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Community referral/screen detected AAA

Community referral/screen detected AAA. Within hospital referral AAA. No AAA. OPD. AAA Give info sheet to pt. Discharge. <5.5cm. >5.5cm/ symptoms. NB referral size is 5 cm in women. NBT Pre-Operative Elective AAA Care Pathway. Surveillance. Checklist on ICE. Amber/ green.

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Community referral/screen detected AAA

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  1. Community referral/screen detected AAA Within hospital referral AAA No AAA OPD AAA Give info sheet to pt Discharge <5.5cm >5.5cm/ symptoms NB referral size is 5 cm in women NBT Pre-Operative Elective AAA Care Pathway Surveillance Checklist on ICE Amber/ green Amber/ red CPEX CT angio Anaesthetic/ specialist referred Risks modified MDT Review Book for intervention Fit Unfit Not for elective intervention Discharge Book for intervention Proceed at risk Unfit

  2. Patient Information Leaflets OPD AAA Give info sheet to pt New AAA leaflets currently being printed in NBT & will be available soon. <5.5cm >5.5cm/ symptoms NB. Recovery leaflet can be given at consultation when type of repair is chosen so patient can prepare for recovery or alternatively given upon discharge. ‘Suveillance of AAAs’ leaflet ‘Treatment of AAAs’ leaflet Pre-op Consultation Discharge ‘Recovery from AAAs (OPEN/EVAR)’ leaflet ‘Recovery from AAAs (OPEN/EVAR)’ leaflet

  3. Out-patient pathway for AAA Patient seen by Clinical team Large/symptomatic AAA Safe for surgery checklist/info sheet Small AAA, not For intervention For intervention Not for intervention/ patient declines Book for surveillance Give small AAA info sheet Bloods, FBC, U&E albumin Copy of letter and checklist to MDT Co-ordinator Refer as indicated by pathway

  4. Action Plan

  5. NBT Care Bundle Audit Cycle Action Planning Audit

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