Emergency Care Wrap November 2024

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Date: November 2024

THINGS YOU NEED TO KNOW

Dawn Williams Sister

Idowu Afolabi Staff Nurse

Megan Johnson Staff Nurse

Mohammad Bhuiyan Speciality Doctor

Sharon Farmer Healthcare Assistant

A test of change programme has been underway in minor injuries to improve 4-hour performance. ENP’s at PRH have trialled earlier start times and clinicians have been allocated to the area during the twilight period

A microaggressions poster has recently launched within ED which promotes staff to think about certain phrases which can inadvertently cause harm and upset to colleagues

Paediatric sepsis: All paediatric bleeps need to be answered ASAP. Once the Senior Dr attends paediatrics sepsis call ,all Paeds should be treated accordingly. If the Senior Dr decides not to treat the patient for Sepsis, this must be documented on the Electronic Patient Record (EPR)

ALL trauma, inc. silver trauma: should be assessed by the Senior Clinician. All trauma patients should have primary survey done before requesting any imaging and the secondary survey before discharging or referring to specialities

SDEC: Referral criteria should be used for patients prior to making referrals. Once identified, clinicians should contact the SDEC coordinator and handover the patient details

Paracetamol overdose: it is vital that all clinicians check the timing of the overdose as treatment level of the paracetamol varies from the time of the overdose.

Infusions: Please be reminded that all clinical staff should not disconnect an infusion prior to transferring patients unless it is indicated or instructed by a senior clinician

A patient journey board has been developed to inform patients of expectations whilst within the department, and this will be displayed on electronic boards within ED soon

The Governance Team have been supporting ED to embed compassionate engagement across the department, which includes promotion of staff learning from incidents

A test of change has happened within AMA in October and November which has led to a reduction in total length of stay in the area and an increase in total discharges

Radiological investigation requests: It is vital that all clinicians attempt to complete radiological investigation requests and prescriptions at the patient’s bedside. All Patient Details must be double checked before handing to the next person and EPR updated ASAP with plan

Restricting interventions/rapid tranquilization: MCA and rapid tranquilization paperwork should be completed by the clinician. Correct observation procedures should be followed as per guidelines

Dr Furruqh Shabbir

It is with great sadness that on 25 October 2024, we lost one of our wonderful colleagues, Furruqh Shabbir.

Furruqh worked at SaTH for many years and was a well-known face to colleagues across the Trust. He was highly regarded and was always ready with a smile and a light hearted comment. He will be greatly missed.

It’s a di cult time for everyone who worked alongside him. At a time that is right for his family, we hope to hold a remembrance service for all of his work colleagues.

For anyone who feels they would like some additional support at this sad time, please remember the Trust Psychology Service is available for you, or if you would just like an informal chat, please contact Miss Rebecca Race, Clinical Director for EDs.

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