Trust Status Amber Divisional Outliers reviewed Consider specialty support in ED Ensure as Ensure planned Daily by 12:00 departments and targeting direct many Swift elective Leads Consider extra admissions to beds are admissions do staffing support for Alert WSCC site Team of any utilised as not compromise key areas potential or active Ambulance possible whilst emergency Instigate SAFER delays adhering to admissions Bundle the ward Alert NSM, CD Senior ward operational or GM to nurses populate policy deteriorating list of patients Senior ward position suitable for nurses Consider escalation areas populate list of additional Ensure planned patients staffing if elective suitable for required due to admissions do not escalation patient acuity compromise areas Consider emergency Ensure patient admissions planned discharge home WSCC and elective with Children’s Divisional Leads to admissions do Community alert NSM, GM & not Nurse support CD to deteriorating compromise position, emergency Feedback to admissions WSCC by the WSCC Divisional Senior NSM, GM & Management CD to Team as deteriorating necessary. position Review all MF Instigate patients for SAFER potential discharge Bundle
Trust Status Amber Divisional Daily Leads Outliers reviewed by 12:00 Consider extra staffing support for key areas Instigate SAFER Bundle Senior ward nurses populate list of patients suitable for escalation areas Ensure planned elective admissions do not compromise emergency admissions WSCC and Divisional Leads to alert NSM, GM & CD to deteriorating position, Feedback to WSCC by the Divisional Senior Management Team as necessary. Review all MF patients for potential discharge Consider specialty support in ED departments and targeting direct admissions to Alert WSCC site Team of any potential or active Ambulance delays Ensure as many Swift beds are utilised as possible whilst adhering to the ward operational policy Senior ward nurses populate list of patients suitable for escalation areas Ensure planned elective admissions do not compromise emergency admissions WSCC NSM, GM & CD to deteriorating position Instigate SAFER Bundle Ensure planned elective admissions do not compromise emergency admissions Alert NSM, CD or GM to deteriorating position Consider additional staffing if required due to patient acuity Consider patient discharge home with Children’s Community Nurse support
EN%20Herts%20CCG%20Surge-Escalation-and-Capacity-Plan-Version-19-updated-2nd-November-2016.docx