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Keep up to date with innovations and emerging research to improve your practice

introducing KnowledgeShare - an online web-based current awareness system being offered by Derbyshire NHS Library and Knowledge Service.

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Venous Thromboembolism (VTE) Prophylaxis Policy (P8)

Venous Thromboembolism (VTE) is a leading cause of avoidable death in the UK. It is estimated that VTE causes in excess of 25,000 potentially preventable deaths per annum in UK hospitals – five times the estimated number of deaths each year from hospital-acquired infection. In the UK as a whole this figure is approximately 60,000 preventable deaths each year (DH, 2007). The implementation of evidence based guidelines first published by the National Institute of Clinical Excellence (NICE) in 2010 focussing on the prevention of VTE in hospitalised patients has been afforded a high priority by the Department of Health and commissioners. VTE risk assessment is a former national CQUIN indicator and is a National Quality Requirement in the NHS Standard Contract for 2019/20 (NHSE, 2019). It sets a threshold rate of 95% of adult inpatients being risk assessed for VTE on admission each month. This policy and the accompanying clinical documentation will enable clinicians to reduce mortality and morbidity associated with this VTE through screening patients admitted for day surgery or inpatient care and those attending Minor Injury Unit / Urgent Treatment Centres, educating patients and carers about preventative measures, initiating prophylactic treatment and recognising signs of VTE development.

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Controlled Drugs SOP for Community Hospitals (S47)

This series of Standard Operating Procedures ensures that all processes involving Controlled Drugs (CDs) carried out in Wards and Departments of Community Hospitals are conducted in strict accordance with current statutory requirements that adequate records are maintained and a robust audit trail exists. This includes security, ordering, receipt, administration, issue, balance checking, and return or destruction.

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Deprivation of Liberty DoLs Policy (P35)

The Mental Capacity Act 2005 aims to empower people to make decisions themselves wherever possible and sets out the steps which must be taken to promote this. Where a person lacks the capacity to make a particular decision it provides a statutory framework for acting and making decisions on their behalf, and in their best interests (see the DCHS Mental Capacity Act Policy and Appendix 3 Tips on assessing capacity) The Deprivation of Liberty Safeguards (DoLS) is an addendum to the Mental Capacity Act (2005) that came into force in 2009. It ensures that any Best Interests decision that deprives someone of their Article 5 right to liberty (European Convention of Human Rights) is made according to defined processes and in consultation with specific authorities. It applies where a person needs to be accommodated in a hospital or a care home in order to receive care or treatment for which they cannot consent. The DoLS were introduced to protect an individual’s rights under such circumstances, and ensure that any care or treatment that they receive, including where this involves the use of restraint or restrictions, is proportionate to the risk of harm they would otherwise be at and in their best interests.

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ReSPECT Policy (P89)

This policy aims to clarify the ReSPECT process and takes into account the complex clinical considerations and ethical issues regarding both the making and the communication of decisions relating to limiting potentially life sustaining treatments, including CPR. The policy encourages health and social care professionals to engage in conversations with patients about advance care planning and to recognise our responsibility to do so. Application of this policy will assist our patients and the public to anticipate having these conversations as a routine part of their care and to recognise the importance of planning ahead for a future emergency.

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Urgent Community Response Clinical Lead Role Statement v2

Urgent Community Response Clinical Lead Role Statement - includes how to apply and ask questions

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Patient Supervision and Observation Policy (P82)

This policy aims to provide a framework for staff working in Derbyshire Community Health Services Foundation Trust (DCHS) to enable them to follow a consistent approach in the planning and implementation of patient supervision and observation for patients who pose a potential or actual risk to themselves or others. The policy provides clear instructions on how patient supervision should be implemented. Guidelines are also provided for the assessment of risk, to identify the level of supervision required and effective care planning.

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Online record access tasks.pdf

What to do if a patient is downloading the Airmid App and cannot view their records

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L288 - Using phenoxymethylpenicillin tablets when liquid medication is unavailable

Advice for parents on administering phenoxymethylpenicillin Tablets to Children when liquid medication is unavailable.

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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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Disclosure Ref 202483 - IT Infrastructure.pdf

FOI disclosure regarding IT Infrastructure for desktop management, data centre, server management, networking and IT security