Access to the hospital is via the main hospital lifts. Validation, Data curation, Having collected contemporaneous data documenting the actual time that senior clinicians spent in the EPAU delivering early pregnancy care, we found no significant association whether we analysed for planned or actual presence of the senior clinicians in EPAU. Funding acquisition, The height of the wash basin is 86cm (2ft 10in). The width of the door opening is 86cm (2ft 10in). About the EPAU The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have had the following: Vaginal bleeding and/or pain in early pregnancy up to 16 weeks The reception point is approximately 5m (5yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. All rights reserved. The hospital does have a dedicated car park. Investigation, Institute of Health Economics, Edmonton, Canada, Roles Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. Return to maternity and newborn services home, View our current vacancies and read about working with us, Read about our Media service and Communications Team, you are in significant pain despite simple pain killers such as Paracetamol, experiencing moderate to severe vaginal bleeding. Contact details for early pregnancy services for your Trust can be found on the homepage. Formal analysis, Please check the latest information before planning your journey. J Ultrasound Med. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. Download the app Get a . The maximum period staff are allowed to issue a dispensation notice is for 31 calendar days, any requests for dispensation notices for more than 31 calendar days should be sent to the Operations Manager, Property and Transport Services at. There are parking charges for the hospital car park. Disposal facilities are available in the cubicle. There is a dark mat or floor marking at this entrance that might be perceived as a hole. There are coat hooks in the toilet at 107cm and 147cm from the floor. In addition, patients/carers should be encouraged, where they know the date and time of their next appointment, to get their dispensation notice prior to leaving the hospital. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). The contrast between the wall-mounted grab rail(s) and wall is good. This is an important finding for health providers as the cost of employing senior clinicians is much higher compared to nurses and other healthcare professionals. The unit is open Monday to Friday, from 9am-5pm. In some cases additional treatment is needed such as: An early pregnancy loss can be a deeply distressing experience both physically and emotionally and we want to ensure that you are able to access the support you need during this difficult time. The height of the reception desk is high (110cm+). You can also self-refer if you have had your booking appointment with your midwife in our hospital, or have a previous history of molar or ectopic pregnancy. Investigation, We recommend upgrading your browser to continue. Theyprovide a range of services such as peer support and counselling services. https://doi.org/10.1371/journal.pone.0260534, Editor: Gang Qin, Nantong University, CHINA, Received: April 5, 2021; Accepted: November 11, 2021; Published: November 30, 2021. A hearing assistance system is not available in the department/service. The height of the soap dispenser is 99cm. EPAU opening times. Find Early Pregnancy Assessment Unit in Worksop, S81. There is not a clear knee recess beneath the low section of the desk. GP EPAU referral form [docx] 99KB (click to download). The contrast between the dropdown rail(s) and wall is fair. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. Tommys Tommy's is a charity that funds research for pregnancy and babies. WF1 4DG. Data curation, Charges apply to all users of these car parks. No, Is the Subject Area "Miscarriage" applicable to this article? The nearest designated Blue Badge parking bay is approximately 25m (27yd 1ft) from the Elizabeth Garrett Anderson Wing main entrance. Pinderfields Hospital Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. Neither planned senior clinician presence (p = 0.874) nor unit volume (p = 0.247) were associated with lower admission rates from EPAU, whilst EPAU opening over the weekend resulted in lower admission rates (p = 0.027). Senior clinicians were present only in 19 of the 44 EPAUs. The type of flooring in walkways and corridors is vinyl/laminate. The shelf is not higher than 95cm (3ft 1in). Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. The route from the car park to the hospital entrance is not clearly signposted. The sonography team will advise if you need to empty your bladder prior to the scan. There is / are 1 Ultrasound Room(s) available. The reception counter is not placed in front of a background which is patterned. Where possible units will try to give you fluid and anti-sickness medication as a day patient to avoid you having to stay in hospital where possible. We have placed cookies on your deviceto help improve our website. Data curation, A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. We provide high quality healthcare services primarily to the residents of East Lancashire and Blackburn with Darwen, which have a combined population in the region of 530,000. . 2023 North Central London GP Website This site is intended for healthcare professionals only. Research that could potentially guide recommendations and policies on staffing and configurations of EPAUs has been scarce [69]. The admission rates by patient characteristics is shown in Table 2. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. The main door(s) open(s) automatically (away from you). The specific roles of these authors are articulated in the author contributions section. The car park is located at the side of the Elizabeth Garrett Anderson Wing. When you attend an early pregnancy appointment you can bring one adult support partner with you however no children are currently able to attend with you. Early Pregnancy Assessment Units are highly valued by women but aspects of their care experiences, particularly around sensitive management of pregnancy loss, could be improved. Funding acquisition, Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles The majority of units (37/44) had a unit volume of less than 4000 visits per year, and 22 units had a yearly visit volume lower than 2500 visits per year. You can also self-refer if you have had your booking appointment with your midwife in our hospital, or have a previous history of molar or ectopic pregnancy. Copyright 2023 Imperial College Healthcare NHS Trust, Early pregnancy and acute gynaecology units, Assessment of women with bleeding and/or pain in early pregnancy, Diagnosis and subsequent management of miscarriage and ectopic pregnancy, Nausea and vomiting in pregnancy (hyperemesis), Gynaecology: scans for suspected pelvic pathology requiring emergency review, Possible ovarian cyst accidents (ovarian cyst rupture or torsion), Significant heavy menstrual bleeding with anaemia requiring hospital admission, Expectant, medical and surgical management of miscarriage, Management of ectopic pregnancy: medical, surgical and close monitoring with expectant management, Inpatient and outpatient management of nausea and vomiting in pregnancy, Surgical management of molar pregnancy and liaison with the, Incision and drainage of Bartholins cysts and abscesses under local anaesthesia or general anaesthesia. Monday to Sunday 08:00 to 13:00. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. In the submitted paper, there are no competing interests and MASS has no claim of ownership for any IP arising from or related to this paper. This video animation tells the story of one couples experience of miscarriage. The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. The Early Pregnancy Assessment Unit (EPAU) in Ward C1 at the University Hospital of Wales is an integrated single unit, which takes referrals from all over Cardiff and the Vale of Glamorgan. The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . There is not a/are not door(s) into the waiting room / area. The soap dispenser cannot be reached from seated on the toilet. f) Intrauterine Contraceptive Device in-situ. If you develop worrying symptoms during pregnancy or you need to discuss any underlying medical conditions in pregnancy, there are several places that you can turn to for advice: Midwife
COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. There are several services which stop on Coxford Road outside the Princess Anne Hospital, they are the X11, U6C, the THREE and the 7 Bluestar and 17 Bluestar. Yes The lift does have a visual floor indicator. You're adding a service to your CPD log. This is based on 6397 women that had complete information on the outcome and key characteristics. The main object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. There is not a flashing fire alarm beacon within the room. The waiting room / area does have background music playing. Funding acquisition, There is sufficient space next to the bed/couch for a mobile hoist to operate. Electronic consent for treatment or a procedure at our hospitals, Nominate a nurse, midwife or clinical support worker for a DAISY Award, New QEII Hospital Community Diagnostic Centre, Patient-initiated follow-up appointments (PIFU), Personalised care follow-ups for cancer patients, To provide high quality, compassionate care. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. Assistance may be required because there is/are slopes/ramps. Writing review & editing, Affiliation We will keep you updated and we have refreshments available for your comfort. Clinic 3 - Early Pregnancy Unit. The car park is located on Level B of the hospital. There is a/are door(s) leading into the department/service. It is likely that the caller ID will show as a private number orwithheld number. . This analysis was based on the 29 units (5,464 patients) that were able to provide us with reliable data regarding the attendances to Emergency Department and emergency admissions out of hours. The transfer space is obstructed by a waste disposal bin. As you face the toilet the wall-mounted grab rail(s) is/are on both sides. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). Visualization, The main door(s) open(s) towards you (pull). If you have concerns with regards to this please speak to the nurse in charge. Scans appointments are every weekday morning and afternoon. c) previous ectopic pregnancy
1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. The percentage of emergency admissions from the Emergency Department ranged from 7% to 58% with the majority of the units having an emergency admission rate of between 10% and 30%. GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). Parking spaces for Blue Badge holders do not need to be booked in advance. a new pregnancy and under the care of the recurrent miscarriage clinic. Early Pregnancy Unit (Day time): 0151 604 7450. . All rights reserved. We listen to patient feedbackto deliver patient-centred care. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. Funding acquisition, This was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. Standard toilet facilities are available. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. Referrals are accepted direct to the unit from GPs, Midwives and the Emergency Department. We provide a dedicated service to women under 16 weeks gestation. Data for this observational study were collected as part of the VESPA study, a UK-wide prospective mixed-methods study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. We accept GP, midwife and A&E referrals for assessment. The car park does not have a height restriction barrier. Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. There is not a flashing fire alarm beacon within the waiting room / area. Conceptualization, Women may also be referred to the units if they are pregnant and have a previous history of miscarriage or ectopic pregnancy, or if there is a suspected gynaecological problem that requires urgent clinical assessment. Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are not provided in the reception area. Methodology, The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). Yes Miscarriage is the most common type of pregnancy loss. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. Please be aware that some external resources may be restricted to NHS Secure Network connections only. Conceptualization, Is the Subject Area "Pregnancy" applicable to this article? Data curation, Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . Methodology, We are a very activeunit located in the Woodlands building (pink zone) at the Lister hospital and we see around 5,500 women every year. There is ramped/sloped access at this entrance. Calls will be answered whenever possible but a voicemail facility will also be in place for times when the phone cannot be answered, including out of hours. They are not issued to carers, relatives, visitors or friends who are Blue Badge holders bringing a non-Blue Badge holder patient to an appointment. The towel dispenser is placed higher than 100cm (3ft 3in). EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital. If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. Patients already under the care of the early pregnancy assessment unit (EPAU) may contact the team through the following number: 01904 726489 . If you do not require an ultrasound but other investigations are indicated, the team will facilitate you into a suitable appointment. Methodology, There is sufficient space for a wheelchair user to manoeuvre within the imaging room. The senior clinicians were actually spending less time in the EPAUs than expected. Your local Accident and Emergency department can still be used if you have an emergency or accident not related to your pregnancy (chest pain, difficulty breathing, collapse, etc). Resources, For more information please contact Professor Tom Bourne, consultant gynaecologist by emailing t.bourne@ic.ac.uk at Queen Charlottes, or Dr Shahla Ahmed, consultant gynaecologist by emailing shahla.ahmed1@nhs.net at St Marys. This accessible toilet is also used as a standard toilet. The lighting levels are moderate to good.
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