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MSK & ED Collaboration

Posted by Kyle Beacham (Admin) Nov 10, 2020 Posted in Urgent and Emergency Care

How did you change?

We created a new pathway to enable ED juniors and ENP to have direct access to the opinion of an on-duty orthopaedic trauma consultant in the fracture clinic, during office hours. This formed the first step in an escalation plan which would increase the involvement of orthopaedic consultants in the management of traumatic injuries within the ED if the pandemic worsened. This “open door “ policy allowed ED juniors and ENP to walk around to fracture clinic to discuss proper diagnosis and MX.

What challenges did you face?

  • Quality of referrals was initially poor, people wanting to discuss without formulating a proper plan first. Shyness from ED staff.
  • Getting all involved orthopaedic consultants to fully engage and be always contactable either face to face or remotely, during the agreed hours.

What successes occurred?

  • Early definitive management of orthopaedic injuries.
  • Increased use of a soft cast, removable splints, boots etc.
  • Break down traditional barriers.
  • ENP, in particular, found it very educational, skills improved
  • Took the pressure off ED middle grades and consultant to allow them to concentrate on covid patients.
  • Reduced unnecessary fracture clinic referrals. Reducing potential covid exposure for px.

Click here or the below attachment to read the full Change Challenge innovation.

This post was edited on Nov 10, 2020 by Kyle Beacham

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