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Podiatry - Community Podiatry Service

The community podiatry service provides assessment, diagnosis and treatment to a range of patients with lower limb and foot problems, including; - People with long term conditions such as diabetes, vascular disease, amputees, connective tissue disorders, stroke, Parkinson's disease - People with multiple and complex needs e.g. dementia, falls - People with biomechanical problems e.g. gait /postural problems - People requiring wound care to the foot - People requiring nail surgery - People with severe foot and ankle problems and conditions.

Files

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1195 - Blood Transfusion Pathway – Stepping Hill Hospital

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

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L223 - Managing Breathlessness Leaflet

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

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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.

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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.

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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.

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Identification Policy for Patients (P70)

Derbyshire Community Health Services NHS Foundation Trust (DCHS) aims to take all reasonable steps to ensure the safety of patients by having robust systems in place to confirm a patient’s identify. This policy provides guidance for staff to reduce the risk of misidentification of patients using the guidance issued in the National Patient Safety Agency (NPSA) Safer Practice Notice (2007) “Standardising wristbands improves patient safety”. This policy aims to: • Reduce the potential of harm to patients caused by misidentification; • Ensure compliance with National Patient Safety Agency (NPSA) advice.

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Neck.png

Picture of neck anatomy

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New Birth Review Guidelines - 0-19 Children’s Services (G207)

This Best Practice Guidance gives clear guidance on the minimum standard expected of Specialist Community Public Health Nurses (Health Visitors) when delivering the New Birth Review. It outlines the goal and essential components of the New Birth Review offered to all families in Derbyshire when their baby is 10-14 days old. This document also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the national commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care.

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L288 - Using phenoxymethylpenicillin tablets when liquid medication is unavailable

Advice for parents on administering phenoxymethylpenicillin Tablets to Children when liquid medication is unavailable.

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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.