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OOH

OOH. Outline the service. Outline the service Describe first 6 months. What are OOH hours. 1800 to 0800 overnight - 14 hours 1800 Friday to 0800 Monday - 60 hours Public Holidays. Remember Public Holidays. Can mean 4 days in a row – 96 hours. PH. MMH. Glasgow Royal Infirmary.

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OOH

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  1. OOH

  2. Outline the service • Outline the service • Describe first 6 months

  3. What are OOH hours • 1800 to 0800 overnight - 14 hours • 1800 Friday to 0800 Monday - 60 hours • Public Holidays

  4. Remember Public Holidays • Can mean 4 days in a row – 96 hours

  5. PH MMH

  6. Glasgow Royal Infirmary Edinburgh Royal Infirmary

  7. garve allness dingwall inverness nairn invermorriston

  8. Nursing staff round the clock both sites

  9. Doctor at Broadford round the clock

  10. Doctor at Portree till midnight

  11. Frontline ambulances at Lochcarron, Kyle, Broadford, Portree, Dunvegan

  12. Plus Midwives on call

  13. [Plus DNs on call]

  14. Backup doctor available to Broadford

  15. for simultaneous distant crises • allow 2 doctor procedures • allow a doctor to escort

  16. Backup doctor available in the North

  17. for simultaneous distant crises • used twice in 6 months

  18. One vehicle and one driver

  19. based weekday evenings Portree • wee hours & weekends Broadford

  20. Accept patients via • self presentation • referral by NHS24 • 999 ambulance • GPs • DNs • CPNs • Police………..etc.

  21. Dec to May MMH and PH • Total contacts 1556

  22. Total self referrals 780

  23. Total NHS24 referrals 499

  24. Total NHS24x999 referrals 18

  25. Total 999 referrals 120

  26. Total GP referrals 90

  27. Attendances by month

  28. Outcomes

  29. Discharged

  30. Admitted

  31. Phone only

  32. Transferred

  33. Portree to MMH 46

  34. Portree to Raigmore 13

  35. Seen by nurses only?

  36. Seen by Nursing Staff Only

  37. 9 x same renal colic patient • 6 redressings • 3 did not wait • 4 discussed with doctor on phone • 26 – cuts grazes glass eye replaced!

  38. After 2400 at PH? • 8 in wee hours 0000 to 0300

  39. Total Home Visits 99

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