Ooh - goodness!
Sorry - been away for weekend and come back to a right old can of worms!
Yes - PCT's, Ambulance trusts and all neighbouring trusts have been involved
in negotiations right from the outset and continue to feed into the
development of the MIU. Preparations have been ongoing for nearly 2 years as
we wanted to get it right!
These are not going to be transfers to "satellite" hospitals. They are acute
medical take patients who are deemed stable enough to transfer without a
nurse escort to Southmead MAU if Frenchay looks to be approaching bed
capacity. Southmead will continue to have an acute medical take as well, so
we are trying to cover all the bases. We are exploring using ALL options -
Trust transport, private ambulance companies and possibly Avon Ambulance if
the worst comes to the worst, but as a member of the Avon Ambulance LAPS
committee I am all too aware of the pressures on the ambulance services at
the moment! The physicians have been working with Avon Ambulance as well to
develop Direct Admissions Protocols to the MAU and these are working as
well.
So back to my original request - if anyone has a protocol / guidline in
place which could save me some work, could they let me know? Off list would
be fine.
Many thanks
Simon
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]]On Behalf Of Martyn Hodson
Sent: 05 June 2005 21:54
To: [log in to unmask]
Subject: Re: Assessment tool for transfer of medical patients
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Mike Bjarkoy
> Sent: 05 June 2005 10:49
> To: [log in to unmask]
> Subject: Re: Assessment tool for transfer of medical patients
>
>
> I would support this statement. I used to work in a city
> where there was a consistent need for interhospital transfers
> from the main A&E dept to satellite hospitals. The impact
> this had was not only detrimental to the ambulance service -
> taking away emergency response after non-emergency ambulances
> finished their shifts, but also the impact it had on the A&E
> dept. The expectation being that patients could be
> transferred out of the dept especially when it became busy.
> In reality patients stayed in the departments for a longer
> period of time, why? because the ambulances were too busy on
> 999 calls and urgent journeys bring new patients into the
> department. As Maurice has stated, absolutely necessary to
> ensure funding is there for an additional 24/7 ambulance
> transfer up to paramedic level. Mike Paramedic
Or the trust needs to consider how to best meet the demand , IIRC Hull
use a PAS to provide interesite transport at the middle tier / tech
level.
Other trusts use in house vehicles but are very restricted by limited
(PTS) levles of equipment o nthe vehicle and anything other thn the
simplest pTS job requiresa Nurse escort who is cappable of managign the
patient
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