CRITICAL CARE &OUTREACH

Dear Colleague,

The National Emergency Laparotomy Audit is in its first stage of Organisational Audit, before moving to patient data in 2014.
You are invited to contribute information known to you relevant to the National Emergency Laparotomy Audit,

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

I have designed this survey to enhance the efficiency of Data collection.
The questions are underlined and the Standards are quoted above.
Any Doubts Contact me on phone**211 (speed dial)
Kind Regards,

Dr Sam George
Consultant Anaesthetist
Lead, NELA

At our trust are there formal written pathways/protocols/policies applicable to the emergency general surgical patient incorporating the following:
(These may exist within pathways/protocols, or be incorporated into a single policy relevant to the unscheduled adult surgical patient.)

Standard: RCS High risk surgery
There is 24-hour cover of the ICU by a named consultant with appropriate experience and competences.

4.1Is there a dedicated critical care unit with 24 hour cover by named consultant with regular sessions in critical care?

YES

4.1 Any Comments:

Standard: RCS Emergency surgery

Level 2 and level 3 bed provision is sufficient to support the anticipated emergency surgical workload. Measure: Continuous audit of patients not admitted, and managed at a lower level of care because of lack of capacity.

Standard: NCEPOD Knowing the risk

The postoperative care of the high risk surgical patient needs to be improved. Each Trust must make provision for sufficient critical care beds or pathways of care to provide appropriate support in the postoperative period.

It is not possible to insert a range here. If your bed provision is flexible depending on requirement, please insert a number that reflects your usual provision (rather than extremes).

4.2 Please specify the total number of funded Level 2 and Level 3 beds available for adult (>18 years) patients. Include all medical, surgical and specialist (eg neurosurgical, cardiac) beds. If the numbers vary according to Level 2/3 occupancy, please indicate nominal figures:

4.2 (a) Level 2

4.2 (b) Level3

4.2 Any comments

Standard: Emergency surgery
Level 2 and level 3 bed provision is sufficient to support the anticipated emergency surgical workload.

4.3 What was the total number of level 2 admissions between 1st April 2012 and 31st March 2013? (do not include patients who required admission, but who were not admitted due to bed-space issues)

4.3 a. All specialities

4.3 b. General surgery (include upper and lower GI)

Any Comments

4.4 What was the total number of level 3 admissions between 1st April 2012 and 31st March 2013? (do not include patients who required admission, but who were not admitted due to bed-space issues)

4.4 a. All specialities

4.4 b. General surgery (include upper and lower GI)

4.4 Any Comments

4.5 Is there a critical care outreach service responsible for the review of patients 'at risk' and those with deranged physiological parameters? (other names might include rapid response team etc.)

yes

4.5 a If yes is it 24 hours per day, 7 days per week

yes

b. If Yes but not 24x7 then, please indicate when it is available:

4.5 Any Comments: