Yes, that sounds eminently sensible, Katherine (and Andrew). Ward to ward
transfer will be both data "friendly" and patient "centred". But managers do
tend to abuse, and obs wards quickly end up becoming the overflow for the
main hospital...I do not have a ready solution!
Adrian Fogarty
----- Original Message -----
From: "Katherine Henderson" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, June 19, 2003 10:43 PM
Subject: Re: Obs Unit
> The original plan with the Obs Unit was to move patients out if they ended
> up needing admission. The rationale was to prevent bed managers treating
the
> Obs Unit as an inpatient ward and leaving people in there. However we are
> going to go for the ward to ward transfer model because it seems more
> logical and less complex for data entry and better for the patient not to
be
> moved. But we will be watching the bed managers like hawks
>
> Thanks for you comments
>
> Katherine Henderson
> Consultant A&E Homerton
> ----- Original Message -----
> From: "Andrew Hobart" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, June 19, 2003 5:17 PM
> Subject: Re: Obs Unit
>
> > I would have thought that if a patient needs to be admitted to the
> > "main" hospital wards from an observation ward CDU ward then this is a
> > ward to ward transfer and nothing to do with A&E waits or trolley waits.
> > That is assuming that such patients don't return to another part of A&E
> > prior to admission.
> > The only time I can envisage this happening is if they "go off" and have
> > to go to A&E resus. For example a patient with a Head Injury drops their
> > level of consciousness and is (re)scanned revealing a bleed; they
> > deteriorate further and need to be intubated for transfer to the
> > Regional Neurosurgical Unit.
> > In such as case perhaps we should book them back into A&E as an
> > unplanned reattendance and aim to get them off to theatre/ ICU/ Transfer
> > within 4 hours - preferably much less.
> >
> > Andrew
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