MSK CSC Escalation Plan Bed Meeting Triggers Actions to maintain position and prevent deterioration Wards review outliers - check teams have seen patients and escalate to Ops Team At least 3 of the following apply:- 0730 & 1330 Bed capacity Trauma / Elective if not Unfunded beds closed Utilise Discharge Lounge for all patients (except meeting exception criteria) Ability to maintain Fast capacity Maintain Patient Flow Bundle SAFER principles Plus Outliers not impacting on activity Identify bird’ patients for tomorrow ‘early EDDs in to support demand of 10 Ensure appropriate referrals are made timely Staffing ratio = Green Review all patient journey boards and RAG rating of patients 0800 Trauma meeting Escalation of remaining EDDs Ability to pull from ED in line with Professional Standards Utilisation of QA@Home Keep Bedview updated real-time Full use of IDS Pathway Bed Meeting Triggers Actions as above and the following Review elective cases identify potential cancellations At least 3 of the following apply:- – 0730 & 1330 Staffing = Amber Consider conversion to DSU 7 - 9 EDDs in place to support Escalation of patients awaiting OOA repatriation Silver to attend demand Extra Senior decision maker Ward rounds and / or further clinical reviews to be Plus Elective demand more than capacity requested (skill/beds) Adjust criteria for admissions 0800 Trauma meeting
MSK CSC Escalation Plan Bed Meeting Triggers Actions to maintain position and prevent deterioration 0730 & 1330 Plus 0800 Trauma meeting At least 3 of the following apply:- Bed capacity Trauma / Elective Unfunded beds closed Ability to maintain Fast capacity Outliers not impacting on activity EDDs in to support demand of 10 Staffing ratio = Green Wards review outliers - check teams have seen patients and escalate to Ops Team if not Utilise Discharge Lounge for all patients (except meeting exception criteria) Maintain Patient Flow Bundle SAFER principles Identify ‘early bird’ patients for tomorrow Ensure appropriate referrals are made timely Review all patient journey boards and RAG rating of patients Escalation of remaining EDDs Ability to pull from ED in line with Professional Standards Utilisation of QA@Home Keep Bedview updated real-time Full use of IDS Pathway Bed Meeting Triggers Actions as above and the following 0730 & 1330 Silver to attend Plus 0800 Trauma meeting At least 3 of the following apply:- Staffing = Amber 7 - 9 EDDs in place to support demand Elective demand more than capacity (skill/beds) Review elective cases – identify potential cancellations Consider conversion to DSU Escalation of patients awaiting OOA repatriation Extra Senior decision maker Ward rounds and / or further clinical reviews to be requested Adjust criteria for admissions
Capacity%20Management%20Policy%20inc%20Escalation%20Measures.DOCX