I'll have one of those forms for my grand rounds talk"access block,not
the Emergency Department problem"
Shane
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Rowley Cottingham
Sent: 30 April 2005 05:48
To: [log in to unmask]
Subject: Re: Multiple clerkings
The answer is not to clerk in the ED. We have pioneered the PAT
approach;
the primary assessment team. The idea behind this is that the patient is
assessed by a senior doctor and nurse. The paperwork looks nothing like
a
clerking - deliberately. We do enough to make a decision - obvious
admission
(fine, resuscitate, off to medical assessment unit as soon as safe) or
needs
bloods to decide. This second group are passed to an SHO to clerk and
probably go to the CDU to await results. The SHO can then update the
senior
doctor with the full clerking to facilitate decision making. The target
time
for PAT is 7 minutes, and it happens at entry. Currently we run this
from
8am to 9pm. Works for us, although there are certainly other approaches
that
achieve the same end.
I'll happily forward a copy of the latest version of the template to
anyone
interested rather than clogging up the list.
Best wishes
Rowley.
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Sunil Dasan
Sent: 29 April 2005 11:21
To: [log in to unmask]
Subject: Multiple clerkings
Does anyone on the list know of any documentation which is used for all
emergency attendees (ED and other emergency units) and then carried on
by
inpatient teams if they are admitted?
We are having a bit of a problem with patients having the same histories
documented time and time again by nurses, A&E docs and inpatient docs
amongst others.
I'm happy to be contacted off-list
Sunil
http://www.surreyandsussex.nhs.uk
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