A Hospital at Home service working with care homes to triage acutely unwell patients

Poster ID
1715
Authors' names
Dr Firdaus Adenwalla and The Acute Clinical Team
Author's provenances
Consultant Geriatrician

Abstract

This poster demonstrates how a hospital at home team (the Acute Clinical Team (ACT), Neath Port Talbot) piloted an early intervention scheme, in care homes to prevent admission to hospital. 

Instead of waiting for care homes to contact the service when residents became unwell, during the second wave of COVID 19, the ACT proactively rang care homes three times weekly to seek out the acutely unwell patients and provide acute medical and nursing care quickly and efficiently. With GP's unable to visit the care residents at the rate required and avoidable hospital admissions rising, the pilot sought to improve medical care for the frail older person, without having to leave their care homes. 

With full clinical responsibility and use of thorough medical assessments from Advanced Clinical Practitioners and Consultant Geriatrician oversight, use of the point of care blood results and being able to deliver IV fluids, IV antibiotics and IV diuretics and more. The results of the pilot which are demonstrated in the poster show how successful early intervention can be for this population group.

A short video is also attached to introduce the ACT team and describe the pilot.  

Thank you for reading

Presentation