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North Derbyshire OPAT (Outpatient Parenteral Antimicrobial Therapy) Pathway for Primary Care (Step-Up Pathway/Admission Avoidance) (G198)

OPAT services provide intravenous (IV) antibiotics to patients outside of the acute hospital inpatient setting. Patients who are otherwise medically fit, and who would otherwise require a hospital bed, can avoid admission to hospital, or be discharged sooner by receiving treatment either as an outpatient or within their own homes. In North Derbyshire, this is achieved by Chesterfield Royal Hospital Foundation Trust (CRHFT) working in partnership with Derbyshire Community Health Services (DCHS) Rapid Response Team (RRT).

0501 - In-patient Care Plans

0501 - Inpatient Care Plan

Moisture Associated Skin Damage Barrier Film Pathway (G197)

Moisture Associated Skin Damage Barrier Film Pathway including MEDI DERMA-S Instructions for Use Guide

L267 - Adult Sepsis Safety Net - Signs of Sepsis and what to do

L267 - Adult Sepsis Safety Net - Signs of Sepsis and what to do

Intravenous Therapy and Vascular Access Device (VAD) Policy - Adults (P47)

The use of intravenous medicines has many healthcare benefits for patients. Intravenous medicines are increasingly commonplace within the community setting and the need for an intravenous medicine is often a reason for patient’s being admitted to secondary care. Following the implementation of national and local policy, there is a new direction for community care providers such as DCHS to develop services that can be provided within the community hospital or community setting to accommodate patient’s being able to receive more complex care. The aims of this policy are: To prevent unnecessary acute hospital admission and to facilitate early discharge from the acute hospital setting by enabling patients to receive IV medicines safely within their own home or a community health care setting. To ensure an IV medicine is the most appropriate treatment for the patient and that it is administered via the most appropriate Vascular Access Device, the most appropriate vascular access site is chosen and the IV medicine is administered at the right time. To reduce the risk of complications by ensuring registered practitioners’ practice safely and consistently in relation to the administration of IV medicines, Vascular Access Device Insertion and the care and maintenance of Vascular Access Devices (VADs), through the implementation of evidence-based practice and by providing staff with the necessary guidance on clinical practice and training. To preserve and promote patient vessel health in the short and long term by ensuring any Vascular Access Device inserted is the most appropriate device for the treatment being administered and that it is placed by the most appropriately qualified practitioner.

Employee online user guide - temporary staffing.pdf

Disclosure Ref 202243 - Agency for Biomedical SciencePathology - Copy.pdf

WRES data report 2023.docx

APPENDIX 4 Application for Adoption Leave and Pay Form.docx

Organisational strategy - Bitesize slides - Healthy Communities.pptx

Organisational strategy - Bitesize slides - Healthy Communities.pptx