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CARE CO-ORDINATION IN A&E

CARE CO-ORDINATION IN A&E. …what do we really do???. LET’S GO BACK. but only 6 years!!. STAY IN BED. DO NOT EVEN THINK OF GETTING OUT. DO NOT EAT OR DRINK DO NOT CAUSE A FUSS. AND. wait …… ……….. …………. Triage categories. 1 – time is the essence. 2 – time still critical.

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CARE CO-ORDINATION IN A&E

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  1. CARE CO-ORDINATION IN A&E …what do we really do???

  2. LET’S GO BACK • but only 6 years!! STAY IN BED. DO NOT EVEN THINK OF GETTING OUT. DO NOT EAT OR DRINK DO NOT CAUSE A FUSS.

  3. AND • wait …… • ……….. • …………

  4. Triage categories • 1 – time is the essence

  5. 2 – time still critical

  6. 3 – stable; reviewed half hourly

  7. 4 – less acute; reviewed hourly

  8. 5 – maybe you should go to your GP; waiting time not relevant

  9. “I waited “I waited 18 hours on a trolley” …. • I was triaged as a “3” at 2pm • Waited 2 hours in the waiting area, monitored & looked after by nurses • Waited another hour in the cubicle to see the doctor • Had lots of tests, waited to see the specialist’s registrar, had medication prescribed, etc, & this all took another 12 hours • It was 6am, so I waited till breakfast, then was picked up by my family at 8am

  10. Emergency Care Co-ordinators • Have time to delve • Find cases from the most unlikely of sources…..

  11. Ambos

  12. Clerical/support staff

  13. Medical staff

  14. Nursing staff

  15. Friends, neighbours, anyone!!

  16. SO … formal + informal + teamwork = care co-ordination in ED

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