SitReps

ED SOP’s

• Breach Reasons
• Death in ED
• Did not wait/complete treatment
• Diverts to GP
• Long waits
• Obstetrics/Maternity
• Sick patient
• Transfer to CDU
• Transfer policy
• Translating Patient Info
• Under 1 year = Senior R/V
• EDIT YAS  (Ambulance)

Grab Boxes

• Art Line
• Central Line
• Chest Drain (Seldinger)
• Chest Drain (Trauma)
• PPE
• Major Trauma
• Thomas Splint

ED Safety Checklist

The ED Safety Checklist is in place to help us ensure patients receive the highest quality care whilst in the ED.

• Regular observations
• Pressure care
• Regular updates
• Refreshments
• Personal care

Checklists HRI

• Co-ordanators
• Majors cubical
• Minors
• Resus Adult 
• Resus Paeds
• Fridge thermometer guide

seaerch: resus checklist

Checklists CRH

• Resus Bay 1
• Resus Bay 2
• Resus Bay 3
• Resus Bay Paeds
• Paeds Trolley
• PAEDIATRIC TRANSFER BAG
• Resus Monthly Checks – Transfer bags
• Majors
• Minors
• Must Do’s
• NiC Handover

ED Roles

• Nurse Coordinator
• Named Nurse
• ED Tracker
• Speciality MG

Patients at risk of harm

Ligature cutters are keep at the Nurse-in-Charges station

Complete ReACT or CAMHS assessment tools on EPR

PDF: Full guide

Self Discharge

• Explain why we would like them to stay
• Assess mental capacity (over 16 years)
• Complete self discharge paperwork
• Under 18’s, legally don’t have the right to refuse treatment 

Return to Custody

• Relevant advice given
• What medication was given in ED
• Discharge medication
• Capacity assessment if leaving against advice

PDF: Return to custody form

CP-IS Access 

• CP-IS alert on FirstNET
• Log in with Smart-Card
• GoTo – NHS spine icon
• Select – Launch Summary Care Record

• Check – Patient detail
• Check – Child Protection Alert

PDF: CPIS Guide

SUDIC

All information held within SUDIC paperwork

• Care for the child with dignity
• Retain ALL clothing/equipment
• Before removing/cutting  ANY thing – You must talk to Coroner

Death in ED

Referred to the Coroner immediately (24 hrs/day)

• Complete Coroners Referral form
• Send via NHS email to cah-tr.coronerreferrals@nhs.net

Nursing PGD’s

• Aspirin
• Codeine
• Diclofenac
• GTN
• Ibuprofen (adult)
• Ibuprofen (child)
• Naproxen
• Oxybuprocaine
• Paracetamol (adult)
• Paracetamol (child)
• Salbutamol

ACP/ENP PGD’s

• Chloramphenicol Eye Drop
• Chlorphenamine
• Clarythromycin
• Co-Amoxiclav
• Doxycycline
• DTP – Vaccine
• Flucloxacillin
• Human Tetanus IgG
• Lidocaine
• Metronidazole
• Prednisolone

New Doctor Induction 

New locums need departmental induction

Ensure FORM is completed and signed

ED essentials -GUIDE

Other Forms

• Paeds Liaison Form
• Angina Clinic (New Onset)
• Arrhythmia Clinic
• First Fit Clinic
• MRI Questionnaire 
• BRI appointment card (Bradford)
• Patient info – slips
• release of pregnancy loss form