Criterii de acces prioritar pediatrie spital.pdf
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PAEDIATRIC MEDICINE National Clinical Priority Assessment Criteria [CPAC] Category Criteria Examples (not an exhaustive list) 1. Immediate 2. Urgent NATIONAL REFERRAL GUIDELINES : PAEDIATRIC MEDICINE PAGE 38 Category Definitions : These are recommended guidelines for HHS specialists prioritizing referrals from primary care. 1. Immediate - treatment same day 2. Urgent - within 1 week 3. Semi-urgent - within 4 weeks 4. Routine - within 8 weeks 5. Staged - planned addimission • Acute problems that may require admission. (A telephone conversation between concerned referrer and Childs Health Specialist is essential) - ‘Sick’ child - Acute sudden and significant dysfunction threatening life, limb, sight and family. - Major risk if urgent treatment is delayed – Haemorrhage in infancy – Intussusception – Reduced intake – Unexplained fever – Neonatal infections – Suspected child abuse – Acute sexual abuse – Suspected anaphylaxis – Significant infection – Acute exacerbation of known pathology – Inconsolable crying – Unexplained rashes – Neonates – Respiratory distress (see guidelines for neonatal admissions) – Unexplained change in level of consciousness – Poisoning – Suspected malignancy – Apnoea – Heart failure – Bowel obstruction – Gastroenteritis – FB’s – Significant congenital abnormalities – Excessive parental anxiety – Vomiting and weight loss in infancy – FTT under age of 12 months – Potential parental fatigue or abuse – Severe psychiatric disturbance – Respite care – Neonatal screening abnormality – CF, CAH, Hypothyroidism – Asthma, epilepsy, diabetes – Cardiac related symptoms – Significant dysfunctions threatening life, limb, or family with major risk if treatment delayed – Significant parental problems – Not settling with urgent outpatient management INPATIENT SERVICES Paediatric Medicine Referral Guidelines and Priorisation Criteria • Date: 4/7/2001 • Authorised: Elective Services, HFA
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Transcript of Criterii de acces prioritar pediatrie spital.pdf
PA E D I AT R I C M E D I C I N ENational Clinical Priority Assessment Criteria [CPAC]
Category Criteria Examples (not an exhaustive list)
1. Immediate
2. Urgent
NATIONAL REFERRAL GUIDELINES : PAEDIATRIC MEDICINE
PAGE 38
Category Definitions : These are recommended guidelines for HHS specialists prioritizing referrals from primary care.
1. Immediate - treatment same day2. Urgent - within 1 week3. Semi-urgent - within 4 weeks4. Routine - within 8 weeks
5. Staged - planned addimission
• Acute problems that may requireadmission. (A telephone conversationbetween concerned referrer and ChildsHealth Specialist is essential)
- ‘Sick’ child
- Acute sudden and significant dysfunctionthreatening life, limb, sight and family.
- Major risk if urgent treatment is delayed
– Haemorrhage in infancy
– Intussusception
– Reduced intake
– Unexplained fever
– Neonatal infections
– Suspected child abuse
– Acute sexual abuse
– Suspected anaphylaxis
– Significant infection
– Acute exacerbation of known pathology
– Inconsolable crying
– Unexplained rashes
– Neonates
– Respiratory distress (see guidelines forneonatal admissions)
– Unexplained change in level ofconsciousness
– Poisoning
– Suspected malignancy
– Apnoea
– Heart failure
– Bowel obstruction
– Gastroenteritis
– FB’s
– Significant congenital abnormalities
– Excessive parental anxiety
– Vomiting and weight loss in infancy
– FTT under age of 12 months
– Potential parental fatigue or abuse
– Severe psychiatric disturbance
– Respite care
– Neonatal screening abnormality – CF, CAH,Hypothyroidism
– Asthma, epilepsy, diabetes
– Cardiac related symptoms
– Significant dysfunctions threatening life,limb, or family with major risk iftreatment delayed
– Significant parental problems
– Not settling with urgent outpatientmanagement
INPATIENT SERVICES
Paediatric Medicine Referral Guidelines and Priorisation Criteria • Date: 4/7/2001 • Authorised: Elective Services, HFA
Category Criteria Examples (not an exhaustive list)
NATIONAL REFERRAL GUIDELINES : PAEDIATRIC MEDICINE
PAGE 39
– Congenital abnormalities
– Genetic conditions
– UTI
– Constipation
– pH studies
– Headaches
– FTT
– Asthma stabilisation
– Unstable epilepsy
– Concerning lab. results, e.g. Anaemia,biochemical
– Developmental delay
– Persistent cough
– Chronic diarrhoea
– Milk intolerances
Where prolonged delay could result indeterioration with risk to child or family.
4. Routine
3. Semi-Urgent
– Behavioural problems
– Obesity
– Learning/mobility disabilities
– Mental Health
– Growth problems
– Asymptomatic murmur over 6 months
– Enuresis, encopresis
– Lethargy
– Family screening of genetic issues
– Chronic skin conditions
– Allergies
– Routine inpatient planned investigationswhich are more conveniently performedon an inpatient basis for the child andfamily
5. Staged – Oncology– For investigations or treatment
Paediatric Medicine Referral Guidelines and Priorisation Criteria • Date: 4/7/2001 • Authorised: Elective Services, HFA
