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Dr decides they need to be reviewed in clinic on discharge

Usually within the next 7-14 days, booked on discharge day pt


given details to contact ward to change/rearrange appointment.
Some surroundings as pt was originally managed in.

03/28/16

Wound management includes wound inspection, dressing changed,


swabs.
43/83 (52%) pt underwent wound management
Chest drain management includes drainage bag review, drain
removal, fluid drained from bag, drainage bag changed.
26/83 = 31%

03/28/16

121 total interventions.


31 Out of 121 need doctor review. 25%
Some pts obviously had more than one type of management such
as chest drain removed and cxr to check for pneumothorax.
121
Admission to ward was found to have pneumothorax so needed
admission and chest drain.

03/28/16

Consider changing places of slide 7 and 8

03/28/16

4 patients used hospital transport. 1 was not reviewed on time as


a result of using hospital transport.
100% patients found it easy to arrange a convenient appointment
for the clinic.
96% (80) knew exactly who to contact with a query regarding the
appointment or to re-arrange it.
11% (9) patients tried to re-arrange appointment and all 9 found
the process easy and convenient.
5% used hospital transport

03/28/16

Of the 30 patients who expected to see a dr, 19 people saw a dr.


(66%)
Of the patients who didnt expect to see a doctor (53); 10 of them
did actually see a doctor approx 20%

03/28/16

Dr review was needed for following:


wound inspected 6
Cxr review & wound inspected
Chest drain removed 4
Drainage bag reviewed 2
Cxr review 7
Assessed clinically as chest pain drop in
Superficia; chest fluid collection aspirated
Reviewed clin as blood result checked.
Cxr review post drain removal 2

03/28/16

Mention need of re-auditing, possibly making it an ongoing project

03/28/16

Our nurse-led clinic is an efficient and effective way to review


patients, who would otherwise spend longer in hospital or utilise
slots in the main clinic.
Overall patient satisfaction with the service is high
The clinic at St James University Hospital provides a smooth
continuation of care, reviewing patients in the familiar surroundings
of the ward with doctor review available if needed.
Cxr review or deciding which drain to remove would need dr input
(25% procedures identified as needing Dr review) advantage of
being on ward, can access quick dr review however if ward is busy,
this can slow the clinic process