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APPENDIX 9 - Notes of Investigation Meeting.docx

HRP24 Appendix 9 - Notes of Investigation Meeting

A2a – Eligibility for NHS Podiatry service (S107)

Eligibility for NHS Podiatry service

HIV SOP for Use of Injectable HIV Treatment (S145)

Appendix C – Relocation Expenses Claim Form.docx

Appendix C – Relocation Expenses Claim Form

S158 - SOP for the treatment of CHRONIC HEART FAILURE IN THE COMMUNITY – FOR ADULTS

This document outlines the standards and core operational processes for delivering high-quality community care to people with heart failure, specifically guiding Heart Failure Nurses and Specialist Nurses within Derbyshire Community Health Services Foundation Trust. It aims to provide evidence-based recommended practices to streamline patient care and should be used alongside the HFSN Service Competency Framework and approved patient resources.

Nova Xpress 2 Blood Glucose Meters Standard Operating Procedure (S27)

Nova Xpress 2 Blood Glucose Meters Standard Operating Procedure

Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)

The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.

Inpatient Falls Prevention and Management Policy (P33)

The Trust’s aim is to prevent harm resulting from in-patient falls by assessing each patient individually and identifying their risk in order to develop a care plan to reduce these risks. There is an expectation that clinicians will use the policy framework within everyday practice within DCHS. DCHS Inpatient services are part of the DCHS Falls and Fracture Prevention framework which contributes towards the wider Derbyshire and Derby City Falls and Fracture Prevention Pathway in identifying and managing patients who are at risk of falls in hospital and onwards as part of discharge plans and communication. This policy incorporates guidance from the: - • NICE CG161(2013) “Falls: the assessment and prevention of falls in older people • National Patient Safety Agency (2011) on “Essential care after an inpatient fall” • NICE (2015) on “Head Injury: assessment and early management” The purpose of this policy is to support staff to identify patients who are at risk of falling and to identify the interventions required to reduce the risk of falls and minimise harm to each individual. This policy also provides guidance on how to implement the NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’

Interim Standard Operating procedure for delivering intravenous (IV) diuretics within a patient’s home (S106)

An Ambulatory Heart Failure (AHF) service has been delivered by DCHS, in partnership with UHDB, on a day case basis at the Royal Derby Hospital site since 2016. Treatment is given using Intravenous (IV) diuretics which can be given daily either following discharge from the acute hospital or referral from the community setting. The development of a Cardiology Virtual Ward has been discussed during 2022 which once implemented will see intravenous diuretics being administered to patients in their own home in addition to the existing AHF service. As an interim step and to support the transition away from hospital and to home delivery along with assisting University Hospitals Derby and Burton (UHDB) with current bed pressures; it has been proposed that one of 3 rooms currently used for AHF on CCU be converted back to a bedroom and a small number of patients receive their treatment at home instead. This will also help assess the process prior to commencing the virtual ward on a larger scale.

APPENDIX 10 - Investigation meeting notes letter.docx

HRP24 Appendix 10 - Investigation meeting notes

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