perils, pitfalls and solutions in acute medicine dr martin pattrick consultant in acute medicine
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Perils, Pitfalls and Solutions in Acute Medicine Dr Martin Pattrick Consultant in Acute Medicine. Background. Being a Doctor wasn’t my first choice of career. Been around a long time ! Experience with various types of hospitals. My credentials. Experience……………. - PowerPoint PPT PresentationTRANSCRIPT
Perils, Pitfalls and Perils, Pitfalls and Solutions Solutions
in Acute Medicinein Acute Medicine
Dr Martin PattrickDr Martin PattrickConsultant in Acute MedicineConsultant in Acute Medicine
BackgroundBackground
Being a Doctor wasn’t my first choice of career
My credentials
Been around a long time !Experience with various types of hospitals
Experience……………Experience……………
…is what you get when you’re looking for something else.
Experience3 Hospitals:• Pennine Acute Hospitals NHS
Trust – North Manchester General site
• University Hospital of South Manchester (UHSM)
• Tameside General Hospital
Main problem
Protecting the site at night
Some suggestions
1.Nurse recruitment2.Doctor recruitment
Solve these and there’s usually no other
recruitment problems
Local workforce pressures
Nurse recruitment
Mainly working conditionsPhysicalLow absence / sickness vacancies
Training – an important aspect
Doctor Recruitment
Supportive environmentOffice space !Camaraderie
Advanced Nurse Practitioners
–Not cheap–Can be extremely effective
–Develop protocols–Organise themselves
Band 3 / 4 – HCAs / APs
–Great help with ward rounds
–Results retrieval–Bloods, cannulas, ECGs–Handover facilitation
Pharmacy
– Train to prescribe– TTOs– Use in PTWR– Discharge summaries in the
morning– Early discharge
Ambulatory CareAmbulatory Care
If you have one strategy If you have one strategy to survive winter…..to survive winter…..
choose this!choose this!
Ambulatory CareAmbulatory Care
• If it walks… put it in ambulatory care
• It’s not about closing beds, it’s about making beds work harder
• Income generation
Concept of urgent care
–End dichotomy of MAU / ED
– Involve the surgeons–Close working relationships
– Joint meetings
Usual System
Emergency Dept in-Emergency Dept in-reachreach
OR
Top Tips– Get a clinical champion but don’t pay
extra!
– Arrange for” boots on the ground”
– Get ambulatory care up and running efficiently
Questions ?Questions ?
Thank YouThank You