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Records management

Clinical, staff and corporate records management at Derbyshire Community Health Services NHS FT

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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 .

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Domestic Abuse - Childrens 0-19 Services Policy (P14)

This policy gives clear guidance on the standard expected of Specialist Community Public Health Nurses (Health Visitors and School Nurses) and other members of the 0-19 team when undertaking routine enquiry, managing disclosures of domestic abuse, responding to domestic abuse notifications, and supporting families experiencing the impact of domestic abuse. This document supports a commitment to evidence based practice across 0-19 children’s services.

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Mental Health Act 1983 - Section 5(2) Doctors 72 Hour Holding Power Policy and Procedure (P105)

This policy provides guidance on the use of Section 5(2), doctors holding power and should be followed by the relevant doctors and approved clinicians working in Trust in-patient areas.

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Taking Off PPE

Taking Off Personal Protective Equipment

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ICS Plan.pdf

DCHS ICS plan on a page 2021/2022

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L35 - Staying Safe

Patient information booklet / leaflet - Staying Safe...How you can help reduce your chances of developing four common avoidable conditions: Falls, Pressure Ulcers, Urinary and Urinary Catheter infections and blood clots.

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1029V - Insulin variable dose MAR chart community

1029v Insulin Medication dose record - MAR chart

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L174 - A Guide to Safer Sex - Men who have Sex with Men (MSM)

L174 - A Guide to Safer Sex - Men who have Sex with Men (MSM). Patient information leaflet.

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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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Electronic Clinical Record Keeping Guidelines (G333)

All record keeping, using whatever medium should take account of the need to maintain communication between the multi-professional health care team providing care/treatment for the patient/client. All staff should ensure the correct record is opening by checking three patient identifiers: • The patients name; • Date of birth • And, NHS number/unique patient ID prior to opening the electronic record The following applies to electronic record keeping: The principle of confidentiality is equally important when electronic clinical records are being used, including those sent by email, and should comply with the Trust’s code of confidentiality, e-mail policy and information governance policy. Registered clinical staff are professionally responsible for making sure that whatever system they use it is fully secured and managed in such a way that confidentiality is maintained.