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Worcestershire Key Documents
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Urgent Care 

Please note that the clinical key documents are not designed to be printed, but to be viewed on-line.  This is to ensure that the correct and most up to date version is being used.  If, in exceptional circumstances, you need to print a copy, please note that the information will only be valid for 24 hours and should be read in conjunction with the Key Document Supporting Information and/or Key Document intranet page, which will provide approval and review information.

Guideline for the use of intra nasal Diamorphine 

Review date - 5th March 2021

This is the most current document and should be used until a revised version is in place

N-Acetylcysteine Dosing guidelines for paracetamol overdosing in adults 

Review date - 20th August 2022 

This is the most current document and should be used until a revised version is in place

Recognition and treatment of alcohol misuse in acute hospital settings

Review date - 27th November 2020 

This is the most current document and should be used until a revised version is in place

Emergency nurse practitioner clinical presentation guidelines 

Review date -  9th September

This is the most current document and should be used until a revised version is in place

Adult emergency rapid tranquillisation in the emergency department (A&E) and Acute Medical Unit 

 Review date - 21st January 2023  

 This is the most current document and should be used until a revised version is in place

 Emergency department - Dissociative sedation with ketamine 

 Review date - 5th March 2021

 This is the most current document and should be used until a revised version is in place

Ambulance Triage 


Ambulance Offlload Delay Notice

Dyanmic Triggers

Corridor and M Space Care 

Emergency Decisions Unit - Alexandra Hospital 

Frail Elderly Patient Pathway 

Infants, Children and Young People 

Initial Assessment of Overdose Patients 

Paediatric Area 

Paediatric Cover Patient Pathway Arrangement for ED at Alex 

Real Time Risk Assessment SOP 

Role of the Emergency Physician in Charge 

SIAN Ambulance Offload 

SOP Alexandra Hospital 

SOP Patients Unable to be offloaded from Ambulance 

Streaming of urgent and Emergency Care Urology Patients to the Alex

WRH Emergency Department Radiology Report Review Process 

WRH Emergency Department Ambulance Answers 

Initial Patient - Printing off Ambulance PDF 

Patient First Disruption to Function Operational Policy 

WRH Ambulatory Emergency Care Service (AEC) and Acute Med Take 

Emergency Gynaecology Assessment Unit 

Emergency Department WRH Standard Operating Procedure 

Internal Declaration of Lockdown 

WRH ED SOP Chaperones 

Emergency Debriefing after Clinical Events 

Drug/substance Misuse 

Ambulance Fit to Sit 

Embedding learning for Incidents and Complaints 

WRH Emergency Department Mortality review process SOP 

Operating Policy Following Closure of Clinical Decisions Unit 

Admin Assistant Radiology Reports 

Recording of Assault Location by Receptionists 

Receptionists dealing with X-rays 

Reverse Queuing Operational Policy 

Review Clinic Operational Policy 

Surge and Rapid Assessment 

Resus Room Operational Policy 

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Transport guideline from the Minor Injury Unit at Kidderminster hospital

Review date - 23rd January 2020

This is the most current document and should be used until a revised version is in place

Admission to MIU following 999 call

Review date - 23rd January 2020

This is the most current document and should be used until a revised version is in place

Guideline for Trephining nails - Minor Injuries Unit

Review date - 23rd January 2020 

This is the most current document and should be used until a revised version is in place

Transport guideline from the Minor Injury Unit at Kidderminster hospital

Review date - 23rd January 2020

This is the most current document and should be used until a revised version is in place

Critically ill children presenting to MIU

Review date - 23rd January 2020 

This is the most current document and should be used until a revised version is in place

Guideline for the management of ankle injuries in the Minor Injury Unit

Review date - 23rd January 2020 

This is the most current document and should be used until a revised version is in place

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Page last updated: 27 May 2020