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Community Nursing (Catheter management (Blocked Catheter (Resolved on…
Community Nursing
Catheter management
Bypassing Catheter
Managed in community
Blocked Catheter
Resolved on scene
Complex requires Urology input
New Catheterisation
Managed in community - ongoing plan of review made
Routine catheter change
Managed in Community
Long term condition management (e.g Diabetes)
Managed in community with ongoing reviews
Complications found during regular regular reviews
Corrective treatment possible in community
Community Nursing
Specialist Nursing
GP
Inpatient treatment required
Emergency response required
Planned admission by GP
Short term crisis / excaerbation
Refer to Urgent Care/ Rapid Response
Wound Care
Planned Treatment No issues
Managed in community
Wound deteriorating
Refer to senior +/- TVN support
Patient safe to manage in community
Manage in community with active treatment (e.g antibiotics for infection)
Assess for deterioration
No deterioration
Manage in community
Deterioration (e.g Sepsis)
Refer to Hospital requires treatment (e.g Sepsis 6)
Patient unsafe to manage in community
Refer to Hospital requires inpatient treatment
Medication Administration
Prescription correct / No adverse issues
Administer medication and Manage in community
Prescription/ Medication incorrect or adverse issues
IN hours: Liaise with own GP
Resolve and manage in community
Unresolved - refer back to GP for further treatment direction
OUT of hours: Liaise with OOH GP
Resolve and manage in community
Unresolved - refer back to GP for further treatment direction
New treatment started
Unresolveable out of hours / Patient in crisis
Watch and wait with regular reviews
Refer to hospital for treatment or safety
Bowel Management
Manageable in community
GP and Community Nurse input
Unmanageable in community e.g severe constipation
Admission to hospital for inpatient care
End of life care
Symptom Control with medication/ equipment in Community
Medication / Equipment prescribed
Ongoing management in Community with regular review
Medication / Equipment unavailable
In hours: Resolve with own GP
Out of hours: Contact OOH GP
Administer Medication / Provide equipment
Manage in community
Medication /Equipment not available / Uncontrolled symptoms in community
Referred to Hospice or Hospital for inpatient support
Patient requests EOL care in hospital / Hospice
Referred to Hospice or Hospital for inpatient support
