THE ROLE OF PAEDIATRIC COMMUNITY NURSES

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THE ROLE OF PAEDIATRIC COMMUNITY NURSES

• Do you know us?
• How to contact us
• What we do

Childrens Community
Nursing Team
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The Paediatric Community Nursing Team

• A team of nurses who have specialist training in
  caring for children within their home, school and
  short break services.

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ANYPLACE, ANYTIME, ANYWHERE

• Who are we
• Where are we
• What we do - where we work
• Contacts
• Referral systems - process
• Information leaflets
• Age of children

• What do we offer
• Coverage - 2 PCT extended areas
• Liaisons
• Who can refer
• Service provision
• Time protocols
• Answer phone

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WHO WE ARE

• Part of Specialist Childrens Services
  (Paediatric)
• consisting of A generic Paediatric Nursing
  Team
• Epilepsy Specialist
  Nurse
• Diabetes Specialist
  Nurses
• Respiratory (Asthma)
  Specialist Nurse
• CDS Team - Child
  Development
• Sunshine House
• IQUOLS Team
• Special School Nurses
• Transition Team

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WHERE WE ARE

• The Childrens Centre, 70, Walker Street, Hull,
  HU3 2HE
• Generic Team - 01482 585760
• Fax - 01482 585760

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WHAT WE DO

• The aims of the team are to-
• Provide holistic family centred care
• Offer training to carers professionals
• Facilitate earlier discharge
• Prevent admission re-admission to hospital
• Act as a specialist paediatric resource
• Offer support, education and advice to newly
  diagnosed children and their family.

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REFERRAL SOURCES

• Wards / Accident Emergency
• Paediatric Outpatients
• Day Surgery
• GPs
• Practice Nurses / District Nurses
• Health Visitors
• Self Referrals - Parents / Carers
• Schools

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What we treat

• The paediatric community nursing team see
  children suffering from both chronic and acute
  conditions, these include
• Post surgical care including orthopaedic
  conditions
• Medical conditions including asthma
  bronchiolitis
• Gastro-enterological conditions, gastrostomy
• Paediatric trauma follow-up
• Paediatric plastic surgery follow-up
• Follow-up discharge service paediatric surgery
• Complex needs

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AGE OF CHILDREN

• 0 - 16 yrs - General Rule
• 16 - 18 yrs - Dependent on disability /
  education status.

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WHAT WE OFFER

• Advice
• Support
• Treatment
• Assessment
• Education - school / family / other
  professionals
• Inter-agency networking
• Resource

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LIAISONS

• Acute
• GPs
• Regional / National Centres
• Social Services
• Education
• Voluntary

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Who we work with
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TIME PROTOCOLS

• Generic 24 - 48hrs of receiving referral
  contact made
• with family.
• Answer phone for out of hours referral.
• 24hr emergency availability - patient answer
  phone availability at base.

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CLINICS

• Weekly blood clinic at Childrens Centre, Walker
  Street
• Referrals by letter or telephone
• Monthly bowel clinic at Childrens Centre, Walker
  Street
• Referrals by letter, fax and telephone

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NEW INITIATIVES

• Surgical Discharge Follow Up
• Following discussion with consultant
  surgeons, all children will receive a 24/48hr
  phone call and home visit offered.
• All children will receive a 1 2 home visit
  for a wound check.
• 4 6 weeks phone or home check, and then
  discharged. This has reduced the consultants
  clinic time as these children now do not have to
  attend.
• The nurses have direct access back to the
  consultant if at anytime they are concerned about
  a wound and the child will be seen by the
  consultant that day.

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NEW INITIATIVES

• Weekly Paediatric Blood Clinic
• This clinic was originally part of the Hull
  East Yorkshire Hospital outpatients blood
  clinic, the community team took this clinic over
  in 2006 and it has proved to be a very successful
  clinic with referrals coming from GPs,
  Consultants, Health Visitors and School Nurses.
• Monthly Bowel Management Clinic
• Clinic was set up in 2006 following a large
  number of requests from GPs Consultants to the
  team. The clinic has proved successful in
  reducing the amount of admission to the acute and
  community for severe bowel management problems.

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CLINICAL AUDITS

• The audit showed that in general the Surgical
  Discharge
• service is well received as this service limits
  the time both
• parents and children need to take off.
• The audit showed that in general the Paediatric
  Blood clinic
• we run was well received by parents and children,
  allowing
• children to have blood taken in a child friendly
  and calming
• environment.
• The audit showed that in general the Bowel
  Management
• Clinic has significantly reduced the amount of
  referral to the
• Acute service as we have direct access to other
  disciplines within
• Specialist Childrens Services