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Clinical-Strategy-on-a-page.pdf

DCHS Clinical strategy on a page/summary

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SAMA Template 12 Employee Wellbeing Meeting outcome

Template 12 Employee Wellbeing Meeting Outcome Letter

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SAMA Template 27 Dismissal letter

Template 27 Dismissal letter - long term sick

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Tissue Viability Strategy 2021-2024

DCHS Tissue Viability Strategy 2021-2024

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Nail Surgery Protocol for Podiatrists (S72)

The purpose of this document is to provide an evidence based approach to the diagnosis and podiatric management of ingrown toenails.

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Transcribing Medicines including Insulin for Patients in their Own Homes (Including Care Homes) SOP (S29)

This procedure sets out how to record medicine administration, which will make use of transcribing as detailed in the above document.

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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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Delegation of Administration of Insulin to Adults in Residential Care Policy (P100)

There are a growing number of people who, because of disability, increasing age or infirmity, are unable to administer their own insulin and will need support. This guideline aims to promote standardisation and safety of insulin administration supported by Derbyshire Community Health Services (DCHS NHS FT). It underpins the guidance set out by governing bodies and organisations within the Acknowledgement of this policy

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Podiatry Service Wound Care Health Care Assistant (HCA) Protocol (S114)

The purpose of this document is to provide guidance on the delegation of podiatry care to a Wound Care HCA.

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Standard Operating Procedure for Medicines Management in the ISHS Community Setting (Pop up Clinic) (S134)

This SOP sets out the actions taken to facilitate the safe transportation, administration and monitoring of any medications used in the community setting in line with the medicines code.