Problem: Limited treatment spaces with increased presentations - 80+ patients per day. 8 Monitored treatment spaces utilised for sickest and high acuity children. Significant numbers of presentations of lower acuity waiting longer to access care.
Initiation of dedicated Children’s triage 24/7: Dedicated skilled triage and Clinical Initiative Nurse (CIN) 24/7
Ambulatory care model commenced: 2 treatment spaces dedicated for consultation and assessment of children on ambulatory care pathway. Doctor allocated to manage ambulatory care patient.
Establishment of dedicated nursing leadership with employment of Children’s Emergency Clinical Nurse Consultant (CNC) - resulted in qualitative improvement. Embedding consistency of Model of Care when 300 different potential nursing staff. Aim for each shift to run the same. Enhanced parental communication with “what to expect from ED stay” leaflets, currently covering Head injury, Vomiting, Wounds, Possible Fracture. Improved discharge planning. Nursing education and empowerment.
Key Contacts: Lucie Scott, Children’s CNC, Dr Christa Bell, Co-Director Children’s ED, Dr Graham Jay, Co-Director Children’s ED