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The-DCHS-Clinical-strategy-Final-Version-3rd-June.pdf

DCHS Clinical Strategy 2019-2020

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Covert Administration of Medicines Policy (P59)

The policy applies to patients who are being treated by Derbyshire Community Health Services Foundation Trust (DCHSFT) inpatient wards, units and pathway 2 care home beds where DCHS employed staff have medical accountability for residents. DCHSFT recognises and respects the autonomy of individuals who receive treatment. However there are times when severely incapacitated individuals in our care can neither consent nor refuse treatment and the use of covert medications may need to be considered. This policy applies to the administration of medicines for a physical disorder or a mental disorder under the Mental Capacity Act 2005 and to medication for a mental disorder administered under Part 4 and Part 4A of the Mental Health Act 1983. Treatment of a physical condition can only be given under the Mental Health Act Part 4 if the condition is a symptom or manifestation of the mental disorder.

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SOP for IV Administration of Diuretics to Heart Failure Patients in DCHS North Community Hospitals and CRH Same Day ECU (S89)

The Aim of this SOP is to provide heart failure patients across Derbyshire access to IV drug treatments without the need for attendance at an acute hospital

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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.

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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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Compressed Gases Operating Standards May 21

Compressed Gases Operating Standards

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Active Stand Standard Operating Procedure (S105)

To ensure that all staff are aware of the correct procedures when performing an active stand test. To ensure the protocol is standardised and staff are following safe working practices.

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A4 - Nail Surgery Post Operative Advice Sheet (S72)

Nail Surgery Post Operative Advice Sheet

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A1 - Hovermatt Brochure (S78)

Hovermatt Brochure

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APPENDIX 9 - Notes of Investigation Meeting.docx

HRP24 Appendix 9 - Notes of Investigation Meeting