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Meet your LGBT+ advocates
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/meet-your-lgbt-advocates
Message from Michelle Bateman - Registered Nursing Associates
An update from Michelle about how DCHS has supported the Nursing Associate role since 2019.
Meet Barbara: Derbyshire’s oldest working nurse?
https://dchs.nhs.uk/news/meet-barbara-derbyshires-oldest-working-nurse
Files
Example Policy (pdf)
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Hybrid Working and Mobile Devices Policy
DCHS Hybrid Working and Mobile Devices Policy The aim of this policy is to protect DCHS information that is processed remotely or is stored on mobile devices from loss or unwanted exposure, and to minimise the risk of theft of mobile working devices.
Section 17 Leave Policy Mental Health Act 1983 (P12)
P12 DCHS Section 17 Leave Policy Mental Health Act 1983. This Policy has been developed to assist and support staff in managing patients who are eligible for appropriate leave of absence from hospital in line and with reference to the Mental Health Act 1983 and the Mental Health Act (MHA) Code of Practice (CoP) (2015)
North Derbyshire OPAT (Outpatient Parenteral Antimicrobial Therapy) Pathway for Primary Care (Step-Up Pathway/Admission Avoidance) (G198)
OPAT services provide intravenous (IV) antibiotics to patients outside of the acute hospital inpatient setting. Patients who are otherwise medically fit, and who would otherwise require a hospital bed, can avoid admission to hospital, or be discharged sooner by receiving treatment either as an outpatient or within their own homes. In North Derbyshire, this is achieved by Chesterfield Royal Hospital Foundation Trust (CRHFT) working in partnership with Derbyshire Community Health Services (DCHS) Rapid Response Team (RRT).
Oral Suction Guidelines for Carers (G185)
These guidelines are aimed at providing Carers who are undertaking Oral suction with the information to undertake this safely.
L232 - Travelling with Lung Conditions
L232 - Travelling with Lung Conditions. A Respiratory Service patient information leaflet.
Post Registration Transition Programme for Newly Qualified Specialist Practice District Nurses Procedure (S53)
The aim of this document is to set out the processes that DCHS uses to support and develop Newly Qualified Specialist Practice District Nurses (NQDN) in their first year of employment. This is a process of support and guidance offered, on completion of the 1 year post reg. MSc/BSC SPQ during the first 12 months of employment as a band 6 Community Nursing caseload holder.
UTC Acute Wound Care Formulary (G99)
A comprehensive evidence‐based approach to acute wound management is an essential skill set for any Emergency Clinician or Urgent Care Practitioner and this adapted version of the DCHS wound care formulary has been devised to help facilitate this. The Urgent Treatment Centre (UTC) acute wound care formulary is designed to provide Clinicians with a comprehensive guide to wound dressing products and closure within this speciality. These products were originally selected using the Derbyshire Community Dressing Formulary and Wound Care Guidelines 2018 in version 1 and have been updated in conjunction with the updated version of this for 2022 and the East Midlands Tissue Viability Group
SOP Titration of Heart Failure Medication by Designated Nurses (S8)
This procedure has been developed to support trained designated nurses to alter the dosage of cornerstone therapies and loop diuretics for this specific group of patients
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.