Appendix 2
PEDU - clinical units and duties
The Paediatric Emergency Department Unit is a 9-bed acute assessment service adjacent
to the general emergency department at Waitakere Hospital. The unit is staffed by the
emergency department nurses and well supported by the ED medical staff.
You will carry the Paed on-call phone (speed dial 3044) and receive calls from GPs
regarding acutely unwell children who require acute assessment and management.
GPs only seeking advice are diverted to the Paed advice phone (option 2 on the
0800CHILDDR) where they can talk with the on-call SMO.
•
Please use the Paediatric ED form
•
Enter GP referrals in the
Daily Registers
WDHB tab on the concerto portal.
•
Include as much detail as you are able to in
the fields – if the child’s NHI does not work,
enter their surname and first name in the
fields below. Also seek to obtain a contact
number for the GP who referred so the team
can communicate with them should the
patient not present.
•
You are expected to see paediatric referrals
(from GPs or ED staff) in ED; however our
department thrives on both ED and
paediatric teams working together and
helping each other out, depending on the
workload. Some ED medical and nursing
staff may have little paediatric experience
and require paediatric support, so please
provide this.
•
When liaising with the ED staff, it is
important to be aware of children they are
currently seeing who you recognise as
possibly needing admission, and
subsequently intervening or providing advice
as appropriate.
•
All infants less than 6 months of age are to
be discussed with the PEDU consultant.
•
Click on the patients as soon as you pick up
the file, or backdate the time as needed if
you initially forget (for audit purposes).
•
Preferably a decision should be made to
admit / transfer or discharge a child within
4hrs from time of arrival in the ED.
• Once you have completed the paperwork
please press ADMIT to facilitate the
admission process.
• Most investigations can be followed up on
the ward by the ward registrar and will help
avoid delaying transfer of the child to the
ward.
• •When admitting a child where results or
further actions are required during that shift
or before formal handover, please inform
the ward registrar to ensure continuity of
the acute care plan and that results are
checked and children reassessed as
necessary.
Paediatric transfers from North Shore ED
•
All children should be established as being
clinically stable, with the appropriate
interventions, management and
transfer plan, prior to inter-hospital
transfer. The receiving hospital staff should
know for e.g. for a shocked child – the
number of volume boluses (10-20ml/kg)
given, cardiovascular status pre/post
boluses, which antibiotics given, number of
peripheral lines in situ etc.
•
It is expected that any child who
required resuscitation has been
managed by a FACEM with/without
PACE Paediatrician support. The
decision for transfer to Waitakere
Hospital or PICU, should be made by
the NSH FACEM and the PACE
Paediatrician (during working hours). The referring team should also consider
talking with PICU regarding appropriate
transfer destination.
• For all other children with acute medical
problems, possible transfer to Waitakere
hospital , requires the NSH doctor to contact
the PEDU paediatric registrar at Waitakere
Hospital.
• Transfers requested by an RMO will
NOT BE
ACCEPTED by the PEDU registrar unless the
child has been seen/attended to by an ED
FACEM and/or PACE Paediatrician
• All surgical /orthopaedic /trauma cases who
require specialist input should be transferred
to Starship Hospital.
• PACE Paediatricians are on-site at North
Shore during working hours and should be
contacted and involved as required,
especially when paediatric resuscitation has
taken place.
Home Care for Kids HC4K
• These are the community nurses who will
follow up children discharged from the ward
or the emergency department. A referral
needs to be made and there needs to be
sufficient information regarding the purpose
of their community review.
Page coordinator -
Chris Peterson
Page last reviewed January 2019
Document Outline
