Between August 2020 and March 2021, all specialties in the Ysbyty Gwynedd SDEC unit saw 1710 patients. Of these only 38% were admitted to hospital, and 22% of those admitted were discharged within 24 hours. In particular, the Surgical Orthopaedics SDEC Unit treated many patients who would otherwise have required hospital treatment, including performing wound checks, pre-op preparations for fractures, back pain management, referrals from the Emergency Department for minor injuries, GP referrals, consultant reviews and telephone triage.
98 – 100% of patients reported positive feedback according to PALS snapshot surveys.
The benefits for patients include:
The clean, calm and spacious environment of the SDEC Department.
Quick turn-around, with some patients admitted, operated on and discharged in just over 2 hours.
Direct contact to specialists like consultants and physiotherapists, and the chance to build a rapport with those in charge of their treatment.
Knowledge on how to self-manage their recovery, with the comfort of a safety net should complications arise.
As well as providing additional support for the on-call trauma team, the facilities available for the treatment of Ambulatory Care patients allow for a more efficient way of working. The proximity of facilities means that patients can make their own way to their treatments, which reduces the time and workload on portering services. Avoiding unnecessary hospital bed stay and delays which occur on a busy ward. In the unit there is space for:
IV antibiotic administration for patients on long-term therapy.
Insertion of specialist lines, i.e. midline or PICC line.
Patients who are waiting for scans such as USS, CT and MRI, which would traditionally need an acute bed.
An area dedicated to GP referrals.
A dedicated procedure room where patients can have minor surgical procedures without the need for the traditional theatre pathway is planned for the future.
The presence of the Trauma Ambulatory Care Unit in the SDEC Department has benefited both staff and patients greatly. Patients are treated quickly and empowered to take charge of their own recovery, with relevant safety nets in place in case of future complications. Unnecessary hospital treatments are reduced, and clinicians can work more efficiently to provide excellent care.