UNCONTROLLED WHEN PRINTED
Quick Chart
 Introduction
  • 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.
 Clinical Presentation
 Scope / Inclusion Criteria
  • 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
 Exclusion Criteria
  • 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
 Risk Assessment
  • 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
 Management
Primary Care
  • 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
Safety Netting

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
Intermediate Care
  • As per Primary Care guidelines
Advanced Care
  • As per Intermediate Care guidelines
Critical & Extended Care
  • As per Advanced Care guidelines
 Additional Information

Additional Information

Key Terms & Links
Settings
Extended Care:
Colour assist:

References
References

Document Control


Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Version

Published Date

Review Date

Clinical Resources Website

St John Ambulance Western Australia Ltd (ABN 55 028 468 715) (St John WA) operates ambulance and other pre-hospital clinical services. St John WA’s Clinical Resources, including its Clinical Practice Guidelines (Clinical Resources), are intended for use by credentialed St John WA staff and volunteers when providing clinical care to patients for or on behalf of St John WA, within the St John WA Clinical Governance Framework, and only to the extent of the clinician’s authority to practice.

Other users – Terms of Use

The content of the St John WA Clinical Resources is provided for information purposes only and is not intended to serve as health, medical or treatment advice. Any user of this website agrees to be bound by these Terms of Use in their use of the Clinical Resources.

St John WA does not represent or warrant (whether express, implied, statutory, or otherwise) that the content of the Clinical Resources is accurate, reliable, up-to-date, complete or that the information contained is suitable for your needs or for any particular purpose. You are responsible for assessing whether the information is accurate, reliable, up-to-date, authentic, relevant, or complete and where appropriate, seek independent professional advice.

St John WA expressly prohibits use of these Clinical Resources to guide clinical care of patients by organisations external to St John WA, except where these organisations have been directly engaged by St John WA to provide services. Any use of the Clinical Resources, with St John WA approval, must attribute St John WA as the creator of the Clinical Resources and include the copyright notice and (where reasonably practicable) provide a URL/hyperlink to the St John WA Clinical Resources website. 

No permission or licence is granted to reproduce, make commercial use of, adapt, modify or create derivative works from these Clinical Resources. For permissions beyond the scope of these Terms of Use, including a commercial licence, please contact medservices@stjohnambulance.com.au

Where links are provided to resources on external websites, St John WA:

  • Gives no assurances about the quality, accuracy or relevance of material on any linked site;
  • Accepts no legal responsibility regarding the accuracy and reliability of external material; and
  • Does not endorse any material, associated organisation, product or service on other sites.

Your use of any external website is governed by the terms of that website, including any authorisation, requirement or licence for use of the material on that website.

To the maximum extent permitted by law, St John WA excludes liability (including liability in negligence) for any direct, special, indirect, incidental, consequential, punitive, exemplary or other loss, cost, damage or expense arising out of, or in connection with, use or reliance on the Clinical Resources (including without limitation any interference with or damage to a user’s computer, device, software or data occurring in connection with such use).

Cookies

Please read this cookie policy carefully before using Clinical Resources from St John WA.

The cookies used on this site are small and completely anonymous pieces of information and are stored on your computer or mobile device. The data that the cookies contain identify your user preferences (such as your preferred text size, scope / skill level preference and Colour Assist mode, among other user settings) so that they can be recalled the next time that you visit a page within Clinical Resources. These cookies are necessary to offer you the best and most efficient possible experience when accessing and navigating through our website and using its features. These cookies do not collect or send analytical information back to St John WA.

Clinical Resources does integrate with Google Analytics and any cookies associated with this service enable us (and third-party services) to collect aggregated data for statistical purposes on how our visitors use this website. These cookies do not contain personal information such as names and email addresses and are used to help us improve your user experience of the website.

If you want to restrict or block the cookies that are set by our website, you can do so through your browser setting. Alternatively, you can visit www.internetcookies.com, which contains comprehensive information on how to do this on a wide variety of browsers and devices. You will find general information about cookies and details on how to delete cookies from your device. If you have any questions about this policy or our use of cookies, please contact us.

St John Ambulance Western Australia Ltd © Copyright 2020, All Rights Reserved

Terms of Use | Privacy Policy | Copyright Statement & Disclaimer