Due to the limited capacity when referring patients to the “New Arrhythmia Clinic” we MUST Send a BNP We don’t need to wait for the result in ED prior to referral and discharge BNP Result (clinic will review) >400, we will arrange an urgent echo and face-to-face clinic. <400, we will book a remote… Read more
Early senior decision making around DNACPR, is vital for both staff, patients, and families.
Document decsion making and communications clearly
There will be regular updates in “handover” about ICU admission criteria – as these may change over time
The rules have changed since 25th march 2020 on death certification, below is a brief summary of how this might affect us. We are aiming to keep a death certification box in both ED’s so that these can be completed in a timely fashion.
Any doctor can complete a death certificate (MCCD) even if they haven’t seen the patient providing
The doctor that saw the patient is unable to sign the MCCD (impractical for them due to the extensive pressures or due to being in isolation) AND
The doctor who is going to sign the MCCD to the best of their knowledge can determine the cause of death AND
A doctor has attended to the deceased within 28 days of death (this can be by video consultation but not audio)
2 video links to PHE how to Don and Doff your PPE Read more
Local instructional videos for donning/doffing Non-Aerosol Generating Procedures Aerosol Generating Procedures Disponible FFP3 (Leeds) Read more