None listed
Conditions
Brief summary
The Austin hospital is introducing a critical care outreach consultant to oversee the assessment and management of patients outside the ICU at the acute campus This commenced April 20th 2020, and has now received permanent funding. The schedule for this role has been developed by ICU staff and has been approved by the Medical Director of the Department of Intensive Care, Austin Hospital. Patients will not be randomised as part of this new role, which will be considered as routine care. The role has been introduced to: 1. Improve the timeliness of referral and admission from the emergency department (ED) 2. Oversee the assessment and review of patients seen by the Medical Emergency Team MET) and Intensive Care nurse consultants (ICNC) 3. Coordinate referrals to the ICU from all sources (internal and external) 4. Assist with the stabilization and admission of unplanned ICU admissions in some circumstances The deteriorating patient committee is expecting the outcomes of this role to be audited as part of the PDSA (plan – do – study – act) cycle. The purpose of this audit is to outline the nature of the data that will be collected as part of this audit.
Interventions
Introduction of an intensive care specialist to provide pre-emptive review of emergency department patients who may require intensive care unit admission and to be a senior decision maker to provide oversight of ward-based medical emergency team (MET) reviews. This will involve clinical review, medical imaging and blood tests as dictated by the intensive care clinicians as part of usual care. The frequency of review will vary between patients. It will vary from a single review to multiple revie
Introduction of an intensive care specialist to provide pre-emptive review of emergency department patients who may require intensive care unit admission and to be a senior decision maker to provide oversight of ward-based medical emergency team (MET) reviews. This will involve clinical review, medical imaging and blood tests as dictated by the intensive care clinicians as part of usual care. The frequency of review will vary between patients. It will vary from a single review to multiple reviews in a single day. The duration of follow-up will also be governed by the treating clinicians. This may vary from one day to daily reviews until hospital discharge. The frequency of review will be dictated by the patients perceived risk status and response to treatment.
Sponsors
Austin Health
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients aged greater than or equal to 18 years of age Admitted to the intensive care unit from the emergency department Admitted to the intensive care unit following medical emergency team call
Exclusion criteria
Did not get admitted to the intensive care unit from the emergency department or following a medical emergency team call,
Outcome results
None listed