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SAMA Template 25 Final review meeting part 1 invite

Template 25 Final Review Meeting Part 1 Invite letter

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Adult Nutrition Food and Hydration Policy (P50)

This policy aims to improve the nutrition and hydration of all adult patients cared for by staff working throughout Derbyshire Community Health Services NHS Foundation Trust (DCHSNHSFT) including those with special/therapeutic dietary requirements. It explains how patients who are at nutritional risk can be identified, how nutritional status may be improved, what support there is from members of the multidisciplinary team and how support and training can be accessed. The major challenge for community hospitals and staff working within the community will be meeting the nutritional requirements of patients who are nutritionally vulnerable; hence much of this policy is based around nutrition support. By achieving the care in the Policy, it will allow the Trust to meet a number of voluntary and mandatory standards including the Care Quality Commission (CQC) Regulation 14: Meeting nutrition and hydration needs (2015), The Hospital Food Standards Panel’s report on standards for food and drink in NHS Hospitals (2014), NICE - Nutrition support in adults. Quality standard 24 (2012) and the British Association of UK Dieticians (BDA) – The Nutrition and Hydration Digest: Improving Outcomes through Food and Beverages Services 2nd Edition (2017) Whilst this Policy focuses primarily on nutrition, as an important nutrient, water cannot be overlooked. Detailed information on assessing and maintaining patients hydration needs can be found in the Appendix

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Manual Handling Operating Standards January 2022

Manual Handling Operating Standards January 2022, includes TILEO

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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.

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APPENDIX 13 - Outcome of disciplinary investigation – Minor Misconduct – Informal Resolution.docx

HRP24 Appendix 13 - Outcome of disciplinary investigation – Minor Misconduct – Informal Resolution/ proceedings

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A3 – Criteria for Suitability for care by Podiatry Assistant (S107)

Criteria for Suitability for care by Podiatry Assistant

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SAMA Template 10 Tips in holding sensitive conversation

Template 10 Tips for Holding a Sensitive Conversation

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SAMA Template 25 Final review meeting part 2 invite

Template 25a Final Review Meeting Part 2 invite

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SOP for IV Administration of Diuretics to Heart Failure Patients in DCHS North Community Hospitals and CRH Same Day ECU (S89)

The Aim of this SOP is to provide heart failure patients across Derbyshire access to IV drug treatments without the need for attendance at an acute hospital

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Information and Fire Prevention Guidance in relation to Dynamic Air Flow Pressure Relieving Mattresses in Community (G96)

Dynamic Air Flow Pressure Relieving Mattresses are provided to people who spend extended periods of time in bed or are bedbound due to illness and impaired mobility. This means that if a fire starts or smoke detection activates, the individual using the bed is unlikely to be able to respond/escape without assistance. When the mattresses are provided in a home setting, living alone or being alone in the property is therefore a risk factor for consideration.