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Disclosure Ref 202536 - Missed hospital appointments in Trust during 2024..pdf

Disclosure to freedom of information request regarding scheduled appointments were missed by patients (DNA/Did Not Attend) across all major hospitals

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Searching Patients and their Belongings Policy (P65)

The aim of this policy is to ensure that appropriate actions and control measures are in place for staff undertaking searches across DCHS, to maintain a consistent approach and to provide clinicians with guidance on the searching of patients and their belongings as recommended by the Mental Health Act 1983 code of practice 2015 and NICE guidance NG10. This will ensure that the safety of staff and the privacy of patients remains protected at all times.

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Smile4Life enquiry form.pdf

Smile4Life enquiry form, oral health early years supervised toothbrushing programme

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Guidelines for assessing pain in patients with Cognitive Impairment and or communication problems (G203)

Within DCHS 4 pain assessment tools have been provided to help meet patient’s individual needs: PAIN ASSESSMENT TOOL FOR PATIENTS WHO ARE ABLE TO COMMUNICATE – PAIN ASSESSMENT TOOL FOR PATIENTS WITH COGNITIVE IMPAIRMENT (Abbey Pain Scale) PAIN ASSESSMENT TOOL FOR USE WITH FAMILY AND CARERS OF PATIENTS WITH COGNITIVE IMPAIRMENT DISABILITY DISTRESS ASSESSMENT TOOL (DisDAT)

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Cauda Equina Warning Cards (G101)

Symptom Warning Cards for Cauda Equina

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Oral Suction Guidelines for Adults (G186)

Many people require oral suctioning to help with clearance of difficult secretions. This document is to support those using the equipment and administering the suctioning.

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Electronic Clinical Record Keeping Guidelines (G333)

All record keeping, using whatever medium should take account of the need to maintain communication between the multi-professional health care team providing care/treatment for the patient/client. All staff should ensure the correct record is opening by checking three patient identifiers: • The patients name; • Date of birth • And, NHS number/unique patient ID prior to opening the electronic record The following applies to electronic record keeping: The principle of confidentiality is equally important when electronic clinical records are being used, including those sent by email, and should comply with the Trust’s code of confidentiality, e-mail policy and information governance policy. Registered clinical staff are professionally responsible for making sure that whatever system they use it is fully secured and managed in such a way that confidentiality is maintained.

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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

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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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Identification Policy for Patients (P70)

Derbyshire Community Health Services NHS Foundation Trust (DCHS) aims to take all reasonable steps to ensure the safety of patients by having robust systems in place to confirm a patient’s identify. This policy provides guidance for staff to reduce the risk of misidentification of patients using the guidance issued in the National Patient Safety Agency (NPSA) Safer Practice Notice (2007) “Standardising wristbands improves patient safety”. This policy aims to: • Reduce the potential of harm to patients caused by misidentification; • Ensure compliance with National Patient Safety Agency (NPSA) advice.