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Countdown to 2020

December 31, 2019

With only one more sleep until the New Year, we are all focussed on getting our patients who are medically well home to enjoy some time with their friends and family. We all do a great job discharging patients over this time of year and this year we need to do even better if we are to have the beds available and safely staffed for those patients who will need to be admitted.

Every day we need to get a few more discharges out of our acute sites: Six more every day at Sandwell and three more every day at City. Our community teams are also working hard to make sure that they can help patients get home.

If you have a problem discharging a patient who is medically fit please escalate this to the ward management team in-hours and the duty CNP out of hours. There are a number of schemes in place to help avoid admission and support you to discharge patients home.

  • Does your patient need a specialty review? Could they go home but be seen by the right consultant tomorrow? If so then book them into one of our hot clinics. You can do this by calling ext 4112. The phone line is staffed 24/7.
  • Think Glucose assessments are now being done earlier in the day. But could your patient have this tomorrow as an outpatient? If so they can be discharged and you can book the Think Glucose assessment by calling ext 4112.
  • If your patient needs a transport crew of four to move them safely then we have extra staff on in transport to help. Remember to book your transport in advance and as early as possible.
  • Are you having difficulty discharging your patient on Capman? Contact your super user who will be able to help.

Over the last 24 hours colleagues in ED used the 4112 hot line to get outpatient appointments to a number of specialty clinics, see below the numbers and specialities already using this facility:

Date Specialty Site Appointment given Patient confirmed
20/12/2019 Gynaecology ED SGH 20/12/2019 Yes
20/12/2019 Gen Surg ED SGH 23/12/2019 Yes
20/12/2019 Paediatrics ED CITY 23/12/2019 Yes
21/12/2019 Neurology ED SGH 29/12/2019 Yes
21/12/2019 Cardiology ED SGH 31/12/2019 Yes
22/12/2019 Urology ED CITY 23/12/2019 Yes
22/12/2019 T+O ED CITY 24/12/2019 Yes
23/12/2019 Gynaecology ED CITY 24/12/2019 Yes
23/12/2019 Urology ED SGH 27/12/2019 Yes
23/12/2019 Ent ED SGH 28/12/2019 Yes
24/12/2019 Respiratory ED SGH 30/12/2019 Yes
24/12/2019 Pain ED SGH 24/12/2019 Yes
24/12/2019 T+O ED CITY 27/12/2019 Yes
24/12/2019 Urology ED CITY 30/12/2019 Yes
24/12/2019 Vascular ED CITY 27/12/2019 Yes
24/12/2019 Neurology ED CITY 27/12/2019 Yes
25/12/2019 Gastro ED CITY 30/12/2019 Yes
27/12/2019 Urology ED SGH 30/12/2019 Yes
25/12/2019 Derm ED CITY 27/12/2019 Yes
25/12/2019 Urology MESSAGE 31/12/2019 Yes
27/12/2019 T+O ED CITY 07/01/2020 Yes
27/12/2019 Urology ED CITY 30/12/2019 Yes
28/12/2019 Urology ED SGH 30/12/2019 Yes
28/12/2019 Paed Ent 31/12/2019 Yes
31/12/2019 Ent ED SGH 02/01/2020 Yes
31/12/2019 Gastro ED CITY 02/01/2020 Yes

Is something getting in the way of discharging your medically fit patient? Please ensure you escalate this to your ward leaders in hours and the duty CNP out of hours.