Rapid Clinical Assessment Team (RCAT) Mobile Medical Assessment - - PowerPoint PPT Presentation

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Rapid Clinical Assessment Team (RCAT) Mobile Medical Assessment - - PowerPoint PPT Presentation

Jul 05, 2023 388 likes •539 views

Rapid Clinical Assessment Team (RCAT) Mobile Medical Assessment Unit Halton Damian Nolan Divisional Manager, Urgent Care RCAT The Challenge I am ill. Im in my own bed at home. Please treat me here Case Study 1 D.J: 92 year old

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Rapid Clinical Assessment Team (RCAT) Mobile Medical Assessment Unit Halton

Damian Nolan – Divisional Manager, Urgent Care

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RCAT The Challenge ‘I am ill. I’m in my own bed at

  • home. Please treat me here’
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Case Study 1

D.J: 92 year old male, who lives alone, but has care provided by daughter. Reasons for Referral

  • Whilst walking at home, sudden onset of severe pain in right lower chest
  • Blacked out and fell and banged head on door - Came around but had two more

blackout episodes Known Patient of

  • Lymphoedema
  • IHD
  • Vitamin D deficiency
  • Osteoporosis
  • Glaucoma
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Case Study 1 (continued)

RCAT Diagnosis

  • Probable PE
  • Cellulitis right foot
  • Postural Fall (42 mmHg)

RCAT Interventions

  • ECG & Troponin – normal
  • CTPA = No PE but a mass left lung
  • Managed at home

Outcome on Discharge

  • Recovered fully
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Case Study 2

J.H: 76 year old female, who lives with husband Reasons for Referral

  • 4 days SOB, with pain in right upper chest
  • Cough; blood on two occasions
  • May 2016 – Pneumonia (admitted to Hospital)
  • SOB on exertion ever since

Known Patient of

  • HTN
  • LVSD
  • Anxiety/depression
  • Agoraphobia
  • Gall stones
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Case Study 2 (continued)

RCAT Interventions

  • Sub cut enoxaparin administered
  • CTPA – next day: No Clots

RCAT Diagnosis

  • Bronchogenic Carcinoma

Outcome on Discharge

  • Urgent referral to Respiratory Team
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RCAT Earliest Intervention – The ‘3G’ Syndrome

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RCAT What We Did!!

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How RCAT was Developed : Linking up Services

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RCAT: Mobile Medical Assessment Unit

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RCAT Outcomes

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RCAT Referrals April 2016 – March 2017

85% 14% 1%

Outcome on Discharge

Admission Avoided (inc. Advice, Pallative Care & Deceased) Admission to Hospital Inappropriate Referral

Total Number of Referrals = 194

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Feedback

‘Already, he has made a big impact

  • n dozens of people, preventing

numerous admissions’ Halton GP ‘I was very privileged to receive this care, the Professor and his Team were wonderful and caring. Without them, the alternative would have been a spell in Hospital’ Patient ‘Your service is gold’ Patient’s relative

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Questions