Bed Meeting Triggers Actions as above and the following 0730 & 1330 At least 3 of the following apply:- Refer to MSK Operational Resilience Plan for full details Silver to attend Staffing ratio = Black Consider stopping all elective operating Plus Insufficient consultants to undertake Consultants to support ED and additional Fracture Clinics 0800 Trauma meeting trauma lists All clinical on managerial sessions over 24-48 hours to be identified and 1545 hrs. Routine elective activity stopped deployed to clinical provision. Head and Neck CSC Escalation Plan D8 LOW RISK CSC Bed Meeting Times Triggers Actions to maintain position and prevent deterioration Full adherence to SAFER 07.30 Board Round MFU At least 3 of the following apply: R2G update Escape Bed Capacity for out of area Ability to pull from ED in line with 07:45 Nurse Handover transfers (Isle of Wight & St Richards) Professional Standards Ambulatory Care Space Available 08:00 Elective Meeting Utilisation of QA@Home EDDs in place to support demand Full use of IDS Pathway DTA 08:00 08:45 Ward Round – Ward Staffing status is green Staffing is 5+2 for ward Ambulatory Treatment Room 13:00 14:00 Post Op – Treatment room 1 RN ENT SHO Treatment Room Cover 17:00 18:00 Ward Round – Sufficient flow to accommodate ITU MEDIUM RISK CSC Bed Meeting Triggers Actions as above and the following Ward Co Coordinator to link with #1487 07.30 Board Round MFU At 3 of the following apply: surgical flow Limited pull from IDS R2G update and escalate 07:45 Nurse Handover Staffing Rota Gaps Review Outliers and consider Limited emergency capacity 08:00 Elective Meeting repatriation to original CSC Ensure all support with discharge 08:00 08:45 Ward Round – escalated i.e. physio, dietetics 13:00 14:00 Post Op Round – Link with Surgical flow on #1487 re accommodating electives across the 17:00 18:00 Ward – wider Surgical floor. Staffing 5 +2 for ward Treatment room nil cover
Bed Meeting Triggers Actions as above and the following 0730 & 1330 Silver to attend Plus 0800 Trauma meeting 1545 hrs. At least 3 of the following apply:- Staffing ratio = Black Insufficient consultants to undertake trauma lists Routine elective activity stopped Refer to MSK Operational Resilience Plan for full details Consider stopping all elective operating Consultants to support ED and additional Fracture Clinics All clinical on managerial sessions over 24-48 hours to be identified and deployed to clinical provision. Head and Neck CSC Escalation Plan D8 LOW RISK CSC Bed Meeting Times Triggers Actions to maintain position and prevent deterioration 07.30 Board Round MFU 07:45 Nurse Handover 08:00 Elective Meeting 08:00 – 08:45 Ward Round 13:00 – 14:00 Post Op 17:00 – 18:00 Ward Round At least 3 of the following apply: Escape Bed Capacity for out of area transfers (Isle of Wight & St Richards) Ambulatory Care Space Available EDDs in place to support demand Ward Staffing status is green Ambulatory Treatment Room ENT SHO Treatment Room Cover Sufficient flow to accommodate ITU Full adherence to SAFER R2G update Ability to pull from ED in line with Professional Standards Utilisation of QA@Home Full use of IDS Pathway DTA Staffing is 5+2 for ward Treatment room 1 RN MEDIUM RISK CSC Bed Meeting Triggers Actions as above and the following 07.30 Board Round MFU 07:45 Nurse Handover 08:00 Elective Meeting 08:00 – 08:45 Ward Round 13:00 – 14:00 Post Op Round 17:00 – 18:00 Ward At 3 of the following apply: Limited pull from IDS Staffing Rota Gaps Limited emergency capacity Ward Co Coordinator to link with #1487 surgical flow R2G update and escalate Review Outliers and consider repatriation to original CSC Ensure all support with discharge escalated i.e. physio, dietetics Link with Surgical flow on #1487 re accommodating electives across the wider Surgical floor. Staffing 5 +2 for ward Treatment room nil cover