Annual Report 2010 - St. James's Hospital

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Omega Ms. Patricia Eadie Clinical Director Ms. Shona Schneemann Business Manager Ms. Dympna St. John Coss Nurse Manager Introduction The Omega Directorate comprises of the following specialities – Plastic and Reconstructive Surgery – National Burns Unit (Adult) – Orthopaedic Surgery – Maxillo Facial Surgery Unit – Cleft Orthodontic/Prosthodontic unit The directorate includes Anne Young ward, Abraham Colles ward, Plastic Surgery out patients department incorporating minor surgery, Orthopaedic out patients department incorporating a dedicated plaster suite, Maxillofacial and Cleft Orthodontic unit incorporating Maxillofacial/Cleft Orthodontic/Prosthodontic procedure rooms and the Maxillofacial laboratory. Directorate Activity The Omega Directorate provides the following services for patients: • Plastic Surgery – Supra regional rapid access trauma service and a supra regional plastic and reconstructive surgery service • Maxillofacial/Cleft Orthodontic – Supra regional rapid access trauma service and a supra regional maxillofacial and cleft orthodontic service • Orthopaedic regional trauma and elective service 66
Clinical Directorates I Omega The total outpatient attendance rate for the Omega Directorate increased in 2010 with an increase in new and return patients. During 2010 the directorate reviewed patient processing, clinic schedules, and implemented revised referral criteria to reduce the waiting times for patients attending each speciality Outpatient Attendance No. of Patients 10000 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 NEW Total 2008 Total 2009 Total 2010 RETURN NEW RETURN NEW RETURN Maxillofacial Plastic Surgery Orthopaedics Developments in 2010 • Establishment of Omega Health & Safety Committee • Roll out of Speech recognition and digital dictation across the directorate • Electronic patient referral(EPR) for fracture referrals from Emergency Department • Consultant Developments • The Consultants and staff of the Omega Directorate would like to acknowledge the contribution made to Orthopaedic Surgery and the National Centre for Hereditary Coagulation Disorders (NCHCD) by Mr. Hugh Smyth and wish him a happy retirement. Mr. Padraig O Ceallaigh has taken up his position as Consultant Maxillofacial Surgeon Maxillofacial Surgery The National Maxillofacial unit is a tertiary referral centre dealing with: • Facial trauma • Correction of congenital and acquired facial and jaw deformities • Oral cancer and reconstructive surgery • Salivary gland disease • Dentoalveolar and orofacial pathology • Congenital abnormalities • Implantology Oral Maxillofacial Cancer Patients are referred from dentists, GP’s and the Dublin Dental Hospital for investigation, treatment and surgery for oral maxillofacial cancer. A multidisciplinary team comprising of Consultant Oral Maxillofacial Surgeon, Cancer Co-Ordinator, Nursing staff, Clinical Nutritionist and Speech and Language therapist provide treatment and care for patients. Maxillofacial Cancer Newly Diagnosed No. of Patients 60 50 40 30 20 10 0 2008 2009 2010 Preliminary data for 2010 – awaiting verifi cation July 2011 Cleft Orthodontic Unit The cleft Orthodontic Unit is a tertiary referral service for orthodontic management of children and adults born with cleft lip and palate and craniofacial anomalies. Regular multi-disciplinary cleft clinics are held in St. James’s Hospital, Temple Street Children’s University Hospital and Our Lady’s Hospital for sick Children as part of the wider Dublin Cleft Centre. Joint clinics are also held with colleagues in, Plastic Surgery, Maxillofacial Surgery and Restorative dentistry. The Cleft Co-Ordinator maintains the cleft database and co-ordinates the patient’s individual care pathway. Prosthodontic Unit The Prosthodontic Unit acts as a tertiary referral centre primarily for the Prosthodontic management of patients with cleft lip and palate needs and includes a limited service for the prosthetic intraoral rehabilitation of head and neck cancer patients from St. James’s Hospital and Our Lady’s Hospital for Sick Children, Crumlin. Out Patient Procedures The Maxillofacial/Orthodontic and Prosthodontic Unit provides an outpatient procedure and treatment service for patients requiring a wide range of procedures including: • Dentoaveolar surgery • Biopsy of oral and cavity, lip and skin lesions • Bracket application and removal • Plate, screw and islet wire application/removal • Impressions/study models • Arch wire/bands/brackets • Veneers/crowns • Implants • Tooth extraction Year 67
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2010 St. James’s Hospital Annual
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contents st james’s hospital Gove
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Governance and Executive I Corporat
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Governance and Executive I Consulta
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Governance and Executive I Consulta
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introduction from the chairman Prof
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Corporate Reports I Introduction fr
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Page 19 and 20: Corporate Reports I Report from the
Page 21 and 22: Performance Highlights I Key Activi
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Page 27 and 28: Corporate Division Reports I Financ
Page 29 and 30: Corporate Division Reports I Materi
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Page 33 and 34: Corporate Division Reports I Human
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Page 37 and 38: Corporate Division Reports I Intern
Page 39 and 40: Corporate Division Reports I Inform
Page 41: Services Division Reports
Page 44 and 45: Clinical Directorates I CResT Cardi
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Page 48 and 49: Clinical Directorates I HOPe Inpati
Page 50 and 51: Clinical Directorates I MedEL MedEL
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Page 54 and 55: Clinical Directorates I SaMS Staff
Page 56 and 57: Clinical Directorates I SaMS Ophtha
Page 58 and 59: Clinical Directorates I GEMS Mortal
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Page 66 and 67: Clinical Directorates I Emergency i
Page 70 and 71: Clinical Directorates I Omega Outpa
Page 72 and 73: Non Directorate Specialities I Depa
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Page 78 and 79: Clinical Service Directorates I Lab
Page 88 and 89: Clinical Service Directorates I Dia
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Page 94 and 95: Clinical Support Services I SCOPe S
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Page 98 and 99: Clinical Support Services I Pharmac
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Page 102 and 103: Clinical Support Services I Medical
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Page 106 and 107: Clinical Support Services I General
Page 108 and 109: Programmes Division Reports I Techn
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Page 112 and 113: General Support Services I Nursing
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Programmes Division Reports I Quali
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The PAC produced two ‘Welcome’
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Programmes Division Reports I Plann
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St. James’s Hospital Foundation I
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Publications Publications MedEL Bor
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Publications Fitzgerald K, Steen G,
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Publications Walsh JB, Lawlor BA. (
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Publications transcription in perip
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Publications White HE, Matejtschuk
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Publications chronic myeloid leukem
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Publications compliance with curren
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Publications P, Morris JC, Mayo K,
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The Hospital’s fundamental purpos
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Annual Report 2010 - St. James's Hospital

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