ISRRT_COVID-19_book
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immediate (hot) reporting. Although the streaming pathway was specific for adults, the<br />
radiographers also alerted the orthopaedic team of any paediatric injuries or adult patients<br />
that had a dislocation, which would require manipulation or surgical intervention to enable<br />
them to attend the ED to improve care. The pathway was implemented in April 2020 and ran<br />
for two months at the height of the pandemic.<br />
ED referral pathway<br />
Minor injury X-ray<br />
Normal<br />
Hot report<br />
Abnormal<br />
Discharge – If no<br />
plan ring ENP<br />
ADULT<br />
PAED<br />
Ring<br />
# Clinic<br />
Send back to ED<br />
Fracture send to<br />
clinic<br />
Dislocations –<br />
back to ED - ring<br />
orthopaedic<br />
team to attend<br />
ED<br />
If dislocation<br />
ring orthopaedic<br />
team to attend<br />
ED<br />
Discussion<br />
This pathway was successful over the pandemic in decreasing the number of re attendances<br />
to ED which was essential during the peak of the pandemic in order to prevent overcrowding<br />
in an already busy ED and clinical areas and has helped with compliance to the social<br />
distancing guidance.<br />
This pathway was initiated during the peak of the first wave of the <strong>COVID</strong>-<strong>19</strong> pandemic in<br />
order to streamline patient pathway, reduce patient waits and making more effective use of<br />
resources whilst minimising the numbers of patients physically in the ED. At present,<br />
radiographer led discharge continues to be in operation across all three hospital sites as a<br />
core service alongside immediate reporting. However due to the success of this temporary<br />
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