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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.

DCHS COVID-19 Staff Isolation Risk Assessment V9

Standard Operating Procedure for seated patient lifting device in community settings following a fall (S96)

This standard operating procedure sets out the process by which clinicians working within Integrated Community Services are able to utilise a seated lifting device (e.g. Mangar Elk or Camel) to support patients who have fallen in their home environment. This will prevent long lies and use of emergency ambulance personnel for retrieval only. The aim of this procedure is to support clinicians to: • Understand the purpose and use of the device • Ensure the response using the device is appropriate. • Ensure clinical documentation is properly completed.

APPENDIX 5 - Allegations under the Disciplinary Policy.docx

HRP24 Appendix 5 - Allegations under the Disciplinary Policy

Cancellation of Clinic Standard Operating Procedure (S153)

Cancellation of Clinic Standard Operating Procedure

Word Mediation Referral Forms - DCHS.docx

Mediation Referral Form - DCHS

Invite to Stage 3 - Supporting Maintaining Attendance (SAMA).docx

Invite to Stage 3 Meeting - Supporting Maintaining Attendance

Temperature Monitoring of Medicines Storage Rooms SOP (S74)

Aim of SOP; to reduce risk to patient safety by monitoring exposure of medicines to high temperatures. DCHS accepts that the storage of medicines may exceed 25°C in exceptionally hot weather. However, all staff must follow the actions outlined in this SOP to reduce this risk.

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.

Patient Manual Handling Policy (P76)

This policy describes how the Trust will comply and maintain compliance with the regulations. It will ensure that the Trust actively reduces the risk of injury from the moving and handling of patients and thereby reduce the incidence of patient injuries, and of musculoskeletal disorders within the staff population working in the clinical setting of the Trust.

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