Pathfinder and the Patient Referral Tool (PDF) - September 2020

Pathfinder (Medical and Trauma) and the Patient Referral Tool © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool The aim of this session is to ensure AAP’s have an awareness of Pathfinder and the Patient Referral Tool to...

Pathfinder (Medical and Trauma) and the Patient Referral Tool © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool The aim of this session is to ensure AAP’s have an awareness of Pathfinder and the Patient Referral Tool to enable them to assist a qualified practitioner © Department of Clinical Education &. Standards  Pathfinder and the Patient Referral Tool Aims: Acknowledge the existence of: Pathfinder (Medical & Trauma) Patient Referral Tool National Early Warning Score (NEWS2) Understand the acquisition of support tools used by qualified staff Understand the rational for the use of decision support tools © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Developed by North West Ambulance Service NHS Trust Enables clinical staff to safely, confidently and accurately determine the most appropriate treatment pathway, based on the clinical need of the patient Guides decision making and risk management Used in conjunction with NEWS2 and the Patient Referral Tool 4 © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Why use decision support tools? Patient safety is essential Check lists and decision support tools are proven to reduce the incidence of clinical error. For example; The use of the WHO surgical checklist in 2008 reduced the rate of deaths and surgical complications by more than one third across all eight of it’s pilot hospitals. The LAS have also introduced checklists to aid in the management of potentially stressful situations. 5 © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Who can use it Autonomously Paramedics (inc. NQP 1 & 2) Qualified EMT 3&4 Qualified EAC Under supervision Student paramedics Trainee Emergency Ambulance Crew Falls outside scope of practice (need to have an awareness of tools) Assistant Ambulance Practitioner! 6 © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Triage Applied on a reductive basis, i.e. work from the top to the bottom Excludes time critical and high risk issues before moving onto lower acuity presentations. © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Pathfinder Exclusions for both medical and trauma: © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool These can be accessed from your Remember iPad on CMC or by calling the CHUB Document the care plan on your PRF and if it stipulates the referral to another agency, ensure that this is clinician to clinician Document the name of the accepting clinician, planned course of action and safety netting on your PRF. © Department of Clinical Education & Standards 9 Pathfinder and the Patient Referral Tool 10 © Department of Clinical Education & Standards Pathfinder and the Patient Referral Tool National Early Warning Score (NEWS2) © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool NEWS2 task Calculate the NEWS score for the following sets of observations: Alert, RR 20, Pulse 64, BP 145/82, Temp 37°C, SP02 97% on air. Alert, RR26, Pulse 101, BP 101/70, Temp 36.4°C, SP02 99% on air Unresponsive, RR10, Pulse 120, BP 90/49, Temp 35°C, SP02 91% on Oxygen. © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Pathfinder - Medical © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Pathfinder - Medical © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Pathfinder - Trauma © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Pathfinder - Trauma © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Patient Referral Tool v2.1 Uses a combination of clinical algorithms and pathways (including Pathfinder, NEWS2, guidance for management and conveyance of paediatric patients) Allows non registrants and NQPs to safely non-convey patients without the necessity to contact the clinical hub © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Patient Referral Tool v2.1 © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Patient Referral Tool V2.1 19 © Department of Clinical Education & Standards Pathfinder and the Patient Referral Tool 20 © Department of Clinical Education & Standards  Pathfinder and the Patient Referral Tool Both tools: Mandated for use by non-registrants and NQPs when making decisions regarding the non conveyance of patients. Encouraged for the use by Band 6 clinicians The step/outcome of the tool must be documented on the PRF if a decision is made to non convey a patient (see below) Falls outside scope of practice for Assistant Ambulance Practitioners! NEWS2 Score: 0 Pathfinder outcome: AMBER Plan: Patient referred to GP Dr Foster who will visit pt at 14:30 today. Patient advised to re-contact 999 if symptoms worsen / conditions change. Patient signified they understand all advice given. Patient referral tool step 7: referral to Standards © DepartmentEBS of Clinical#0000 Education & 2  Pathfinder and the Patient Referral Tool In summary Pathfinder and the patient referral tool are decision support tools Primary aim is to improve patient safety Ensure that the outcomes of pathfinder, NEWS2 score and the patient referral tool are documented on your PRF 22 © Department of Clinical Education & Standards Pathfinder and the Patient Referral Tool Any Questions? 23 © Department of Clinical Education & Standards