There is rapidly growing evidence, outcomes for children are improved by early attendance at specialist sites. As there is NO onsite paediatric speciality provision at HRI. It has been agreed that children likely to benefit from early Paediatric/Neonatal care move to CRH as swiftly as possible. This will be done using the agreed pathway, to reduce treatment and speciality input delay.
Transfer should be to pSDEC – STOPP tool
- STOPP transfer tool must be completed
- If requires ambulance book this immediately (you don’t need to wait for bed to be ready)
- In the event the is no capacity on pSDEC– transfer PED CRH
- PED/ED EPIC informed
- Use Flexi-ED/SDEC cubicles
- Inform Paediatric senior of arrival – who will review within 1hr
- Action documented plan
- if condition changed would need re-review in ED
STOP-SORT-GO
If a child presents to the Emergency Department in HRI that requires resuscitation. After initiating resuscitation, a rapid senior decision should be mad. Between ED/Paeds/ICU seniors, how best this child can be treated. Either remaining at HRI and paediatric consultant attending, or rapid transfer to CRH.
There is no single best decision, hence must be a senior case-by-case decision.
Expected Numbers
Auditing HRI data we expect approximately 6 patients a day to transfer early. It is with noting that:
- The vast majority are under 5yrs
- Many of these patients would attended CRH anyway (but just delayed in the normal process)
- If the child improves while waiting transfer – they should be discharged from HRI if possible (transfer can be canceled)
