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ADMISSION PROCESSES & SYSTEMS

ADMISSION PROCESSES & SYSTEMS. Making Same Day Surgery Possible Presented by Christine Marks Broadmeadows Health Service A Campus of Northern Health. Broadmeadows Health Service (BHS) - Background.

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ADMISSION PROCESSES & SYSTEMS

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  1. ADMISSION PROCESSES & SYSTEMS Making Same Day Surgery Possible Presented by Christine Marks Broadmeadows Health Service A Campus of Northern Health

  2. Broadmeadows Health Service (BHS) - Background • BHS provides both inpatient and outpatient health services primarily for residents of local government areas located in the northwest of Melbourne. • Services include aged care, rehabilitation and palliative care inpatient units.

  3. BHS - Background (cont’d) • In the ambulatory setting, these services comprise a DAY PROCEDURE & ENDOSCOPY UNIT, outpatient clinics, mental health services for all age groups and a chronic renal dialysis service. • Dianella Community Health also has a significant presence including a GP clinic. The development of strong ties with the community it serves is a key focus of BHS.

  4. Day Procedure & Endoscopy Unit at BHS • Comprises two (2) Operating Rooms and & one (1) Endoscopy Room. • Since opening in 1998 - 22024 patients have passed though our doors. • Types of Procedures: • Cataracts and minor extra-occular • Minor orthopaedics • General surgery • IVF and Gynae

  5. Systems/Clerical Issues • Other organisations utilise the BHS Day Procedure Unit. • The Northern Hospital, Royal Melbourne Hospital and Monash IVF patients • 4 different sets of paperwork. • Care needs to be taken to ensure that all documentation is complete for each one.

  6. Systems/Clerical Issues (cont’d) • Histories not on site – 2 day wait. • Incomplete clinical notes / missing consent / NOA missing. • 2 Computer systems – Homer and Hospro. • Lag time in the return of the Health Questionnaires.

  7. Pre Admission Process at BHS • This is a ‘Weeding Out’ process rather than a ‘Working Up’ process. • Health Questionnaire MUST be completed or no booking date given. • Phone contact only – no visual contact made until the day of surgery. • Confirmation phone call made 2 days prior to the operation date. • No formal pre admission clinic. Strict criteria.

  8. BHS Pre-Operative Assessment & Investigation Criteria

  9. Mind Set at BHS • Staff - Clerical and Nursing • Patient and Carer • Surgeon • Anaesthetist

  10. Issues for a Stand Alone Unit • Hours of operation. • Pain control. • Code Blues. • Admission or transfer up. • Follow up of patients. • General Anaesthetics • Sedation • Local Anaesthetics

  11. Conclusion • There are few internal machinations or political issues typical of a large tertiary institution. • There are no emergencies patients that need to take priority. • Despite all of the challenges, the contribution made by the team enables the system to work.

  12. BHS HIP Rates

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