Dr Maria McGill - AMA WA
Dr Maria McGill - AMA WA
Dr Maria McGill - AMA WA
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Medical Leadership<br />
and Service<br />
Redesign Rotation<br />
<strong>Maria</strong> <strong>McGill</strong><br />
Dhanvee Kandadai<br />
Hannah Hessamodini
Intensive Care<br />
Unit<br />
Ward<br />
Medical<br />
Weekend<br />
ED<br />
Medical<br />
Acute Assessment<br />
Unit
THE ISSUES
Junior Doctor: Name:<br />
OUR SOLUTIONS:<br />
Senior Doctor: Name:<br />
Signature:<br />
Time:<br />
Signature:<br />
Time:<br />
Differential diagnosis/Problem list:<br />
Patient accepted by: Name:<br />
Speciality:<br />
Time:<br />
Transfer to ward when bed ready Yes / No<br />
Patient to stay in ED for admitting team review Yes / No<br />
Medications for next 6 hours<br />
Charted / NA<br />
Analgesia + PRN medications<br />
Charted / NA<br />
Fluids charted for next 6 hours<br />
Charted / NA<br />
Fasting status<br />
Fasting / clear fluids / Usual diet<br />
Frequency of observations 4hrly / 2hrly/ 1hrly /……..<br />
Infection control status<br />
Single room / NA<br />
Pending Investigations: Score 0 1 2 3 On referral On transv<br />
Heart<br />
rate<br />
51-<br />
100<br />
41-50<br />
100-110<br />
130<br />
Treatment plan (Completed and pending treatment)<br />
Syst<br />
BP<br />
101<br />
-<br />
81-100<br />
161-200<br />
71-80<br />
>200<br />
STANDARDISED HANDOVER
OUR WINS!<br />
Improved documentation<br />
Implementation of education<br />
Increased weekend discharges<br />
Efficient patient reviews<br />
Improved documentation<br />
Positive staff engagement
IN SUMMARY ..<br />
• Involvement of stakeholders in solution<br />
generation.<br />
• Standardised handover tools important.<br />
• Must be supported by education,<br />
communication channels and protection of<br />
handover time.
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