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       #Post#: 193--------------------------------------------------
       How to reduce unnecessary hospital asthma attendance of children
       ?
       By: admini5 Date: May 13, 2015, 6:46 am
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       To create an innovative round-the-clock home nursing service to
       reduce unnecessary hospital attendance for urgent asthma
       treatment for children and young people.
       The service seeks to reduce unnecessary hospital attendance for
       urgent asthma treatment by providing personalised, 24-hour
       access to home nursing support for children and young people
       with asthma from birth to 16 years. The service was formed in
       response to increasing demand for urgent asthma treatment. It
       integrated the existing 9am-5pm paediatric asthma/allergy
       service into the 24-hour community children’s nursing team
       to provide a 24-hour service.
       The 24-hour service allows patients to contact the on-call
       nurse. The nurse follows triage algorithms to determine if the
       condition can be managed by the patient with advice, if a visit
       from the nurse is required, or if an emergency ambulance if
       necessary.
       The service is protocol-driven and emphasises patient safety.
       Adherence to protocols is monitored and there have been no
       ‘near misses’.
       Setting up the service involved training the community
       children's nurses in assessing and treating asthma conditions,
       and producing a set of highly detailed algorithms and flow
       charts that the nurses must follow. These are linked to a
       Patient Group Direction (PGD), which permits nurses to supply
       and administer medication.
       Each intervention incorporates education for the patient and
       their parents/carer and families about self-managing asthma.
       An additional paediatric community nurse was appointed to help
       meet the overall extra workload.
       For further information please visit:
  HTML https://arms.evidence.nhs.uk/resources/qipp/601092/attachment
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