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At a Glance

Admission/Entry

  • Walk in Triage
  • Emergency Services Arrival
  • Internal visitor code blue (no treating team)
  • ED clinical area – Adult or Children’s Area
  • Short Stay Unit (SSU)
  • Sunshine Adult Acute Psychiatric Unit (SAPPU)

Hours of Operation & Length of Stay

  • 24/7 365 days of the year
  • LOS <4hrs

Inclusion Criteria

Inclusion:

  • Treating critically unwell adult, paediatric and neonatal patients
    Neonates will be transferred out post stabilisation
  • Critically unwell patients requiring negative pressure isolation
  • Critically unwell patients requiring negative flow isolation
  • Critically unwell bariatric patients
  • Patients with unstable mental health conditions

Exclusion:

Patients requiring haemodialysis in ED
Haemofiltration

Clinical Care

  • Assessment and management of critically ill adult and paediatric patients
  • Patients requiring 1:1 nursing care
  • Patient requiring a high level of care and monitoring:
    • Airway management Intubation and ventilation
    • Invasive monitoring
    • Inotropic support
  • Non invasive ventilation
  • Bariatric patient over 250kg
  • Major trauma
  • Airway management and critical care for patients sedated or mechanically restrained & restraint – with no other suitable bed
  • Procedures requiring procedural sedation
  • Imminent / or cardiac arrest
  • Severe sepsis with respiratory or circulatory compromise
  • Birthing & Obstetric emergency
  • STEMI
  • Acute stroke
  • Acute Mental Health patient requiring intense care

Emergency 
Management & Escalation

Emergency Buzzer response

  • ED NIC
  • Resuscitation Nurses
  • PCN if required
  • Resuscitation Registrar
  • Code grey/planned code grey
  • Resuscitation roles: stickers, ED Status
  • ALS transport back packs in main ED Medication Room
  • Airway and circulation trolley located in each cubicle
  • Resuscitaire panel located in Resuscitation Cubicle 4
  • Defibrillator for each cubicle & x3 ventilators available for cubicles
  • Emergency response for admitted patients will include a MET call / code blue
  • Paediatric airway and circulation trolley located in Resus 4 and can be moved to any location
  • Procedure trolleys & CVC /arterial line box In each cubicle

Staff working within the Resus cubicles are credentialed & experienced to care for critically unwell patients

Disposition

* Note ALS transport packs are located in Medication Rooms

  • SH ED Pod
  • ICU/CCU
  • Home
  • Ward admission
  • Inter hospital transfer
  • Theatre
  • Hospital in the home
  • DPU

Staffing

March, 2021

AM/PM shift

Nursing

  • 4x RN/PG

Medical

No designated Resuscitation team currently. Shared care team with yellow and green Adult Acute teams

ND shift

Nursing

4x RN/PG

Medical

No designated Resuscitation team currently. Shared care with yellow and green Adult Acute teams.