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S158 - SOP for the treatment of CHRONIC HEART FAILURE IN THE COMMUNITY – FOR ADULTS

This document outlines the standards and core operational processes for delivering high-quality community care to people with heart failure, specifically guiding Heart Failure Nurses and Specialist Nurses within Derbyshire Community Health Services Foundation Trust. It aims to provide evidence-based recommended practices to streamline patient care and should be used alongside the HFSN Service Competency Framework and approved patient resources.

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A9 Management of Diabetic Patients on Insulin on Community Cardiac Rehabilitation Programmes (S109)

Procedure for how to manage diabetic patients on Insulin on Community Cardiac Rehabilitation Programmes

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Administration of Medicines in an Emergency Situation for Children SOP (S31)

S31 - Administration of Medicines in an Emergency Situation for Children SOP

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Falls Management Policy for use in Urgent Treatment Centres, Community and Outpatient settings (P32)

The Trust’s aim is to prevent harm resulting from falls that may occur by assessing each patient and identifying their individual risk and the interventions required. There is an expectation that clinicians who work in the community and who see patients in their own homes, extended care settings or in outpatient settings will use the policy framework as part of their everyday practice within DCHS. This policy incorporates key national guidance: - • NICE CG161 (2013) “Falls: the assessment and prevention of falls in older people • NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’. • NICE (2015) on ‘Head Injury: assessment and early management’ • BGS Fit for Frailty (2014) ‘Consensus best practice guidance for the care of older people living in community and outpatient settings’ • Public Health England (2019) ‘Preventing falls in people with learning disabilities: making reasonable adjustments’

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AGP inpatient Respiratory action card physiotherapy 01.05.2020.docx

AGP inpatient respiratory physiotherapy action card

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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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APPENDIX 10 - Investigation meeting notes letter.docx

HRP24 Appendix 10 - Investigation meeting notes

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A1 – Documentation on SystmOne TPP (S107)

Documentation on SystmOne TPP

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Appendix 1 – Application for Employment Break Form.docx

Appendix 1 – Application for Employment Break Form

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Appendix 2 - Application for Work Experience .docx

Appendix 2 - Application for Work Experience