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Paediatric OPAT Jayne Bevan

Paediatric OPAT Jayne Bevan. Paediatric OPAT. How hard can it be?. Sam: 16 year old male School attender Lives with family in Chippenham. Case Study. Background History. December 2010:Surgery at BRI ( Ravitch Procedure) to correct Pectus excavatum .

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Paediatric OPAT Jayne Bevan

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  1. Paediatric OPAT Jayne Bevan

  2. Paediatric OPAT How hard can it be?

  3. Sam: 16 year old male School attenderLives with family in Chippenham Case Study

  4. Background History December 2010:Surgery at BRI (Ravitch Procedure) to correct Pectusexcavatum. October 2011:Revision procedure at Great Ormond Street with Stratos bar system and k-wire stabilization. December 2011:Removal of proximal k-wire segments March 2012: Further removal of pins from Manubrium - bleeding/haematoma May 2012: Osteomyelitis of Manubrium

  5. June 2012 Wound swab grown Staph Aureus PICC line inserted 2 Grams Flucloxacillin IV QDS 4/6 weeks Parents require IV training Sam does not want to be admitted to another hospital A once a day alternative not an option Great Ormond Street want to discharge Sam

  6. Local policies How would your area respond to this request? What are the barriers? What are the solutions?

  7. Our Response Friday referral No weekend cover Sam admitted to the RUH Paediatric nurses started training Mum Paediatric and microbiology Consultant aware of admission OPAT nurse completed training Assessed competence Organised discharge Arranged follow up

  8. What to consider? Is the treatment appropriate and suitable antibiotic available? Is the child co-operative? Parent/carer suitability Willingness to train Drug doses may be more complicated Transport Communication Support

  9. Good Practice recommendations What would you like to see included? P- OPAT

  10. Any QuestionsAny Questions ? Jayne Bevan : IV Home Therapy Sister Royal United Hospital Bath jaynebevan@nhs.net Thank You

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