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Quality Improvement

BE KIND LEARN PROVIDE CARE

~SHED KIDS~

The information on this page is relevant to Sunshine’s Children’s Emergency Staff only and is not intended for the general public.

 

SHED KIDS Home Page

Educational Resources

Research

        At A Glance        How We Work      The Environment

 

Quality Improvement

PIPER Transfer Survey

AIMS of this project:

  • Improve our management of acutely
    unwell children requiring transfer
  • Improve our communication with PIPER
  • Provide the opportunity to facilitate bi-directional feedback

further information here

Transferring patient via PIPER, please click here for a quick survey

Neonatal Sepsis Management: Time To Antibiotics

Paediatric Fracture Management: Time To Analgesia and Time to X-Ray

Paediatric Fracture Management In The ED

Time To Analgesia In Paediatric Patients Presenting to SHED 

LEARNING POINTS

  • Early assessment at triage for pain, deformity and pulse
  • Appropriate triage category and location in ED. Deformity, significant pain or neuro-vascular compromise would need ready access to a cubicle for assessment and administration of analgesia
  • Improved communication pathways between consultants, triage and wait room staff with resulting front loading of care
  • Intra-nasal fentanyl is a great analgesia for paediatric fractures and is well tolerated and very effective
  • Documenting paediatric weight and allergies directly onto the EMR allows for timely ordering of analgesia
  • Early clinician review for neuro-vascular assessment, placement of a splint, prescription of analgesia and ordering of imaging when needed

Quality and Safety - SHED MEWS

2022 June Q&S SHED MEWS letter 

2022 March Q&S SHED MEWS letter

2021 December Q&S SHED MEWS letter

LEARNING POINTS

  • Beware of the young infant – early senior review
  • Abnormal observations – reassess and/or escalate
  • Familiarise yourself with the equipment at hand– help is not always just around the corner