Pages
Two major health and care recruitment events in March
https://dchs.nhs.uk/news/two-major-health-and-care-recruitment-events-march
A big day for Ilkeston’s diagnostics development
https://dchs.nhs.uk/news/big-day-ilkestons-diagnostics-development
Files
Electronic Prescribing in the Community SOP (S77)
The purpose of this Standard Operating Procedure (SOP) is to outline the steps required for community prescribers to utilise the Electronic Prescription Service (EPS – also known as ETP2). EPS enables community prescribers to transfer prescriptions electronically to the patient’s nominated pharmacy via the Spine which can then be collected without the need for a paper prescription.
Verification of Adult Death Policy (P51)
When a person dies, a number of steps need to be completed to allow legal registration of the death and for a funeral to take place: 1. Confirmation of the fact of death. 2. Certification of the medical cause of death or referral to the Coroner. 3. Registration of the Death. Obtaining a burial or cremation order. The aim of this policy is to provide a framework for the timely verification of adult deaths by competent registered clinicians. It will enable staff to care appropriately for the deceased and minimise distress for families and carers following a death. Timely verification – within one hour in a hospital setting and within four hours in a community setting – is an important stage in the grieving process for relatives and carers and also a key time for support (Wilson et al, 2017).
Venous Thromboembolism (VTE) Prophylaxis Policy (P8)
Venous Thromboembolism (VTE) is a leading cause of avoidable death in the UK. It is estimated that VTE causes in excess of 25,000 potentially preventable deaths per annum in UK hospitals – five times the estimated number of deaths each year from hospital-acquired infection. In the UK as a whole this figure is approximately 60,000 preventable deaths each year (DH, 2007). The implementation of evidence based guidelines first published by the National Institute of Clinical Excellence (NICE) in 2010 focussing on the prevention of VTE in hospitalised patients has been afforded a high priority by the Department of Health and commissioners. VTE risk assessment is a former national CQUIN indicator and is a National Quality Requirement in the NHS Standard Contract for 2019/20 (NHSE, 2019). It sets a threshold rate of 95% of adult inpatients being risk assessed for VTE on admission each month. This policy and the accompanying clinical documentation will enable clinicians to reduce mortality and morbidity associated with this VTE through screening patients admitted for day surgery or inpatient care and those attending Minor Injury Unit / Urgent Treatment Centres, educating patients and carers about preventative measures, initiating prophylactic treatment and recognising signs of VTE development.
Wound Assessment SOP (S62)
The purpose of this document is to provide a clear written procedure for staff to understand what information is required when assessing a wound using the wound assessment template on SystmOne. It will include information about when to refer to different services and key information about individual accountability to the patient in wound care. This document will be available to all nurses in Community Health Services and to new starters. It will provide them with a single reference point for how to assess a wound and action to be taken in the event of problems, concerns or complaints.
Self Administration of Medicines Procedure (S28)
The aim of this procedure is to advise ward staff in the community hospitals of the process to be taken in supporting appropriate patients to self-administer their own medicines whilst an inpatient in a DCHS hospital.
Medical Devices Policy (P27)
The aim of this document is to outline a standardised approach to purchasing, deployment, maintenance, repair and disposal of medical devices within the Trust and the services commissioned by the Trust. The purpose of this policy is to provide the means of ensuring that all acquisitions of items of medical equipment are made only after consideration and approval by the relevant management groups and in accordance with the procedures detailed within this policy and with all related DCHS policies, European Union (EU) public procurement rules, advice from the Medicines and Healthcare Products Regulatory Agency (MHRA) and statutory requirements.
Recognition of Patient Deterioration (Adults) Policy (P83)
The aim of this policy is to set the minimum standard and frequency for monitoring and recording adult patients’ vital signs in their own home, Minor Injuries Units, outpatient podiatric surgery and community hospital wards. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS (NHS Improvement, 2016, Hogan et al, 2012) and poor communication is a leading cause of adverse events in healthcare. The National Early Warning Score (NEWS) offers a common language to describe and communicate a patient’s acute illness severity by all healthcare professionals in all settings and is central to establishing a national pathway for improving the management of deterioration and sepsis (Inada-Kim and Nsutebu, 2018). This policy aims to increase survival among acutely unwell and deteriorating patients
How do I access the Derbyshire Shared Care Record.docx
Guide for staff on how to access the Derbyshire Shared Care Record
Policy for the maintenance and management of lifts
Policy for the maintenance and management of lifts, Insurance Inspector, Lift Management, thorough examination, lift servicing.
School Readiness Review Guidelines (G210)
This Best Practice Guidance gives clear guidance on the minimum standard expected of Community Nursery Nurses (CNNs) when delivering the school readiness review. It outlines the goal and essential components of the school readiness review offered to all families in Derbyshire when their child is around 3.5 years old. This document also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the national commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care. It is expected that Nursery Nurses employed by DCHS exercise professional judgement and have clear, documented evidence of the rationale for their decision making when working with children and families, including making the decision to seek advice or support from a health visitor in the team when needed.