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Tier 3 Weight Management for Professionals

The information here is for professionals in Derbyshire seeking more information on the Tier 3 Weight Management service.

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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.

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Picture of neck anatomy

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Policy for the maintenance and management of lifts

Policy for the maintenance and management of lifts, Insurance Inspector, Lift Management, thorough examination, lift servicing.

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Living with COVID (June 2022)

Living with COVID June 22 - v 3 Updated guidance on IP&C, mask wearing and general behaviours expected of staff, patients and visitors .

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Standard Operating Procedure for Waiting List Validation (S108)

The purpose of this SOP is to set out the waiting list validation stages and process for staff and managers with services that have waiting lists. Across Planned Care and Specialist Services (PCSS) there are patients on waiting lists. To support the management of these waiting lists it is important to regularly validate those patients who are waiting to be offered an appointment. Services with waiting lists should consider the appropriateness and frequency of undertaking the three stages of waiting list validation, these being: technical, administrative, and clinical.

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Policy For the Use of Sterile Maggot Therapy in Wound Management (P101)

The purpose of this policy is designed to support suitably qualified healthcare professionals in managing wound debridement using maggot (larval) therapy, (which may only be instigated by a Tissue Viability Specialist) and to make sure it is carried out in a safe and clinically effective manner, acceptable to patients and carers. This policy aims to ensure the appropriate use of maggot (larval) therapy within Derbyshire Community Health Service NHS Foundation Trust.

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Community Response Team-Derby City Rapid Response SOP - Medication Delegation, Support and Assistance of Medication Administration for Support Workers (S127)

This Standard Operating Procedure (SOP) aims to outline the process for providing clear guidance to medication support and assistance, delegation to the support workers/support worker supervisors and what training they need to complete for them to be able to support the patients in the service.

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The Urgent Treatment Centre (UTC) Did Not Wait, Left Without Being Seen SOP (S144)

The SOP defines what staff should do when a patient or parents/carers with a child leave the unit after being booked in, but prior to being assessed, or who leave the department before finishing treatment.

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Disclosure Ref 2024201 - Myeloma Service Provision .pdf

FOI Disclosure Ref 2024201 relating to Myeloma Service Provision