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SOP for the supply or issue of Steroid Emergency Cards (S87)

Identify / supply to patients who require a Steroid Emergency card in the Community Hospitals setting, Urgent Treatment Centres, Podiatric Surgery, Integrated Community teams and specialist services such as Respiratory teams and Physiotherapy if a new Steroid Emergency card is needed or a Steroid Emergency Card has been lost

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Identification and Treatment of Different Types of Moisture Lesions (G179)

A moisture lesion is most commonly associated with either incontinence or sweating between skin folds. If left untreated then skin is more at risk of pressure ulcer development. It is important to establish the cause of the moisture lesion in order to treat it correctly.

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Witness Destruction of Controlled Drugs (S34)

This Procedure is to formally record the process to be undertaken in order for the Trust Accountable Officer for Controlled Drugs to authorise named people to witness the destruction of stock controlled drugs.

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Medicine Code (S2)

This Code defines the roles and responsibilities of all health care professionals and ancillary staff involved in the ordering, storage, distribution, prescribing, dispensing and administration of medicines within DCHS. This Medicines Code extends the previous Medicines Codes and reviews them in light of current legislation and guidelines.

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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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Learning from Death’s Policy (P72)

This policy confirms the process to ensure a multi-disciplinary, consistent and coordinated approach for the review of deaths that occur in all DCHS in-patient and community team caseloads. The aim of the learning from deaths process is to identify any areas of practice both specific to the individual case and beyond that could potentially be improved, based upon peer group review. Areas of good practice are also identified and supported. To describe in detail the three-stage mortality review process within the Trust, detailing how reviews should be completed, by whom and when to ensure that learning from deaths is made a Trust priority and leads to developments and improvements in patient care.

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DCHS_Supervision online record system User Guide V2

DCHS Clinical supervision (reflection on practice) online system guide; includes information on how to access the site, navigate, and record supervision sessions.

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2021-22 DCHS Quality Account (FINAL SIGNED COPY 150622).pdf

DCHS Quality Account - final signed copy June 2022. This 2021/22 account describes in detail the work we have undertaken during the year to improve the quality of services we provide, to achieve our vision to be the best provider of sustainable local healthcare and be a great place to work. It also describes the continuation of our Quality Improvement journey and the importance we place on being an open, listening and transparent organisation, committed to understanding about and learning from when things go wrong as a vital part of this work.

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Post micturition dribble or after dribble - A common problem in men (L270)

L270 - Post micturition dribble or after dribble - A common problem in men. Patient information leaflet that summarizes, some common; symptoms, causes, tips and support available.

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Veteran Aware Information Leaflet

DCHS Veteran Aware information leaflet - July 2022; includes our commitment to the armed forces community when accessing healthcare