Telephone Triage Guidelines - St. James's Hospital

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HAEMATOLOGY ONCOLOGY TELEPHONE TRIAGE GUIDELINESPAINSIGNS AND SYMPTOMSACTION Mild aches and painsAdvise appropriately.Notify hospital if noimprovement Mild to moderate pain thathas been increasing. Pain that is not controlled bycurrent regimen. Pain that is interfering withactivity or sleepDiscuss with medical teamor CNS Sudden onset of moderate tosevere pain Pain not responsive tocurrent medication regimen Pain that interferes withmobilityAttendHODC/WSW/DBU/A&Eas advised Describe signs or symptomsof acute injury, spinal cordcompression, pathologicalfracture, or other lifethreatening problem. Sudden onset of severeweakness or unrelentinglocalized pain: inability toambulate, decreasedsensation in extremities, lossof control of bowel orbladder Chest pain Severe headacheSEEK EMERGENCY CAREIMMEDIATELY(? Haemorrhage – lastplatelet count)HOPe Directorate, <strong>St</strong>. James‟s <strong>Hospital</strong> V2 201234
HAEMATOLOGY ONCOLOGY TELEPHONE TRIAGE GUIDELINESAMBULATORY PUMPInitial Assessment Questions1. Does the patient have a 5fu pump attached?2. How many days has it been attached?3. What chemotherapy regimen is the person on?Is the pump leaking?YesNo1. Clamp the pump2. Clean up the leakusing the homespillage kit3. Come toHODC/WSW forassessmentIs the pump infusing?YesNoHow long has it been on for?>46 hours
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Page 16 and 17: ConstipationHAEMATOLOGY ONCOLOGY TE
Page 18 and 19: MucositisDry mouthXerostomiaHAEMATO
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Telephone Triage Guidelines - St. James's Hospital

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