In this section : Admission
Hospital at Home (H@H)
Fracture Management Guidelines (Paediatric)
Fracture Management Guidelines (Adult)
Prescribing for CAU Patients Still in ED
Standard Operating Procedure for AMU
Prescribing Advice on Admission – Items Not Prescribed by GP
Prescribing Advice on Admission
Adults With Incapacity
Boarding
Obstetrics & Gynaecology/Medicine Admission Agreement
Urology Out of Hours
Urology Out of Hours
Transfer from Galloway Community Hospital
Repatriation of Patients from Tertiary Hospitals
‘Watershed’ Conditions
Ambulatory Care for Blood and/or Iron Infusion
Elective Admission – Colorectal Surgery
Trauma Admissions
Elective Admission – ERCP
Elective Admission – Orthopaedics
Acute Surgical Admissions
Emergency Laryngectomy Management
Emergency Tracheostomy Management
Ambulatory Care for Blood and/or Iron Infusion
Last updated 28th March 2022
When to Consider Referral
- GP phones Medics to discuss patient who has been found to be anaemic .
- Following discussion, first on-call for Medicine decides that blood transfusion and/or IV iron required but that patient does not require emergency admission
- Patient should be ambulant or transferable with assistance of one but not hoisted or requiring 24 hour care
What to do Next
- GP crossmatches patient
- First on-call for Medicine refers patient to Ambulatory Care Unit by phone and by completing the Outpatient Services Ambulatory Treatment Unit Referral Form which can be delivered by hand or emailed to [email protected]. Note there has to be a consultant’s name attached to the referral
- Ambulatory Care phone patient with time and date for transfusion which will usually be within 48 hours
- First on goes to Ambulatory Care to prescribe blood and/or iron.
Consider Whether Further Diagnostic Investigations Required
- If patient has been appropriately investigated for the cause of their anaemia then unlikely to require further diagnostic tests
- If cause of anaemia has not been established then further tests should be requested eg if iron deficient then will likely require OGD and colonoscopy (CT colon if frail)
Other Reasons for Considering Ambulatory Care
- Infusions of zoledronic acid, monoclonal antibody, drugs, IVIG
- TWOC
- Flow testing
- Instillations
- Biopsies
- Endocrine tests
- Pacemaker insertion
- Generator tests
- Loop recorders
- Line insertion, Picc, Hickman
- Portacath
- Line care
- Lumbar puncture
- Sub cut injections
- Speciality bloods
- Mab injections
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Content by Tracy Howieson & Chris Isles