AHP services at RLH Sept 2019 Physiotherapy Meet with Team A +B - - PowerPoint PPT Presentation

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AHP services at RLH Sept 2019 Physiotherapy Meet with Team A +B - - PowerPoint PPT Presentation

Nov 08, 2023 35 likes •115 views

ACCU Trainees introduction to AHP services at RLH Sept 2019 Physiotherapy Meet with Team A +B Consultant 3xpw at 9am (M, W, F) Highlight any patient for PT discussion Morning handovers Trachy Ward Round Tuesdays at 1pm

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SLIDE 1

ACCU Trainees introduction to AHP services at RLH

Sept 2019

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SLIDE 2

Physiotherapy

  • Meet with Team A +B Consultant 3xpw at 9am (M, W, F)

– Highlight any patient for PT discussion

  • Morning handovers
  • Trachy Ward Round – Tuesdays at 1pm
  • Long Term Ward Round – Thursdays 2:30pm – 4pm

– CG83s – LTWR discussions and patient goals

  • Trachy and vent weaning

– Majority therapy led wean plans – Not all ventilatory weans will need a plan – Discuss wean with us

  • ACCU MDT Daily sheets
  • Rehabilitation box (Resp, Seating, Rehab achieved)
  • Patient White boards

– General management (Resp, Neuro, Personal) – Personal history sheets

  • Rehabilitation: minimum 3 x a week per patient
  • Weekends: Predominant chest service with reduced staffing. Rehab if capacity
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SLIDE 3

Streams

  • ‘Medical’ specialising in: [Laura Walters]

– Respiratory medicine, Cardio, Renal, Gastro, Liver – NIV specialism – Close links with wider respiratory MDT

  • ‘Surgical’ specialising in: [Will Kirby]

– Colorectal, HPB, Gynae, elective ortho – ERAS specialism

  • ‘Neurotrauma’ specialising in: [Musie Tsehaye]

– Neurosurgery, neurology and trauma and ortho – SCI weaning/disability management specialism *Morning handovers: reflective of 4E+4F boards*

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SLIDE 4

Physio: how to contact us

Office on 4E opposite side room 35

  • Referrals?
  • Medical stream

– Dect: 45878 – Email: laura.walters7@nhs.net

  • Surgical Stream

– Bleep: 1607 – Email: william.kirby1@nhs.net

  • Neurotrauma Stream

– Blp: 1141 / Dect: 45874 – Email: musietsehaye@nhs.net

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SLIDE 5

Dietetic Service

  • Monday – Friday (8.30am – 4.30pm)
  • Staffing:

– Lead ICU Dietitian : Anne Langan – Band 6 (rotational): Sarah Smith

  • Referrals:

– Level 3 patients: Blanket referral system – Level 2 patients: MUST should be completed and referral, if required (can be verbal or on CRS)

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SLIDE 6

Dietetic Service

Prioritisation

Priority 1

  • Intubated and ventilated
  • On feeding protocol for 48-

72hrs

  • Poor tolerance of enteral

feeding

  • Patients on high doses of

propofol

  • High risk refeeding

syndrome Priority 2

  • Self ventilating and on NG

feed

  • Poor oral intake (likely to

require enteral feeding or on supplementary enteral feeding)

  • Specific dietary advice (low

K+ diet, high stoma output, creon advice)

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SLIDE 7

Dietetic Service

  • Parenteral Nutrition provided by Nutrition Team
  • Includes: Gastro Dietitian, Gastro consultant, Gastro SpR, PN

Pharmacist & Nutrition Nurse)

  • Monday/Wednesday/Friday
  • Referrals must be received before 11am
  • Out of hours TPN is available at weekends
  • Not sure if a patient needs TPN?
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SLIDE 8

Dietetic Service

  • Contact Details:

– Extension 41129 – Bleep 1033/ 1653

  • Nutrition Team:

– Dietitian Bleep 1255 – Nutrition Nurse Ext 42223