1 / 21

Perils, Pitfalls and Solutions in Acute Medicine Dr Martin Pattrick Consultant in Acute Medicine

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…………….

neena
Download Presentation

Perils, Pitfalls and Solutions in Acute Medicine Dr Martin Pattrick Consultant in Acute Medicine

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Perils, Pitfalls and Solutions in Acute MedicineDr Martin PattrickConsultant in Acute Medicine

  2. Background Being a Doctor wasn’t my first choice of career

  3. Been around a long time ! Experience with various types of hospitals My credentials

  4. Experience…………… …is what you get when you’re looking for something else.

  5. Experience 3 Hospitals: • Pennine Acute Hospitals NHS Trust – North Manchester General site • University Hospital of South Manchester (UHSM) • Tameside General Hospital

  6. Main problem Protecting the site at night Some suggestions

  7. Nurse recruitment Doctor recruitment Solve these and there’s usually no other recruitment problems Local workforce pressures

  8. Mainly working conditions Physical Low absence / sickness vacancies Training – an important aspect Nurse recruitment

  9. Doctor Recruitment • Supportive environment • Office space ! • Camaraderie

  10. Advanced Nurse Practitioners • Not cheap • Can be extremely effective • Develop protocols • Organise themselves

  11. Band 3 / 4 – HCAs / APs • Great help with ward rounds • Results retrieval • Bloods, cannulas, ECGs • Handover facilitation

  12. Pharmacy • Train to prescribe • TTOs • Use in PTWR • Discharge summaries in the morning • Early discharge

  13. Ambulatory Care If you have one strategy to survive winter…..choose this!

  14. Ambulatory Care • If it walks… put it in ambulatory care • It’s not about closing beds, it’s about making beds work harder • Income generation

  15. Concept of urgent care • End dichotomy of MAU / ED • Involve the surgeons • Close working relationships • Joint meetings

  16. Usual System

  17. Emergency Dept in-reach OR

  18. Top Tips • Get a clinical champion but don’t pay extra! • Arrange for” boots on the ground” • Get ambulatory care up and running efficiently

  19. Questions ? Thank You

More Related