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Community Response Team-Derby City Rapid Response SOP - Medication Delegation, Support and Assistance of Medication Administration for Support Workers (S127)

This Standard Operating Procedure (SOP) aims to outline the process for providing clear guidance to medication support and assistance, delegation to the support workers/support worker supervisors and what training they need to complete for them to be able to support the patients in the service.

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Clinical Harms Review Additional detail for Service Level SOP (S130)

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: • Utilising a proactive method of risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which consider 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 for the that support the Trusts governance and assurance processes and maintains practice in line with national expectations.

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Example Policy (docx)

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Searching Patients and their Belongings Policy (P65)

The aim of this policy is to ensure that appropriate actions and control measures are in place for staff undertaking searches across DCHS, to maintain a consistent approach and to provide clinicians with guidance on the searching of patients and their belongings as recommended by the Mental Health Act 1983 code of practice 2015 and NICE guidance NG10. This will ensure that the safety of staff and the privacy of patients remains protected at all times.

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Smile4Life enquiry form.pdf

Smile4Life enquiry form, oral health early years supervised toothbrushing programme

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Guidelines for assessing pain in patients with Cognitive Impairment and or communication problems (G203)

Within DCHS 4 pain assessment tools have been provided to help meet patient’s individual needs: PAIN ASSESSMENT TOOL FOR PATIENTS WHO ARE ABLE TO COMMUNICATE – PAIN ASSESSMENT TOOL FOR PATIENTS WITH COGNITIVE IMPAIRMENT (Abbey Pain Scale) PAIN ASSESSMENT TOOL FOR USE WITH FAMILY AND CARERS OF PATIENTS WITH COGNITIVE IMPAIRMENT DISABILITY DISTRESS ASSESSMENT TOOL (DisDAT)

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Cauda Equina Warning Cards (G101)

Symptom Warning Cards for Cauda Equina

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Oral Suction Guidelines for Adults (G186)

Many people require oral suctioning to help with clearance of difficult secretions. This document is to support those using the equipment and administering the suctioning.

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Electronic Clinical Record Keeping Guidelines (G333)

All record keeping, using whatever medium should take account of the need to maintain communication between the multi-professional health care team providing care/treatment for the patient/client. All staff should ensure the correct record is opening by checking three patient identifiers: • The patients name; • Date of birth • And, NHS number/unique patient ID prior to opening the electronic record The following applies to electronic record keeping: The principle of confidentiality is equally important when electronic clinical records are being used, including those sent by email, and should comply with the Trust’s code of confidentiality, e-mail policy and information governance policy. Registered clinical staff are professionally responsible for making sure that whatever system they use it is fully secured and managed in such a way that confidentiality is maintained.

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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.