RECOGNISING AND RESPONDING TO EARLY DETERIORATION OF ACUTELY ILL PATIENTS ON THE WARDS. Presented by Primary Health Care Team

Size: px
Start display at page:

Download "RECOGNISING AND RESPONDING TO EARLY DETERIORATION OF ACUTELY ILL PATIENTS ON THE WARDS. Presented by Primary Health Care Team"

Transcription

1 RECOGNISING AND RESPONDING TO EARLY DETERIORATION OF ACUTELY ILL PATIENTS ON THE WARDS Presented by Primary Health Care Team 2013/2014

2 Aims of Session

3 Any patient in hospital may become acutely ill, however, the recognition of acute illness is often delayed and its subsequent management may be inappropriate.. This may result in late referral, avoidable admissions to critical care and may lead to unnecessary patient deaths, particularly when initial patient care is suboptimal. NICE, 2007, Acutely ill patient in hospital

4 The NICE Clinical Guideline makes evidence based recommendations on the recognition and management of acute illness in hospital NICE, Acutely ill patients in hospital

5 The More recent NPSA (National Patient Safety Agency) Nov 07. Recognising and responding appropriately to early signs of deterioration in hospitalised patients. Explores patient deterioration and helps NHS staff working in hospitals to improve patient safety.

6 Andrew Dillon chief executive of NICE states; We welcome this report as a further contribution to improving patient care in this area.

7 Patient Centred Care Treatment and care should take into account a patients individual needs and preference. Good communication is essential, supported by evidence based information to allow patients to reach informed decisions about their care.

8 Key Priorities for implementation Physiological observations recorded at the time of admission or initial assessment. A clear written monitoring plan that specifies which physiological observations should be recorded and how often.

9 Key priorities cont d Physiological observations should be recorded and acted upon by staff who have been trained to undertake these procedures and understand their clinical relevance. Education and training should be provided annually to ensure staff have these competencies and should be assessed to prove this, (link nurses).

10 Early Warning Score ASSESSMENT TOOL 0-3 (GREEN) 0-3 (or patient causing concern) (AMBER) 4-5 (or patients causing concern) (AMBER) 6 or above (RED) Confirm score Confirm score In hours contact Health Centre or Ward Doctor Out of hours contact Duty Manager Repeat review by Doctor / Health Centre if Early Warning Score remains above 4 or is increasing 3333 For immediate transfer to hospital via 999 ambulance. ROUTINE PHYSICAL OBSERVATIONS Hourly Observations AN EARLY WARNING SCORE OF 3 ON ANY SINGLE PARAMETER MUST BE REPORTED TO A DOCTOR

11 Early Warning Scoring Tool Score Pulse Per Minute Resp Per minute Temp C Systolic BP Oxygen saturation (%) Inspired oxygen AVPU 40 OR BELOW 8 or below 35 or below 90 or below 91 or below YES or above Greater than or above 25 or above 220 OR ABOVE AN EARLY WARNING SCORE OF 3 ON ANY SINGLE PARAMETER MUST BE REPORTED TO A DOCTOR/NURSE PARCTIONER NO Alert... Voice Pain Unrespon -sive

12 Example of an A1 return form Ward: Month: (FORM A1) Routine Health Checks High Secure Services Primary Health Service Patient Name Time Pulse Respirations Temperatu re Blood pressure Saturation (%) AVPU MEWS MUST Score / Care Plan Weight Kgs BMI Waist circumference

13 Scenarios 1 32 year old male routine obs. On Clozapine. Well, no complaints. Pulse 108 Resps 14 Temp 37 BP 190/100 Sats 97% (air) AVPU Alert

14 Scenarios 2 40 year old male, on no meds. Has flu like symptoms Pulse 110 Resps 16 BP 120/70 Sats 98% (air) Temp 38.5 AVPU Alert

15 Scenarios 3 50 year old male, on no meds. Has cough and breathless Pulse 119 Resps 8 Temp 38.5 BP 100/60 Sats 93% (air) AVPU Voice

16 Scenarios 4 70 year old male, on no meds. Chest pain Pulse 76 Resps 12 Temp 37 BP 100/70 Sats 97% (air) AVPU Alert

17 Scenarios 5 21 year old male, on Clozapine abdominal pain Pulse 131 Resps 14 temp 38 BP 170/70 Sats 96% (air) AVPU Alert

18 Scenarios 6 24 year old male, known asthmatic, short of breath following gym session, oxygen therapy given Pulse 90 Resps 20 Temp 37.5 BP 120/70 Sats 98% (15 litres oxygen) AVPU Alert

19 STAFF EVALUATION SHEET

20 Recognising and Responding to Early Deterioration of Acutely Ill Patients on the Wards Name.. 1) Which words would you choose to describe your feelings at the end of your Recognising and Responding to Early Deterioration of Acutely Ill Patients on the wards session? Please indicate by circling your choices. Interesting Helpful Difficult Superficial Confusing Irrelevant Waste of Time Boring Rewarding Exciting Intrusive Stimulating Fun Constructive 2) Which parts of the presentation did you find most useful? 3) Which part of the presentation did you find least useful? 4) I felt that the standard of the presentation was:- a) Excellent b) Competent c) Professional d) Could have been better 5) How would it help in your job, will you do anything differently as a result of the presentation? 6) Do you have any suggestions for improving the presentation content? Thank you for your co-operation in completing this evaluation

21 Feed-back from staff questionnaire Over all feed-back was excellent. Staff found the training helpful and constructive as part of their mental health role. Depending on staff s position at ward level or within HSS, some were resistant to participate in the training as they felt it wasn t part of their role

22 Early Warning Score ( ) I felt that the standard of presentation was;

23 Early Warning Score ( ) I felt that the standard of presentation was; 3 90 Excellent Competant 225 Professional 102 Could have been better

24 Early Warning Score ( ) Which words would you choose to describe your feelings at the end of the session?

25 Audit and Quality Control of A1 Physical Observation Recordings Jan/Feb/March 2014

26 Effectiveness of EWS at Ward Level Staff are utilising the tool regularly to bring awareness of physical health changes: i.e. patients that are acutely unwell. Early intervention and appropriate referrals have occurred in accordance to the assessment tool. However, as part of routine monitoring of physical health observations (A1 forms) abnormalities are only routinely highlighted through audits and quality control measures that are in place. Not always actioned at time of recording.

27 What next We are aware more work still needed: Offering further support and 1:1 training Staff competencies Making EWS a standing item on Link Nurse training High-light trends through graphs, data collection and audits Wards where errors regularly occur contacting ward mangers to address staff training issues and accountability

Recognising a Deteriorating Patient. Study guide

Recognising a Deteriorating Patient. Study guide Recognising a Deteriorating Patient Study guide Recognising a deteriorating patient Recognising and responding to clinical deterioration Background Clinical deterioration can occur at any time in a patient

More information

NHS LOTHIAN Standard Operating Procedure: EHSCP Physiological Observations of Patients in the Community Setting

NHS LOTHIAN Standard Operating Procedure: EHSCP Physiological Observations of Patients in the Community Setting NHS LOTHIAN Standard Operating Procedure: EHSCP Physiological Observations of Patients in the Community Setting 1. Introduction To standardise the type and frequency of observations to be taken on adult

More information

Acutely ill patients in hospital

Acutely ill patients in hospital Issue date: July 2007 Acutely ill patients in hospital Recognition of and response to acute illness in adults in hospital Developed by the Centre for Clinical Practice at NICE Contents Key priorities for

More information

Modified Early Warning Score Policy.

Modified Early Warning Score Policy. Trust Policy and Procedure Modified Early Warning Score Policy. Document ref. no: PP(15)271 For use in (clinical areas): For use by (staff groups): For use for (patients): Document owner: Status: All clinical

More information

CLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart

CLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart CLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart November 2014 1 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,

More information

Saving Lives: EWS & CODE SEPSIS. Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013

Saving Lives: EWS & CODE SEPSIS. Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013 Saving Lives: EWS & CODE SEPSIS Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013 Course Objectives At the conclusion of this training, you will be able to Explain the importance

More information

Paediatrics. PEWS & Deteriorating Patients Linda Clerihew

Paediatrics. PEWS & Deteriorating Patients Linda Clerihew Paediatrics PEWS & Deteriorating Patients Linda Clerihew SPSP 2007 SPSPP 2010 McQIC 2013 Aim 30% reduction in avoidable harm measured by the Paediatric Serious Harm Key Indicators by December 2015 Measuring

More information

Recognising the Deteriorating Adult Simulation Scenario 3 Chronic Obstructive Pulmonary Disease

Recognising the Deteriorating Adult Simulation Scenario 3 Chronic Obstructive Pulmonary Disease Recognising the Deteriorating Adult Simulation Scenario 3 Chronic Obstructive Pulmonary Disease Course lead Colette Laws-Chapman Faculty Course / Curriculum Recognising the Deteriorating Adult Target Delegates

More information

National Early Warning Score (ViEWS) System. Recommendations for Audit. February 2012

National Early Warning Score (ViEWS) System. Recommendations for Audit. February 2012 National Early Warning Score (ViEWS) System Recommendations for Audit February 2012 Version 3 Acknowledgement: The National Early Warning Score and associated Education Programme Audit and Evaluation sub-group

More information

These slides are to explain why the Trust is adopting the National Early Warning Score which is being adopted across all sectors of health care in

These slides are to explain why the Trust is adopting the National Early Warning Score which is being adopted across all sectors of health care in These slides are to explain why the Trust is adopting the National Early Warning Score which is being adopted across all sectors of health care in the UK and beyond. 1 The first EWS was devised in 1997

More information

Irish Paediatric Early Warning System (PEWS)

Irish Paediatric Early Warning System (PEWS) Irish Paediatric Early Warning System (PEWS) Learning Outcomes By the end of the session, you will be able to: Discuss the importance of clinical judgement and individualised assessment Discuss the use

More information

Independent investigation into the death of Mr Dewi Evans a prisoner at HMP Gartree on 30 May 2016

Independent investigation into the death of Mr Dewi Evans a prisoner at HMP Gartree on 30 May 2016 Independent investigation into the death of Mr Dewi Evans a prisoner at HMP Gartree on 30 May 2016 Crown copyright 2015 This publication is licensed under the terms of the Open Government Licence v3.0

More information

National Early Warning Scoring System

National Early Warning Scoring System National Early Warning Scoring System A common language for health care The deteriorating patient Professor Derek Bell January 2013 Adult National Early Warning Score Background Overview of NEWS Next Steps

More information

This information aims to help you when faced with a non-emergency situation.

This information aims to help you when faced with a non-emergency situation. WHEN TO STOP There are many reasons to stop a treatment session. This information aims to help you when faced with a non-emergency situation. It is important however to acknowledge that some of these situations

More information

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version Policy No: RM64 Version: 5.0 Name of Policy: Use of the National Early Warning Score System in Adult Patients Policy Effective From: 21/07/2016 Date Ratified 22/06/2016 Ratified Resuscitation and Deterioration

More information

The ROHNHSFT Experience: Implementing BWCH PEWS

The ROHNHSFT Experience: Implementing BWCH PEWS The ROHNHSFT Experience: Implementing BWCH PEWS Alison Warren Clinical Matron for Children and Young Peoples Services The Royal Orthopaedic Hospital NHS Foundation Trust RGN, RSCN, ENB 415 & 998 PG Cert

More information

DETERIORATING PATIENT POLICY GENERAL POLICY NO. 50

DETERIORATING PATIENT POLICY GENERAL POLICY NO. 50 DETERIORATING PATIENT POLICY GENERAL POLICY NO. 50 Applies to: Committee for Approval Date of Approval September 2012 Date Ratified: September 2012 Review Date: September 2015 Name of Lead Manager Version:

More information

National Quality Improvement Project 2018/2019 Vital Signs in Adult Information Pack

National Quality Improvement Project 2018/2019 Vital Signs in Adult Information Pack National Quality Improvement Project 2018/2019 Vital Signs in Adult Information Pack Introduction... 3 Methodology... 4 Inclusion criteria... 4 Exclusion criteria... 4 Flow of data searches to identify

More information

Early Warning Score Procedure

Early Warning Score Procedure Procedure Contents Purpose... 2 Scope/Audience... 2 Associated documents... 3 Definitions... 4 Adult patients... 4 Maternity patients... 4 Paediatric patients... 4 Equipment... 5 Education and training

More information

Ruchika D. Husa, MD, MS

Ruchika D. Husa, MD, MS Early Response Teams Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division i i of Cardiovascular Medicine i The Ohio State University Wexner Medical Center OBJECTIVES Provide an overview of

More information

Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center

Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center Early Response Teams Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center OBJECTIVES Provide an overview of an Early

More information

Shock - Hypovolaemia

Shock - Hypovolaemia Shock - Hypovolaemia Research Staff: Participants should be asked to arrive dressed as they would for clinical placement. That is, in uniform, hair and jewellery appropriate, note pad, pen, watch, stethoscope,

More information

CRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT

CRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT CRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT Outreach Objectives To avert or ensure more timely admission to DCCQ To ensure that patients discharged from Critical Care continue to progress

More information

Next Gen Training. Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups

Next Gen Training. Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups Next Gen Training Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups Why is Next Gen So Important? Better for the VFC: All the necessary info can be accessed from any VFC

More information

OPAT CELLULITIS PATHWAY

OPAT CELLULITIS PATHWAY OPAT CELLULITIS PATHWAY ANY exclusion criteria for OPAT Sepsis syndrome Active drug/alcohol abuse Active underlying orthopaedic condition Craniofacial cellulitis Failure to improve with > 48hrs IV Rx YES

More information

1. Storyboard Title Use of the proposed National Early Warning System (NEWS) scoring matrix in a community hospital setting

1. Storyboard Title Use of the proposed National Early Warning System (NEWS) scoring matrix in a community hospital setting Powys teaching Health Board Storyboard submission: Improving Patient Safety 1. Storyboard Title Use of the proposed National Early Warning System (NEWS) scoring matrix in a community hospital setting 2.

More information

Chapter 11 Assessment of the Medical Patient DOT Directory

Chapter 11 Assessment of the Medical Patient DOT Directory Chapter 11 Assessment of the Medical Patient U.S. Objectives U.S. Objectives are covered and/or supported by the PowerPoint Slide Program and Notes for Emergency Care, 11th Ed. Please see the Chapter 11

More information

Telehealth for Acute and Urgent Care

Telehealth for Acute and Urgent Care Telehealth for Acute and Urgent Care the Andrew Waring, Consultant, Serengeti Projects Ltd Agenda Individual and workshop introductions and objectives Benefits Chronic Telehealth Benefits Acute and Urgent

More information

INSTRUCTOR NOTES: Introduction slide. The program may be taught in a group setting or self taught.

INSTRUCTOR NOTES: Introduction slide. The program may be taught in a group setting or self taught. Introduction slide. The program may be taught in a group setting or self taught. 1 Enabling objectives define the specific knowledge, skills, and/or abilities to be demonstrated, compared, listed, described,

More information

Antimicrobial Stewardship in Continuing Care. Nursing Home Acquired Pneumonia Clinical Checklist

Antimicrobial Stewardship in Continuing Care. Nursing Home Acquired Pneumonia Clinical Checklist Antimicrobial Stewardship in Continuing Care Nursing Home Acquired Pneumonia Clinical Checklist March 2015 What is Antimicrobial Stewardship? Using the: right antimicrobial agent for a given diagnosis

More information

Title Protocol for the Management of Chest Wall Injuries (over 12 years of age) in MIU s and WIC s.

Title Protocol for the Management of Chest Wall Injuries (over 12 years of age) in MIU s and WIC s. Document Control Title Protocol for the Management of Chest Wall Injuries (over 12 years of age) in MIU s and WIC s. Author Author s job title Professional Lead, Minor Injuries Unit Directorate Department

More information

Sepsis guidance implementation advice for adults

Sepsis guidance implementation advice for adults Sepsis guidance implementation advice for adults NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Strategy & Innovation

More information

Ambulatory Emergency Care The Logical Way to Go

Ambulatory Emergency Care The Logical Way to Go Ambulatory Emergency Care The Logical Way to Go Ambulatory Emergency Care The Logical Way to Go The Queens Medical Centre (QMC) is part of the Nottingham University Hospitals NHS Trust, one of the largest

More information

Deteriorating Patient Policy

Deteriorating Patient Policy Deteriorating Patient Policy (Applicable for all Patients Admitted into Acute Inpatient and Emergency Settings at RGH, NHH, YYF and Mental Health Patients at YYF and to all Health Board Staff Who Care

More information

One Chance to Get it Right Simulation Scenario 2 End of Life Care at Home

One Chance to Get it Right Simulation Scenario 2 End of Life Care at Home One Chance to Get it Right Simulation Scenario 2 End of Life Care at Home Course lead Course / Curriculum One Chance to Get it Right: Equipping senior health professionals for the challenges of caring

More information

Standard Operating Procedure Hospital Pre-alert & Patient Handover

Standard Operating Procedure Hospital Pre-alert & Patient Handover Standard Operating Procedure Hospital Pre-alert & Patient Handover No of Pages: 6 Unique reference No: Implementation date: 17 th May 2010 Version: Final Version 2.0 Next review date: May 2013 Title of

More information

Cyclophosphamide INFUSION Infusion 4 Plus

Cyclophosphamide INFUSION Infusion 4 Plus Cyclophosphamide Infusion Day DEPARTMENT OF RHEUMATOLOGY DAY CASE ADMISSION RECORD PATIENT DAY CASE BOOKING REQUEST To be completed by Consultant, Registrar requesting day case Admission Hospital No. Forename

More information

Contents (click on a header to go to that section)

Contents (click on a header to go to that section) eobservations User Guide Welcome to the PPM+ eobservations User Guide. For further support on PPM+, please see the Help Site: http://www.ppmsupport.leedsth.nhs.uk/ Contents (click on a header to go to

More information

Ambulatory Emergency Care in South Wales

Ambulatory Emergency Care in South Wales Ambulatory Emergency Care in South Wales The Ambulatory Care Score ( Amb Score) Les Ala Consultant Acute Physician Royal Glamorgan Hospital LLantrisant, South Wales ROYAL GLAMORGAN HOSPITAL Format Our

More information

Adult Observation Chart Policy (Incorporating National Early Warning Score NEWS)

Adult Observation Chart Policy (Incorporating National Early Warning Score NEWS) Adult Observation Chart Policy (Incorporating National Early Warning Score NEWS) Document Author Written By: Sister Critical Care Outreach Service Authorised Authorised By: Chief Executive Date: 1 st April

More information

Type: Policy. Cathy Geddes Chief Nurse June 2016 Professionally Approved By Dr Ronan Fenton

Type: Policy. Cathy Geddes Chief Nurse June 2016 Professionally Approved By Dr Ronan Fenton Trigger Response Team Operational Policy (Adults) Type: Policy Register No: 12042 Status: Public Developed in response to: Patient Safety Contributes to CQC Outcome number: 9,12 Consulted With Post/Committee/Group

More information

Monday, August 15, :00 p.m. Eastern

Monday, August 15, :00 p.m. Eastern Monday, August 15, 2016 2:00 p.m. Eastern Dial In: 888.863.0985 Conference ID: 34874161 Slide 1 Speakers Deb Kilday, MSN, RN Senior Performance Partner Performance Services Quality & Safety Premier, Inc.

More information

Clinical guideline Published: 25 July 2007 nice.org.uk/guidance/cg50

Clinical guideline Published: 25 July 2007 nice.org.uk/guidance/cg50 Acutely ill adults in hospital: recognising and responding to deterioration Clinical guideline Published: 25 July 2007 nice.org.uk/guidance/cg50 NICE 2018. All rights reserved. Subject to Notice of rights

More information

Patient Sticker Blood Transfusion Ambulatory Emergency Care Pathway

Patient Sticker Blood Transfusion Ambulatory Emergency Care Pathway Patient Sticker Blood Transfusion Ambulatory Emergency Care Pathway 1 Patient Sticker Consultant: Dr M Oldfield Consultant: Dr D Harris Lead Nurse: Catie Paterson Ambulatory Emergency Care (AEC) Unit Open:

More information

Overview. Dr Stephen Gulliford & AKI Specialist Nurse Suzanne Wilson Page 1

Overview. Dr Stephen Gulliford & AKI Specialist Nurse Suzanne Wilson Page 1 Improving Patient Safety and Reducing Harm through the Development of an Acute Kidney Injury Specialist Service at Wrightington, Wigan and Leigh NHS Foundation Trust Overview Acute Kidney Injury (AKI)

More information

Introducing InterQual AutoReview

Introducing InterQual AutoReview Introducing AutoReview Instant, Automated and Accurate Medical Reviews are Only Half the Story Spend less time on administrative tasks and more time managing patient care. James: A completed review, ready

More information

We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it.

We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. Author(s): Antoinette A. Bradshaw, PhD, MS, BSN, RN, 2011 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike 3.0 License: http://creativecommons.org/licenses/by-sa/3.0/

More information

Physiological Observations Policy

Physiological Observations Policy Physiological Observations Policy Reference No: P_CS_16 Version: 3.0 Ratified by: LCHS Trust Board Date ratified: 14 th November 2017 Name of originator / author: Name of responsible committee / individual:

More information

Sample. A guide to development of a hospital blood transfusion Policy at the hospital level. Effective from April Hospital Transfusion Committee

Sample. A guide to development of a hospital blood transfusion Policy at the hospital level. Effective from April Hospital Transfusion Committee Sample A guide to development of a hospital blood transfusion Policy at the hospital level Name of Policy Blood Transfusion Policy Effective from April 2009 Approved by Hospital Transfusion Committee A

More information

FOCUS CHARTING. The Focus Charting System is the accepted documentation system at Windsor Regional Hospital.

FOCUS CHARTING. The Focus Charting System is the accepted documentation system at Windsor Regional Hospital. FOCUS CHARTING The Focus Charting System is the accepted documentation system at Windsor Regional Hospital. Advantages of Focus Charting Flexible enough to adapt to any clinical practice setting and promotes

More information

Stage 2 GP longitudinal placement learning outcomes

Stage 2 GP longitudinal placement learning outcomes Faculty of Life Sciences and Medicine Department of Primary Care & Public Health Sciences Stage 2 GP longitudinal placement learning outcomes Description This block focuses on how people and their health

More information

CNA SEPSIS EDUCATION 2017

CNA SEPSIS EDUCATION 2017 CNA SEPSIS EDUCATION 2017 WHAT CAUSES SEPSIS? Sepsis occurs when the body has a severe immune response to an infection Anyone who has an infection is at risk for developing sepsis Sepsis occurs when the

More information

Ambulatory Emergency Care A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals. The Pennine Acute Hospitals NHS Trust

Ambulatory Emergency Care A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals. The Pennine Acute Hospitals NHS Trust Ambulatory Emergency Care A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals The Pennine Acute Hospitals NHS Trust A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals The Pennine

More information

Policy & Procedure for assessing and measuring vital signs on Paediatric Patients and using the Paediatric Early warning score

Policy & Procedure for assessing and measuring vital signs on Paediatric Patients and using the Paediatric Early warning score Policy & Procedure for assessing and measuring vital signs on Paediatric Patients and using the Paediatric Early warning score 1 Procedure Title: Executive Summary: Supersedes: Description Amendment(s):

More information

Information for the public Published: 15 July 2014 nice.org.uk

Information for the public Published: 15 July 2014 nice.org.uk Making sure there are enough nursing staff in adult wards in hospitals Information for the public Published: 15 July 2014 nice.org.uk About this information NICE guidelines provide advice on the care and

More information

Brief Summary. Educational Rationale. Learning Objectives: Nurse. Learning Objectives: Doctor

Brief Summary. Educational Rationale. Learning Objectives: Nurse. Learning Objectives: Doctor Simulation Scenario Title Bacterial meningitis Version 10 Target Audience FY doctors & student nurses Run time 10-15 mins Authors Niamh Feely, Andrew Smith, Udesh Naidoo, Paul Wilder, Mark Loughrey Last

More information

Minimum Standards for the Physical Assessment and Examination of Inpatients in Mental Health and Learning Disability Services

Minimum Standards for the Physical Assessment and Examination of Inpatients in Mental Health and Learning Disability Services Minimum Standards for the Physical Assessment and Examination of Inpatients in Mental Health and Learning Disability Services DOCUMENT CONTROL: Version: 8 Ratified by: Quality and Safety Sub Committee

More information

PRACTICE GUIDELINE EM014 IMPLEMENTATION OF THE SOUTH AFRICAN TRIAGE SCALE

PRACTICE GUIDELINE EM014 IMPLEMENTATION OF THE SOUTH AFRICAN TRIAGE SCALE PRACTICE GUIDELINE EM014 IMPLEMENTATION OF THE SOUTH AFRICAN TRIAGE SCALE This Practice Guideline sets out a method for implementing triage in the Emergency Centre. Excluding the cover page, this Practice

More information

SCHEDULE 2 THE SERVICES Service Specifications

SCHEDULE 2 THE SERVICES Service Specifications SCHEDULE 2 THE SERVICES Service Specifications Service Specification No Service ParaDoc Commissioner City and Hackney CCG Commissioner Lead Leah Herridge Provider CHUHSE Provider Lead Date of Review September

More information

Importance of Effective Training and Support During the Preceptorship period

Importance of Effective Training and Support During the Preceptorship period Importance of Effective Training and Support During the Preceptorship period Alison Dinning Inter professional Education lead Nursing Development Student nurse retention in East Midlands 4.2 million wasted

More information

SBAR Communication Tool. Anne Marie Oglesby RGN., MSc. Health Care (Risk Management & Quality) Clinical Risk Advisor, Clinical Indemnity Scheme

SBAR Communication Tool. Anne Marie Oglesby RGN., MSc. Health Care (Risk Management & Quality) Clinical Risk Advisor, Clinical Indemnity Scheme SBAR Communication Tool Anne Marie Oglesby RGN., MSc. Health Care (Risk Management & Quality) Clinical Risk Advisor, Clinical Indemnity Scheme Background Communication Tools What is SBAR SBAR in action

More information

CHILDREN S OBSERVATIONS & SEVERITY TOOL (COAST FORMELY PEWS) & PAEDIATRIC OBSERVATION CHART POLICY

CHILDREN S OBSERVATIONS & SEVERITY TOOL (COAST FORMELY PEWS) & PAEDIATRIC OBSERVATION CHART POLICY CHILDREN S OBSERVATIONS & SEVERITY TOOL (COAST FORMELY PEWS) & PAEDIATRIC OBSERVATION CHART POLICY Document Author Written By: Paediatric Sister Authorised Authorised By: Chief Executive Date: July 2017

More information

The Amb Score. A pilot study to develop a scoring system to identify which emergency medical referrals would be suitable for Ambulatory Care.

The Amb Score. A pilot study to develop a scoring system to identify which emergency medical referrals would be suitable for Ambulatory Care. The Amb Score A pilot study to develop a scoring system to identify which emergency medical referrals would be suitable for Ambulatory Care. Les Ala 1, Jennifer Mack 2, Rachel Shaw 2, Andrea Gasson 1 1.

More information

PHYSIOLOGICAL OBSERVATIONS OF ADULT PATIENTS IN THE COMMUNITY SETTING POLICY

PHYSIOLOGICAL OBSERVATIONS OF ADULT PATIENTS IN THE COMMUNITY SETTING POLICY PHYSIOLOGICAL OBSERVATIONS OF ADULT PATIENTS IN THE COMMUNITY SETTING POLICY To be read in conjunction with Physiological Observations Policy for Inpatients and Minor Injury Units (including Wessex House)

More information

Appropriate Care Pathway

Appropriate Care Pathway Appropriate Care Pathway Karen Titchener MSc NMP RGN Deputy Head Nursing Guys and St Thomas NHS Foundation Trust Jaqualine Lindridge MA, PG Cert, MCPara Consultant Paramedic London Ambulance Service NHS

More information

Right place, right time, right team

Right place, right time, right team Right place, right time, right team Thurrock Rapid Response Assessment Service A joint Thurrock social care and South West Essex Community Services initiative helps residents in Thurrock get a rapid response

More information

County of Santa Clara Emergency Medical Services System

County of Santa Clara Emergency Medical Services System County of Santa Clara Emergency Medical Services System Policy #501: Hospital Radio Reports HOSPITAL RADIO REPORTS Effective: February 12, 2015 Replaces: January 22, 2008 Review: November 12, 2018 Resources:

More information

Rhode Island HEALTH. Continuity of Care Form. Referral to: Phone:

Rhode Island HEALTH. Continuity of Care Form. Referral to: Phone: 0 Specific Discharging Agency: Rhode Island HEALTH Continuity of Care Form Home Address: Referral to: Being Discharged to: Address: Contact Person @ Discharging Facility: Phone/Beeper #: The following

More information

Systematic Assessment Frameworks

Systematic Assessment Frameworks After reading this article you should be able to: Understand systematic assessment frameworks; ABCDE; head-to-toe; SBAR Examine person-centred care, underpinned by the 6 C s of nursing Undertake a structured

More information

Why don t nurses call for help: results of a systematic review.

Why don t nurses call for help: results of a systematic review. Why don t nurses call for help: results of a systematic review. Mandy Odell Nurse Consultant, Critical Care Royal Berkshire NHS Foundation Trust Reading, UK Aims of the session To briefly describe a systematic

More information

Developing an urgent care strategy for South Tees how you can have your say July/August 2015

Developing an urgent care strategy for South Tees how you can have your say July/August 2015 Developing an urgent care strategy for South Tees how you can have your say July/August 2015 Foreword Commissioning high quality, accessible urgent care services is a high priority for South Tees Clinical

More information

If you do not have a chart already created Click Create blank chart to create a new chart. The Dispatch screen will appear

If you do not have a chart already created Click Create blank chart to create a new chart. The Dispatch screen will appear Let s Get Started!!! Click on incomplete chart to finish a previously started chart. Example of Patient Records Page If you do not have a chart already created Click Create blank chart to create a new

More information

Physical Health Check: Guidelines for use

Physical Health Check: Guidelines for use Physical Health Check: Guidelines for use Introduction Background People with mental health problems often have poor physical health. Their physical health needs often go unnoticed by mental health staff.

More information

Falls in Care Homes. NHS Bedfordshire

Falls in Care Homes. NHS Bedfordshire Falls in Care Homes NHS Bedfordshire Background 2003 National Falls Collaborative Targeted work in a specific geographical area 2006/09 Local Area Agreement To reduce falls related emergency admissions

More information

Part 3: Confirmation of eligibility and coverage for provincial home care - to be completed by the provincial home care case coordinator / manager.

Part 3: Confirmation of eligibility and coverage for provincial home care - to be completed by the provincial home care case coordinator / manager. Great-West Life Centre 100 Osborne Street N Winnipeg MB R3C 1V3 Dear Plan Member, To establish the amount of coverage available for nursing care under your group benefit plan, Great-West Life requires

More information

Linking the LAS with Health & Social Care. 6 th December 2016

Linking the LAS with Health & Social Care. 6 th December 2016 Linking the LAS with Health & Social Care 6 th December 2016 Outline: About me.. LAS Context Integrating LAS with H&SC London Ambulance Service NHS Trust 2 LAS context London Ambulance Service NHS Trust

More information

Outpatient management of community acquired pneumonia

Outpatient management of community acquired pneumonia Outpatient management of community acquired pneumonia Wei Shen Lim Consultant Respiratory Physician Honorary Professor of Medicine (University of Nottingham) Nottingham University Hospitals NHS Trust What

More information

EM Coding Newsletter & Advisory Critical Care Update

EM Coding Newsletter & Advisory Critical Care Update EM Coding Newsletter & Advisory Critical Care Update Keep Your Critical Care Up With The Times Critical Care Case Scenarios Frequently Asked Questions Keep Your Critical Care Up With The Times In the last

More information

COPD Management in the community

COPD Management in the community COPD Management in the community Anne Jones Independent Respiratory Nurse Consultant RN,BSc(Hons),PGDip(RespMed)/MA Content of session Will consider the impact of COPD COPD Strategy recommendations and

More information

National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI)

National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) October 27, 2016 To: Subject: National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) COPD National Action Plan As the national professional organization with a membership of over

More information

Independent investigation into the death of Mr John Lomas a prisoner at HMP Whatton on 20 April 2017

Independent investigation into the death of Mr John Lomas a prisoner at HMP Whatton on 20 April 2017 Independent investigation into the death of Mr John Lomas a prisoner at HMP Whatton on 20 April 2017 Crown copyright 2017 This publication is licensed under the terms of the Open Government Licence v3.0

More information

Fitness to Practice Panel Consensual Panel Determination. 4 August Nursing and Midwifery Council: 2 Stratford Place, London E20 1EJ

Fitness to Practice Panel Consensual Panel Determination. 4 August Nursing and Midwifery Council: 2 Stratford Place, London E20 1EJ Fitness to Practice Panel Consensual Panel Determination 4 August 2017 Nursing and Midwifery Council 2 Stratford Place, London E20 1EJ Name of Registrant Nurse: NMC PIN: Mrs Julia Forrest 05H1375E Part(s)

More information

Independent investigation into the death of Mr Norman Saunders a prisoner at HMP Rye Hill on 5 January 2017

Independent investigation into the death of Mr Norman Saunders a prisoner at HMP Rye Hill on 5 January 2017 Independent investigation into the death of Mr Norman Saunders a prisoner at HMP Rye Hill on 5 January 2017 Crown copyright 2015 This publication is licensed under the terms of the Open Government Licence

More information

Older Person's Assessment Form. Name: Contact details: Provide detail: Detail: Detail: Detail: Detail:

Older Person's Assessment Form. Name: Contact details: Provide detail: Detail: Detail: Detail: Detail: BASELINE: COGNITION REVIEW: COGNITION Residents details Resident name: Gender: NHS No: Age: Religion, Spirituality: Older Person's Assessment Form Care Home details Phone number: Address: Date of admission:

More information

Acute Care Workflow Solutions

Acute Care Workflow Solutions Acute Care Workflow Solutions 2016 North American General Acute Care Workflow Solutions Product Leadership Award The Philips IntelliVue Guardian solution provides general floor, medical-surgical units,

More information

Using Clinical Criteria for Evaluating Short Stays and Beyond. Georgeann Edford, RN, MBA, CCS-P. The Clinical Face of Medical Necessity

Using Clinical Criteria for Evaluating Short Stays and Beyond. Georgeann Edford, RN, MBA, CCS-P. The Clinical Face of Medical Necessity Using Clinical Criteria for Evaluating Short Stays and Beyond Georgeann Edford, RN, MBA, CCS-P The Clinical Face of Medical Necessity 1 The Documentation Faces of Medical Necessity ç3 Setting the Stage

More information

Clinical Advice Directorate Guidance notes for the provision of Clinical Advice

Clinical Advice Directorate Guidance notes for the provision of Clinical Advice Clinical Advice Directorate Guidance notes for the provision of Clinical Advice Introduction One of the key roles of the Ombudsman s Clinical Adviser is to help our lay caseworkers to understand the clinical

More information

Rapid Response Team and Patient Safety Terrence Shenfield BS, RRT-RPFT-NPS Education Coordinator A & T respiratory Lectures LLC

Rapid Response Team and Patient Safety Terrence Shenfield BS, RRT-RPFT-NPS Education Coordinator A & T respiratory Lectures LLC Rapid Response Team and Patient Safety Terrence Shenfield BS, RRT-RPFT-NPS Education Coordinator A & T respiratory Lectures LLC Objectives History of the RRT/ERT teams National Statistics Criteria of activating

More information

Admission Record IVF/Gynae

Admission Record IVF/Gynae Admission Record IVF/Gynae Surgeon: Operation : of Admission: Please state your full name and date of birth - correct Nurse Checklist Yes No Please tell me your full address - correct Consent form signed,

More information

Paul Meredith, PhD, Data Analyst, TEAMS centre, Portsmouth Hospitals NHS Trust, Portsmouth PO6 3LY, UK

Paul Meredith, PhD, Data Analyst, TEAMS centre, Portsmouth Hospitals NHS Trust, Portsmouth PO6 3LY, UK The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death Professor Gary B Smith, FRCA, FRCP,

More information

2016 School District of Pittsburgh

2016 School District of Pittsburgh 2016 School District of Pittsburgh Health Careers Skill Name: Accurately Measures, Records and Reports Client s Oral Temperature ROADMAP: 20 min (vitals, height and weight) EQUIPMENT NEEDED: facility/materials

More information

Rapid Response Nursing Program: Supporting Chronic Disease Management through Transitions in Care

Rapid Response Nursing Program: Supporting Chronic Disease Management through Transitions in Care Rapid Response Nursing Program: Supporting Chronic Disease Management through Transitions in Care Geriatric Day Hospitals Institute Sunnybrook Health Science Centre November 25, 2013 Liana Sikharulidze,

More information

DOCUMENT CONTROL PAGE

DOCUMENT CONTROL PAGE DOCUMENT CONTROL PAGE Title Title: Early Warning Score Policy Version: 6 (May 2010) Amended version Reference Number: Supersedes Originator or modifier Approval Supersedes: EWS Policy v5 2009 August 2009

More information

ACUTE ISCHAEMIC STROKE (INPATIENT)

ACUTE ISCHAEMIC STROKE (INPATIENT) ACUTE ISCHAEMIC STROKE (INPATIENT) MODULE: ACUTE CARE TARGET: FY1 & FY2 TRAINEES AND FINAL YEAR MEDICAL STUDENTS BACKGROUND: Stroke is a major health problem in the UK accounting for approximately 11%

More information

Time-Critical Transfer of the Sick or Injured Child (<16 years)

Time-Critical Transfer of the Sick or Injured Child (<16 years) LRI Emergency Department Standard Operating Procedure for: Time-Critical Transfer of the Sick or Injured Child (

More information

Ensuring our safeguarding arrangements act to help and protect adults PRACTICE GUIDANCE FOR REPORTING MEDICATION INCIDENTS INTO SAFEGUARDING

Ensuring our safeguarding arrangements act to help and protect adults PRACTICE GUIDANCE FOR REPORTING MEDICATION INCIDENTS INTO SAFEGUARDING Ensuring our safeguarding arrangements act to help and protect adults PRACTICE GUIDANCE FOR REPORTING MEDICATION INCIDENTS INTO SAFEGUARDING Contents Page 1.0 Purpose 2 2.0 Definition of medication error

More information

Inguinal hernia repair integrated care pathway (ICP)

Inguinal hernia repair integrated care pathway (ICP) Name Ward Hosp no DOB Affix patient label Inguinal hernia repair integrated care pathway (ICP) Inclusion criteria Patients undergoing inguinal hernia repair aged under 3 months corrected gestational age

More information

Circumstances of Injury: Cause of burn %Burn Smoke Inhalation: Yes No How accident happened:

Circumstances of Injury: Cause of burn %Burn Smoke Inhalation: Yes No How accident happened: Shriners Hospitals for Children Date: Galveston Burn Hospital Time: 815 Market Street Resource: Galveston, Texas 77550 Contact: Referral Calls: 409-770-6773 Fax #: 409-770-6539 Patient Name: Sex: Home

More information

Core competencies for the care of acutely ill and injured children and young people. May 2006

Core competencies for the care of acutely ill and injured children and young people. May 2006 Core competencies for the care of acutely ill and injured children and young people May 2006 Contents Introduction 3 How the competencies can be used 6 Core competencies : Assessment domain 7 Core competencies

More information

PACES Station 2: HISTORY TAKING

PACES Station 2: HISTORY TAKING INFORMATION FOR THE CANDIDATE Patient details: Your role: Presenting complaint: Ms Donna Jones, a 47-year-old woman You are the doctor in the general medical outpatient clinic Fatigue Please read the letter

More information