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Clinical-Strategy-on-a-page.pdf

DCHS Clinical strategy on a page/summary

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Undertaking a trial without catheter in a community setting Guideline and protocol (G93)

A trial without catheter (TWOC) is an essential part of the community nurse role. This routine procedure supports patients to remain within their own homes to receive health care. The Royal Marsden Manual Online of Clinical Nursing Procedures (2018) offers nursing guidance for urinary catheter removal but does not provide guidance for staff on how to undertake a TWOC safely at home or in a community hospital. This Guideline and protocol aims to provide evidence based recommendations to enable a trial without catheter to be undertaken in a community hospital or patients own home by a qualified competent practitioner.

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Home Visit Standard Operating Procedure (S75)

Home Visit Standard Operating Procedure

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Administration of Methylprednisolone Acetate Injection SOP for Podiatrists (Depo-Medrone +- Lidocaine) (S93)

Guidance on the appropriate and safe administration of the corticosteroid injections exempted under podiatry POM-A

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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.

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Patient Initiated Follow-up SOP (S125)

Patient Initiated Follow-up SOP

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Appendix 2 - Launching a Video Consultation from the Appointment Ledger in SystmOne (S82)

Launching a Video Consultation from the Appointment Ledger in SystmOne

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APPENDIX 7 - Investigation meeting - Witness.docx

HRP24 Appendix 7 - Investigation meeting - Witness

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Standard Operating Procedure For producing Certificates

Standard Operating Procedure For producing Certificates

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

Appendix 7a - Flexible Working Pattern Review - Confirmation Letter