L N R Palliative Care Network Proforma Out of Hours Calls Audit September to November 2006

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L N R Palliative Care NetworkProforma Out of
Hours Calls Audit September to November 2006

• An audit of out of hours calls to Specialist
  Palliative Care Services was undertaken during
  the months of September to November 2006 and the
  following gives a synopsis of the results

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Aim of the Audit

• To measure out of hours calls to Specialist
  Palliative Care Services with LNR strategic
  health authority to log these calls and their
  origin.
• To identify activity which will inform future
  service provision.
• To identify any potential gaps or shortfalls of
  skills of staff taking calls provision.
• To identify if calls are appropriate for
  Specialist Palliative Care.

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Contents

• Units Participating
• Reasons for Calling
• Physical Reason Breakdown
• Caller ID
• Dealt With By
• Diagnosis
• Spoken To?

• Anyone Else Involved
• Appropriate?
• Fully Completed
• Outcome
• Follow Up

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Specialist Palliative Care Units Participating
in Audit
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Reasons for Calling
Other Advised to let Manor Croft know patient
would not be attending Day Therapy Unit x 1 and
requesting Macmillan input x 1
Some calls were for multiple reasons
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Breakdown of Physical Reasons for Calling
Some patients were experiencing multiple physical
symptoms
Other Agitation x 2 Secretions x
2 Anxious/Frightened
Fitting
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Caller ID
Other Community Paramedic x 1, friend x 2,
Hospice Nurse x 1, Nursing Home x 2, Rapid
Response x 1 Social Service Carer x 1, Social
Worker x 1 and Specialist Nurse x 1
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Call Dealt With by Nurse/Doctor/Both
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Diagnosis
Non-Cancer Diagnoses Cellulitis Osteoarthritis x
1 Heart Failure x 1 Fibrosing Alveolitis x
1 Motor Neurone Disease x 2 Stroke Dementia x
1 Interstitial Pneumonitis x 1
Cancer Diagnoses Lung x 22, Breast x 12, Brain
Tumour, Pancreas Prostate x 8, Stomach Bowel
x 6, Liver Lymphoma x 4,
Oesophagus x 3, Bronchus, Colon, Kidney, Rectum,
Melanoma Mesothelioma x 2, ? Primary, Cancer
(not specified), Cervix, Duodenum, Endometrium,
Larynx, Ovary, Eye Cheek Jaw, Maxilla. Throat,
Myeloma Sayocryocytoma x 1
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Have You Spoken to Anyone Else?
1 x Haematology 1 x
Ambulance Service 1 x Macmillan Nurse
1 x Community Nurse
Yes 12 x GP 4 x District Nurse
2 x Hospice Doctor
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Anyone Else Involved with Patient
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Was the call appropriate?
Average Time Spent Per Call 9 minutes
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Was the Form Fully Completed?
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Outcome
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Follow Up
Follow up by LOROS CNS/Macmillan Nurse does not
always result in a contact with the patient but
the forms are always passed to the CNS/Macmillan
Nurse for information/discussion.