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Patient Group Directions (PGDs)
Patient Group Directions - PGDs provide a legal framework that allows some registered health professionals to supply and/or administer a specified medicine(s) to a pre-defined group of patients, without them having to see a prescriber.
Sustainability/Green Agenda
https://dchs.nhs.uk/my_dchs/i-want-more-information-on/corporate-services/sustainabilitygreen-agenda
Advice to patients and families during the consultants’ industrial action
https://dchs.nhs.uk/news/advice-patients-and-families-during-consultants-industrial-action
Files
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.
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.
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
Policy for the maintenance and management of lifts
Policy for the maintenance and management of lifts, Insurance Inspector, Lift Management, thorough examination, lift servicing.
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 .
Completion of agency checks within the 0-19 Children’s Service Guidelines (G249)
The purpose of this guidance is to ensure that health visitors and school nurses clearly understand their roles and responsibilities when they are asked to complete an agency check. This includes ensuring that the relevant consent to share information has been obtained from parents/ those with parental responsibility for the child/ young person ( this should be obtained by social care). The guidance also clearly outlines the process for admin staff to follow to ensure that any requests are sent to the clinical teams and that in turn the clinical teams can respond in a timely manner.
Guidelines for the management of patients who Did Not Attend (DNA) an appointment (G265)
To standardise the process for managing patients who DNA initial and follow-up appointments.
Opportunistic Maggots Guidance (G274)
Every year during the hot weather we experience an increase in patients with opportunistic maggots in the community. This guidance is to aid assessment and management of these patients.
Disclosure Ref 202526 - Primary Hernia repairs.pdf
Disclosure to freedom of information request regarding total number of NHS referrals for primary inguinal, femoral,umbilical and epigastric hernia repairs at your trust in the last 3 years