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State of the Department

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Demographics
Department
Date/time
Overall risk assessment

I rate the risk to the DEPARMENT as:

Critical - Extreme risk of harm to patients, extreme access block, high volume waiting/unseen, insufficient resources to cope with demand, excessive delays to review/admission

Dangerous - High risk of harm to patients, high level access block, moderate volume waiting/unseen, inadequate resources to cope with demand, long delays to review/admission

Intermediate - Some risk of harm to patients, some access block, low/moderate volume waiting/unseen, reduced resources to cope with demand, some delays to review/admission

Safe - No elevated risk of harm to patients, minimal access block, low volume waiting/unseen, adequate resources to cope with demand, minimal delays to review/admission

I rate the risk to the STAFF as:

Critical - Extreme risk of error/harm, extreme acuity and/or volume, high level of interruption/distraction, high/extreme level of cognitive overload, inability to provide adequate supervision to junior staff due to workload, frequent requirement to perform non-core activities, inability to take breaks

Dangerous - High risk of error/harm, high acuity and/or volume, moderate/high level of interruption/distraction, high level of cognitive overload, impaired ability to provide adequate supervision to junior staff due to workload, moderate/high requirement to perform non-core activities, delayed breaks

Intermediate - Elevated risk of error/harm, moderate acuity and/or volume, low/moderate level of interruption/distraction, moderate level of cognitive overload, reduced ability to provide adequate supervision to junior staff due to workload, occassional requirement to perform non-core activities, delayed breaks

Safe - No elevated risk of error/harm, manageable acuity and/or volume, managebable  level of interruption/distraction, manageable level of cognitive overload, able to provide adequate supervision to junior staff, no requirement to perform non-core activities, able to take breaks

Patients

Patients

To see all patients in the department, click Waiting Patients (i.e. waiting room button) > Options > All patients.

For RDH, you can see all referred/admitted patients in Caresys by going to Emerg inquiry > Ward inquiry. Enter "ED" and "EMU" as wards, and scroll through multiple pages by clicking XMIT (the big red arrow near the bottom). Admitted will be under the relevant specialist. Awaiting review will have the relevant team.

High risk patients

High risk patients

To easily see how long patients have been in the department for, go to Emerg inquiry > Current patients. Click XMIT (big red arrow near the bottom) to scroll through the whole department. Prolonged waits will be highlighted red.

Staffing
Medical under-staffed (e.g. sick calls, unavailable, redeployed from CST)
Nursing under-staffed (e.g having to work multiple roles during a single shift, re-deployment from non-clinical to clinical roles)
Incidents
This relates to any incidents over the preceeding shift, up until the date/time of submission. For example, at morning handover, this relates to the night shift. Please remember, SotD is not an incident management system; please complete a RiskMan where appropriate.
Code Grey or Code Black called
Patient sent in by IP team, not requiring ED (e.g. stable elective admission)
Significant IT failure, impacting clinical care
Significant radiology failure, impacting clinical care
Significant pathology failure, impacting clinical care
Significant infectious exposure breach (e.g. XDR TB patient not in isolation room)
Further information
Please provide any further information that you think should be captured around the state of the ED at this time. This information is not mandatory, but might help to quantify the above responses (e.g. number of sick calls, duration of outages, etc)
 
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