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| Viewing Page 1 of 1 (Total Posts: 9) |
| Author | Comment |
Karin
 Apr 4, 07 - 8:48 AM |
Acute Pain and Critical Care Outreach
I wondered if anyone out there has an example of where inpatient/acute pain services have been integrated with Critical Care Outreach? Thanks |
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Mary
Apr 7th, 2007 - 10:26 AM |
Re: Acute Pain and Critical Care Outreach
Hi Karin, It was suggested that this could be an option where we are, but I think most people felt that this would be detrimental service. |
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Amanda
Oct 24th, 2007 - 3:35 AM |
Re: Acute Pain and Critical Care Outreach
The "powers that be" are considering this option in our trust,presumably as a cost cutting exercise. Personally I dont think there are enough hours in the day to do justice to both important roles jointly. 
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Karin
Oct 24th, 2007 - 9:00 AM |
Re: Acute Pain and Critical Care Outreach
Hi Amanda since writing this we have succesfully made a case for greater integration of chronic and acute pain into an inpatient pain service. Outreach remain independent and its suiting us all although naturally the inpatinet pain people still work closely with outreach.Its a different skill set in my view and I am sure if looked at closely skilling up and training people who haven't done ITU in a while and maintaining those skills isn't a cheap option. |
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sarah coulling
Oct 24th, 2007 - 1:24 PM |
Re: Acute Pain and Critical Care Outreach
mmmm a sensitive issue having been taken over by Outreach in my last Trust. Interestingly my new Trust doesn't have an Outreach service. There are more APS's in Trusts than Outreach. Mergers with Outreach beg the question...If Outreach nurses have the time to develop their knowledge and skills in aspects of APM then what are they giving up?...or are they not busy!? It depends what level of complexity your referrals are and what level of knowledge and experience your APS can offer. Standard acute pain management can be done by Outreach but complex patients need specialist input, as does policy development, multidiscipline/HE teaching programmes and research/practice development - even Outreach teams can't argue with that. Merging with Chronic Pain as 'Inpatient Pain Management' is exciting and has to be the way forward. At STAPG we have devised an audit tool that categorises patients into levels of complexity which might help 'The Powers That Be' to understand more about what it is that you actually do. email me if you want a copy. We need champions in the arena of pain management,leave CPAP and traches to those who know best! Sarah |
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The Devils Advocate
Oct 30th, 2007 - 5:48 PM |
Re: Acute Pain and Critical Care Outreach
Hmmmmmmm Intergrated Outreach and APS, I know Frimley have done it but Im not sure if its still structured like that. Integrating them as a move forward ? Why not, its not all about trache and CPAPs. Its about the dynamic comprehensive holistic assessment of the patient and an educated response to what youv'e assessed. Now am i talking about pain mangement or outreach? I would argue that good pain mangement for the majority is about all of the above plus a set of decent easy to follow analgesic guidelines. Discuss! |
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Karin
Oct 31st, 2007 - 10:06 AM |
Re: Acute Pain and Critical Care Outreach
For the record no we didn't integrate APS and Critical Care Outreach at Frimley. It was an option we looked at way back in April when I asked for forum members' views on the subject.We are now moving to Inpatient and Outpatient pain, with the traditional Acute and Chronic pain teams working in a more integrated manner (with increased resources). 
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Ali Clarke
Oct 31st, 2007 - 10:11 AM |
Re: Acute Pain and Critical Care Outreach
There is clearly a degree of overlap between acute pain and outreach, but there is a world of difference in so many other ways. Whilst close cooperation is clearly important any attempt to combine the two could only ever be seen as a cost cutting exercise! Ali |
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The Devils Advocate
Nov 2nd, 2007 - 12:24 PM |
Re: Acute Pain and Critical Care Outreach
Oh dear now im going to upset all and agree with the devils advocate. Ive spent the week dealing with poorly applied guidelines and outright stupidity. we all have those weeks dont we. For me the attractive aspect of combining with outreach is that i have sensible switched on eyes out in ward areas 24/7, maybe not helping complex paitents but level one and two types (see sarah coullings post and email for details). Im convinced we dont serve these groups well. There would still be room for expert/consultant nurses to do the big picture stuff. its not always about money sometimes its about getting bodies out there doing the simple stuff consistently [:-|][:-|] |
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