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Pauline Izat

Pauline Izat. Substance Misuse Nurse Team Lead Acute Division. Service Delivery Aims. Training and development of staff in the clinical management of this patient group Delivery of Alcohol Brief Interventions within Emergency Care Development of strategies to reduce admission rates

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Pauline Izat

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  1. Pauline Izat Substance Misuse Nurse Team Lead Acute Division

  2. Service Delivery Aims • Training and development of staff in the clinical management of this patient group • Delivery of Alcohol Brief Interventions within Emergency Care • Development of strategies to reduce admission rates • Evidence based clinical interventions within window of opportunity to improve both short and long term health outcome

  3. 2477 referrals to service 2010-2011 • 1161 ABI’s delivered within A/E setting

  4. James Identified as a regular attender of our A/E department. 35 year old man, married with 2 children. Employed. First attended our department in 2008 with a minor injury. Not referred to this service until his first admission. Did not manage to engage with appointments at this time but attended on several occasions thereafter asking for detox. No referral made until his last admission.

  5. Attendances to Emergency DepartmentTOTAL NUMBER OF ATTENDANCES 41 WITHIN 9 MONTH PERIOD !

  6. Hours spent in Emergency Department Oct 2008- Oct 2009TOTAL HOURS SPENT 61.6 HOURS 1 BREACH OF 4 HOUR TARGET!

  7. TOTAL NUMBER OF IN PATIENT DAYS -14 ON 4 OCCASIONS!

  8. James • During this time James was brought to hospital in an ambulance on 12 occasions. He was also brought by Police twice. • He separated from his wife and lost access to his 2 children • He became homeless following the death of his mother

  9. Substance Misuse Nurse Service • Saw James on 12 occasions to support him with his ongoing alcohol detox following discharge from hospital • Initiated on going support with local services • Re established links with GP • Re established links with family • Arranged support via mutual support group • Supported tenancy application

  10. James • No attendances to A/E since June 2009! • Remains abstinent • Now in permanent accommodation • Has regular access to children • Has returned to work

  11. If we always do things the same things will always stay the same!

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