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A&E ‘streaming’ nurses cut waiting times

25 January 2019

Nurses from The Royal Bournemouth Hospital (RBH) have helped to ease pressure on the A&E Department by providing a ‘streaming’ service for patients upon arrival.

The initiative, which places a senior clinical practitioner as the first port of call within the RBH A&E entrance, has helped to cut waiting times, as patients with non-emergency needs are advised of alternative treatment options.

Clinical streaming in the A&E is an integrated function and always performed by a trained clinician. Under the policy no-one is sent home. The clinician will either refer the patient to the on-site GP-led Urgent Treatment Centre, the patient’s own GP practice, or pharmacies, based on their individual healthcare needs.

Tracey Turley, a Streaming Assessment Advanced Nurse Practitioner, said: “An ED streaming service is not a new concept, but one that the Trust has seen a great deal of benefit from. As an Advanced Nurse Practitioner we are able to identify patients’ needs quickly and refer to the most appropriate service available. Providing this service ensures patient safety is paramount, and no patient will be sent away without a suitable clinical pathway.”

Leanne Aggas, Emergency Department Matron, said: “Patients that are met at the streaming service and require primary care are directed to services appropriate to their needs, relieving pressure on A&E by cutting waiting times. It is important to bear in mind however that A&E is not an alternative to a GP appointment. If your GP is closed you can call 111 which will direct you to the best local service.”


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