During the COVID-19 Pandemic the pathways to stream patients out of ED are changing to allow for better flow through the ED’s and prevent congestion at the front door.
If the patient is suitable for outpatient treatment – M-F call ENT clinic 01422 222336, Out of hours: If COVID is not suspected book a clinic appointment directly via ED reception, if COVID is suspected ask the patient to phone the clinic the next working day.
If the patient is stable and no suspicison of COVID contact the Gynae SPR bleep no. 2409 and then send the patient to 1D, if unstable or COVID is suspected contact the Gynae SPR and they will attend ED at CRH. IF at HRI the patient must be seen by ED and stablised for transfer.
If at HRI 9.00-17.00 contact the Gynae SPR on bleep 565 for review in the ED
If the Gynae SPR is not available please contact the Gyane consultant via switchboard out of hours.
Monday-Friday 9.00-17.00 for facial trauma and injuries contact the HRI Max fac team on 01484 342336, out of hours contact the on-call maxillofacial team at BRI. For acute dental problems (toothache/ mild swelling/ borken teeth) patient to contact their own dentist if registered or 111 if not registered with a dentist.
At HRI M-F 9-5 any fracture that does not normally get discharged immediately from ED or required an intervention in ED should be referred to the Ortho SPR bleep 062.
Out of hours and at CRH follow the normal ED pathways.
Patients requiring admission e.g. #NOF still require ECG/bloods/CXR/FNB prior to sending to the ward.
There is a Paediatric Consultant based in ED at CRH 13.00-17.00 Monday – Thursday to review children and aid decision making. Any child under 3 months old with a fever and a PAWS <10 and no clinical concern can go to PAU directly for assessment.
Contact the 2nd on call Surgical Consultant on 07741363257 who will either come and review the patient or advise where to send them. Urology and Vascular patients need to be referred to the on-call middle grade or consultant for the speciality.