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
Boarding
Last updated 4th March 2024
Introduction
- The ISD Scotland Data dictionary defines boarding as a patient who occupies a borrowed bed. This includes patients in beds who are managed by an individual consultant or consultant team outwith the main allocated inpatient area for that consultant or patient specialty; or patients transferred to any non-inpatient bedded area (for example day units).
- It is recognised that boarding of medical patients results in reduced quality care and increased length of stay and should be avoided if at all possible. Dumfries and Galloway Health Board is committed to reducing the number of medical boarders by increasing patient flow and ‘getting the right patient to the right place’ in a timely manner.
- However, at times of high patient admissions there is an increased risk of not creating beds in the Acute Medical Unit (AMU) and the Emergency Department. In these circumstances, boarding of appropriately risk-assessed patients is appropriate in order to reduce the overall risk.
- This guidance seeks to provide staff with a structured approach on the movement of medical patients out of the AMU to the appropriate medical wards. It also provides a structured approach to risk-assessment of patients for boarding and the movement of identified patients to appropriate areas. Staff roles are clearly defined so that staff are aware of their roles and responsibility.
Links
Content by Dr Sian Finlay