- Joondalup Health Campus and St John WA are trialling a Rapid Access Clinic for Elderly patients (RACE) as an alternative care pathway for appropriate patients located in the Cities of Joondalup or Wanneroo, between the hours of Monday to Friday, 09:00 to 16:00.
- Patients aged 65+ in JHC catchment area
- Within RACE clinic referral hours (see above)
- Presenting with lower acuity conditions that can be safely treated in an outpatient setting, such as falls or mobility related issues, or acute on chronic pain
- Alert and oriented
- Nil or minor injury
- Able to safely mobilise independently, or with usual mobility aids
- Clinically unwell and not suitable for outpatient setting
- Change of conscious state from baseline
- Confirmed or suspected COVID-19
- Fall preceded by any other medical event – e.g. chest pain, dizziness, SOB, CVA symptoms
- Any escalation level on observation-based early warning score (NEWS2)
- C-spine unable to be cleared
- Any significant injury
- Any requirement for prehospital analgesia other than paracetamol
- Any loss of consciousness associated with fall
- Anticoagulated patient (post fall)
- Any acute medical concern
- Intoxication suspected/confirmed
- Patient unable or unwilling to consent to referral
- Clinic appointment unavailable and patient would otherwise usually be transported to the Emergency Department
- Thorough assessment is required of all patients before referring: full observations including BSL, history of presenting complaint, secondary survey and assessment of mobility and usual Activities of Daily Living
- Potential referrals should be discussed with Clinical Hub STT Crew Support who will liaise with RACE clinic in detail to confirm suitability and acceptance
- Consider patient suitability after complete assessment
- Obtain patient consent for referral
- Contact Clinical Hub STT Crew Support to discuss potential referral
- Transport patient to RACE clinic at Joondalup Health Campus if agreed, or otherwise as arranged by Clinical Hub
It is envisaged that most presentations to RACE will generally be immediate. If a later appointment is arranged by the Clinical Hub, and the patient is to be left at home in the interim:
- Ensure patient able to mobilise around home for ADLs as required
- Ensure appropriate person (i.e. family or carer) with patient if needed, or at least aware of plan and contactable
- Ensure patient is aware of potential signs/symptoms of deterioration and to call back St John WA on 000 if any concerns prior to clinic appointment
- Patient must specifically consent to the plan
- As per Primary Care guidelines
- As per Intermediate Care guidelines
- As per Advanced Care guidelines
Additional Information
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