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PATIENT ARRIVES AT EMERGENCY DEPARTMENT
TRIAGE NURSE EMERGENCY
DEPT
2ND NURSE REVIEW
EMERGENCY DEPT
MDT MEETING
AYRSHIRE CENTRAL
BIGGART HOSPITAL
COMMUNITY HOSPITAL
STEP DOWN BED
HOME
CDU
2 BEDS 24 HRS
72 HR ASSESSMENT BED
5D/5E
WARD 3E
HOME
IN PATIENT BED
FRAIL ELDERLY PATHWAY
PATIENT IDENTIFIED AND LISTED AS POTENTIAL FOR PILOT BY ADMIN STAFF
FRAILTY INDEX SCORE CALCULATEDFRAIL
ELDERLY PILOT TEAM REVIEW
HELD IN REAL TIME IN THE E.D. AS AND WHEN REQUIRED
TEAM IN ACTION
TEAM STILL IN ACTION
Monday 13th May 2013
Feel a bit apprehensiv
e
In general, worked
relatively well on first day
Excited about the
possibilities that this
offers
Positive experience, good that it was a bit quieter today to get to grips with
processCap of 8 removed
Med rec
timing crucial
Red dot process
Getting to grips with
ED processes
Needs co-ordination
Pleased that we all got through
it
Over 65 : 22 (5 for pathway.)
3 to CDU (would have gone to 3E)
2 home
Total admissions avoided: 3
2 empty beds at 5pm
9am 4pm
Tuesday 14th May
Good examples of
making a difference
Much more natural
slotting in of MDT today
Admin co-ordination
made a huge impact
Can’t underestimate the impact of having Dr Wallace in ED
GP joining team
Sleepless night
Keeping track on patients
Impressed with the
progression
Huge difference
made
Empty beds in 3E – that
never happens!
Staff excited after
yesterday
Amazing! Revolutionis
ed the service!
Over 65: 29 (16 for pathway.)
12 home(2 NH). 2 to 72 hr beds.
1 to 5D. 1 to 3E.
Total admissions avoided: 9
8 empty beds at 5pm
9am 4pm
Friday 17th May 2013
It’s Friday!
A quick chat with ED staff this morning
to clarify processes
Having MDT meetings on the
floor rather than coming
up. Saving time
Not the same amount of
stress in the wards
Huge impact on 3E having
empty beds
Not so many people sent to
3E – most going straight
to ward
Pts seem to have been
safely discharged in
a shorter period of time
Some minor adjustments
Early contact
with families, invaluabl
e
9am 4pm
10 empty beds in 3E
OUTCOMES
‘AVOIDED’ ADMISSIONS
ED JOURNEY TIMES IN CONTROL GROUP
ED JOURNEY TIMES DURING PILOT WEEK
ED JOURNEY TIMES OF UNDER 65’S CONTROL GROUP
ED JOURNEY TIMES FOR <65’S IN PILOT WEEK
TIME TO COMMENCE GCA