHS Blood Glucose Collection Points
Blood glucose monitor drop off points - including xxxx details
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.
Interim Standard Operating procedure for delivering intravenous (IV) diuretics within a patient’s home (S106)
An Ambulatory Heart Failure (AHF) service has been delivered by DCHS, in partnership with UHDB, on a day case basis at the Royal Derby Hospital site since 2016. Treatment is given using Intravenous (IV) diuretics which can be given daily either following discharge from the acute hospital or referral from the community setting. The development of a Cardiology Virtual Ward has been discussed during 2022 which once implemented will see intravenous diuretics being administered to patients in their own home in addition to the existing AHF service. As an interim step and to support the transition away from hospital and to home delivery along with assisting University Hospitals Derby and Burton (UHDB) with current bed pressures; it has been proposed that one of 3 rooms currently used for AHF on CCU be converted back to a bedroom and a small number of patients receive their treatment at home instead. This will also help assess the process prior to commencing the virtual ward on a larger scale.
Domestic Abuse - Childrens 0-19 Services Policy (P14)
This policy gives clear guidance on the standard expected of Specialist Community Public Health Nurses (Health Visitors and School Nurses) and other members of the 0-19 team when undertaking routine enquiry, managing disclosures of domestic abuse, responding to domestic abuse notifications, and supporting families experiencing the impact of domestic abuse. This document supports a commitment to evidence based practice across 0-19 children’s services.
Clinical Harms Review Additional detail for Service Level SOP (S133)
This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed to deliver a consistent approach to. • Risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which take into account health inequalities. • Monitoring waiting times against defined thresholds across pathways of care. • Delivering personalised, patient-centred communications to patients who are waiting for care. • Implementing Harm Reviews that support the Trusts governance and assurance processes and maintains practice in line with national expectations. The intention of the service level document is to provide specific detail on. • The risk stratification process in operation and clinically appropriate to specific service lines and patient cohorts • Waiting time thresholds for the relevant patient pathways
FINAL Chief Executive Designate - Stakeholder Briefing - 11 November 2021.pdf
Dr Chris Clayton appointment; Chief Executive JUCD
SOP for the supply or issue of Steroid Emergency Cards (S87)
Identify / supply to patients who require a Steroid Emergency card in the Community Hospitals setting, Urgent Treatment Centres, Podiatric Surgery, Integrated Community teams and specialist services such as Respiratory teams and Physiotherapy if a new Steroid Emergency card is needed or a Steroid Emergency Card has been lost
Enhanced Observation Policy (P61)
The purpose of this policy is to describe how supportive observations and engagement maximise people’s safety, minimise risk and initiate and build supportive therapeutic relationships. During times of increased distress or risk, a person may require a temporary period of an enhanced level of supportive engagement to maintain safety for him/her or others while the level of distress or risk is reduced. This will be achieved by establishing a good rapport with the person, promoting their coping skills and being aware of their individual needs/reasonable adjustments. This policy sets out evidence-based practice for individual clinicians, teams and services regarding the engagement and observations of patients being cared for in DCHS inpatient Older People Mental Health and Learning Disability Services only. Observation is seen as an integral part of person-centred treatment planning and contributes to the management and reduction of risk. All forms of observation however will have implications for the patients’ privacy and dignity. The level of observation for each person should be justified as reasonable and proportionate to the degree of risk they pose to either themselves or others and to enable their care needs to be safely met. The aim of The Policy is to provides clear evidence-based guidance for the observation of patients within Older People’s Mental Health and the Learning Disability Service. All persons cared for in Older People’s Mental Health and Learning disability clinical areas are observed by the staff.
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.
Disconnection of Continuous Infusional Chemotherapy from a Central Venous Access Device (CVAD) in the Community SOP (S65)
The aim of this SOP is to provide guidance for staff in the clinical procedure of the disconnection of continuous infusion chemotherapy from a CVAD within a DCHS setting across adult services. This SOP is intended to reduce the level of risks associated with this procedure.