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SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

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No. Standard Adapted from source<br />

Supporting information:<br />

Urgent care services to have processes in place to ensure patients are contacted as appropriate<br />

when results of diagnostics or formal reports are available after they have been discharged from<br />

urgent care.<br />

If clinically appropriate diagnostic testing is to be done within the urgent care service rather than<br />

referred on to another service.<br />

11<br />

Appropriate equipment to be available<br />

onsite:<br />

a full resuscitation trolley<br />

an automated external defibrillator<br />

oxygen<br />

suction and<br />

emergency drugs<br />

All urgent care service to be equipped with<br />

a range of medications necessary for<br />

immediate treatment.<br />

The College of Emergency Medicine (2009)<br />

Unscheduled Care Facilities: minimum<br />

requirements for units which see the less<br />

seriously ill or injured<br />

RCPCH (2012) Standards for children and<br />

young people in emergency care settings „red<br />

book‟<br />

2012 Quality care for older people with urgent<br />

and emergency care needs „silver book‟<br />

Supporting information:<br />

This is to include an appropriate range of drugs and medication for older people, and children<br />

(where accepted).<br />

Emergency drugs to include drugs to treat complications of routine care, anaphylaxis, and<br />

unexpected deliveries [DN: Include what paramedics have „paramedics drug bag‟]<br />

Advanced life support drugs to be held on site.<br />

12<br />

Urgent care services to have appropriate<br />

waiting rooms, treatment rooms and<br />

equipment according to the workload and<br />

patient‟s needs.<br />

RCPCH (2012) Standards for children and<br />

young people in emergency care settings „red<br />

book‟<br />

Healthcare for London (2010) A service delivery<br />

model for urgent care centres<br />

Supporting information:<br />

A separate waiting area is to be provided for paediatric patients.<br />

It should be possible for urgent care staff to visually see all patients waiting for their in the waiting<br />

rooms.<br />

There should be provision for patients to be able to be seated in the waiting rooms.<br />

[DN: Do we include „Where children are accepted at least one clinical cubicle or trolley space is<br />

dedicated to children‟.]<br />

13<br />

All patients to have an episode of care<br />

summary communicated to the patient‟s GP<br />

practice by 08.00 on the next working day.<br />

For children the episode of care to be<br />

communicated to their health visitor or<br />

school nurse, where known and<br />

appropriate, no later than 08.00 on the<br />

second working day.<br />

Healthcare for London (2010) A service delivery<br />

model for urgent care centres<br />

RCPCH (2012) Standards for children and<br />

young people in emergency care settings<br />

Supporting information:<br />

The summary of the episode of care is to include relevant clinical treatment information, medication<br />

and any necessary follow-up care.<br />

All patients to be provided with a printed summary of their episode of care when discharged.<br />

All patients to be provided with appropriate advice and information on where to access follow-on<br />

care if required.<br />

Preferably the episode of care will be communicated electronically.<br />

Figure 7.12: <strong>Shaping</strong> a <strong>healthier</strong> <strong>future</strong> urgent care centre standards, staff competencies<br />

No. Standard Adapted from source<br />

14<br />

All registered healthcare practitioners<br />

working in urgent care services to have a<br />

minimum level of competence in caring for<br />

adults, and children and young people<br />

Healthcare for London (2010) A service delivery<br />

model for urgent care centres<br />

The College of Emergency Medicine (2009)<br />

Unscheduled Care Facilities: minimum<br />

7a. Clinical vision, standards and service models 109

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