This document is a summarised version of Women’s Services DP-CC4-Management of Early Pregnancy Complications and OP-GC7-Sunshine Hospital Emergency Department – Model of Care Guideline – Emergency Department Obstetrics and Gynaecology Registrar. The summary has been created to be Emergency Department specific, and has been endorsed by the ED Leadership Team. Staff should review the PPG’s if they require further information.
This QRG provides an overview of the Emergency Department Obstetrics and Gynaecology (EDOG) Registrar service within the SHED.
This QRG is applicable to clinical staff working in the SHED and to O&G staff at Sunshine Hospital.
The Heads of Unit Obstetrics and Gynaecology, SHED Nurse Unit Managers, and Adult Director and Deputy Director of Emergency Medicine are responsible for implementing the EDOG guideline.
The EDOG service is a specialist obstetric and gynaecological (O&G) service within the SHED environment, providing timely assessment and treatment for women presenting with O&G complaints, typically early pregnancy (<16 weeks) and gynaecological conditions.
Pregnant women >16 weeks gestation and up to 6 weeks post-partum with pregnancy related complaints will present directly, or will be redirected at Triage, to the Maternity Assessment Centre (MAC) in the Joan Kirner Women’s and Children’s (JKWC) unless unstable.
Whilst this service does not currently have a designated clinical space within ED, where possible SSU 1 should be prioritised for use by the EDOG team.
Figure 1: Location of EDOG service within SHED SSU |
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The service operates 1200 – 2030, seven days per week. Outside of these hours, women presenting with O&G complaints are assessed and treated in an appropriate clinical space within the ED by ED medical and nursing staff, with escalation and clinical support available via the on-call O&G registrar.
The service is staffed by an O&G registrar/senior HMO/HMO, supported by the SSU medical and nursing staff, and the on-call O&G senior registrar or consultant.
*Women presenting with non-specific symptoms with a high likelihood of gynaecological condition, and pregnant women presenting with non-pregnancy related conditions must first be reviewed by an ED medical officer prior to referral to the EDOG.
Staff should identify patients suitable for the EDOG service by writing EDOG at the start of the Handover comments in EDIS. This ensures patients are easily identifiable on the EDIS tracking screen.
| Title: | Emergency Department Obstetrics & Gynaecology Registrar (EDOG) – SHED | |
| Version: | 2.0 | |
| Date Published: | July, 2021 | |
| Date of scheduled review: | 01/06/2021 | |
| Author: | Approver: | |
| SHED Leadership Team | SHED Leadership Team | |
