6 June 2013 (PDF 2.4MB) - Taranaki District Health Board

60 Consideration to be given to credentialing the HaweraHospital ED and inpatient medical service as a Rural HospitalMedical Department. One permanent vocationally registeredRural Medicine Specialist is working in Hawera EDTransporting emergency surgicalpatient to Hawera Hospital leads todelays in reaching definitivesurgical care which has resulted inpoor outcomesCare of older persons issuboptimal. Patients’ safety can becompromised by lack of experience,lack of focus on identification &treatment of potentially reversibledisease in tandem with good Evaluation/review of actions taken to be undertaken CMA, COO/CAN, 15/8/13Clinical ServicesMgrMeet with St John regarding clinical direction/emergencyresponse against clinical pathways/inter-hospital transfers. This is a major piece of work involving internal and external COO/CNA Sept 2013players that will be progressed over the next 18 months.Clinical pathways identified for discussion and evaluation withHawera medical and nursing teams.CMA, COO/CNA From31/01/12 Ongoing evaluation of clinical pathways occurs ensuring riskmitigation is acceptable. Compliance with the policies and procedures of the MidlandRegional Trauma Service. Compliance with Taranaki DHB policies on patient transfers Evaluation/review of actions taken to be undertaken CMA, COO/CAN, 15/8/13Clinical ServicesMgr Monitor impact on Outpatient Clinics of physicians rounding COO/CNAin Hawera. There has been a reduction in the ability for thevisiting Physician to see all outpatients booked – monitoringFrom19/09/11continues. Regular inpatient ward rounds are undertaken by Older COO/CAN, ClinicalPeople’s Health Service and the General PhysiciansServices Mgr, CMA360