DNACPR Patient has a Do Not Attempt Add a statement describing whether Consider and act appropriately. Discuss with Clinical Resuscitation (DNACPR) ambulance dispositions to calls should Duty Manager or pass to CA if in instruction in place. proceed as normal or be over-ridden and the call passed to a clinician. Just because a DNACPR exists does not necessarily mean an ambulance is an inappropriate response to the presenting problem. Use either: Over-ride ambulance dispositions and transfer to a CA. or Proceed as normal with dispositions suggested. Medication Instructions Please do not prescribe <drug> Refer back to own practice or out of If call relates to the medication described in the note (e.g. not to prescribe certain unless clinically required. <Is hours service. refer initially to CA rather than passing to service on known items) to overuse / abuse> / <Is on a DoS. reduction plan> / <Other similar statement>. High Intensity User This patient has a high intensity user The care plan is held by Do not over-ride dispositions to GP 1h if flagged as a (frequent caller) plan in place: do not <organization> and can be accessed repeat caller. consider as a repeat caller. through them or <other source>. Consider whether call should be passed to CA. Safeguarding Concern is a <child protection> / Make referral and notify downstream Consider safeguarding during assessment process and <vulnerable adult> concern service as appropriate. act appropriately. regarding this patient relating to <type of concern>. Consider this Consider whether call should be passed to CA. whilst assessing the call. Ensure any service referred to is explicitly made aware of the safeguarding concern, e.g. by a verbal handover. Patient Risk This patient is at risk of social or <A relevant statement describing action Consider whether call needs to be passed to CA and act domestic emergency <event / to be taken>. appropriately. outcome> due to <reason>.
DNACPR Patient has a Do Not Attempt Resuscitation (DNACPR) instruction in place. Add a statement describing whether ambulance dispositions to calls should proceed as normal or be over-ridden and the call passed to a clinician. Just because a DNACPR exists does not necessarily mean an ambulance is an inappropriate response to the presenting problem. Use either: Over-ride ambulance dispositions and transfer to a CA. or Proceed as normal with dispositions suggested. Consider and act appropriately. Discuss with Clinical Duty Manager or pass to CA if in Medication Instructions (e.g. not to prescribe certain items) Please do not prescribe <drug> unless clinically required. <Is known to overuse / abuse> / <Is on a reduction plan> / <Other similar statement>. Refer back to own practice or out of hours service. If call relates to the medication described in the note refer initially to CA rather than passing to service on DoS. High Intensity User This patient has a high intensity user (frequent caller) plan in place: do not consider as a repeat caller. The care plan is held by <organization> and can be accessed through them or <other source>. Do not over-ride dispositions to GP 1h if flagged as a repeat caller. Consider whether call should be passed to CA. Safeguarding Concern is a <child protection> / <vulnerable adult> concern regarding this patient relating to <type of concern>. Consider this whilst assessing the call. Make referral and notify downstream service as appropriate. Consider safeguarding during assessment process and act appropriately. Consider whether call should be passed to CA. Ensure any service referred to is explicitly made aware of the safeguarding concern, e.g. by a verbal handover. Patient Risk This patient is at risk of social or domestic emergency <event / outcome> due to <reason>. <A relevant statement describing action to be taken>. Consider whether call needs to be passed to CA and act appropriately.
These-notes.docx