Contact details for early pregnancy services for your Trust can be found on the homepage. The lighting levels are moderate to good. 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. You must telephone the unit before attending we do not run a walk-in clinic or service. Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. For more information about what these symbols mean, view our Accessibility Symbols Guide. Despite the fact that an advanced training module in acute gynaecology and early pregnancy has been running for a number of years from The Royal College of Obstetricians and Gynaecologists, to our knowledge, a rigorous assessment of its quality and effectiveness has not been undertaken [21]. The admission rates by patient characteristics is shown in Table 2. Yes .
Early Pregnancy Unit & Gynaecology Assessment Unit | AccessAble Dementia friendly signage is not provided. Most models were adjusted using one of two sets of potential confounder variables: i) maternal age and final diagnosis (MA+FD) or; ii) maternal age, final diagnosis, IMD and gestational age policy (MA+FD+IMD+GAP). Always inform the staff in the department you are pregnant. From the west of the city Southampton General Hospital can be accessed via several routes from the M271. The hospital does have a dedicated car park. Resources, Click through the PLOS taxonomy to find articles in your field. Bearing in mind that women attending the ED are eight times more likely to be admitted than those seen in the EPAU, keeping EPAUs open over the weekend reduces the overall number of emergency admissions to hospital. Out of hours, they will either be given an appointment to attend the next day or will be seen by the on-call medical team. Staff do not need to be notified for use of the lift. There are not separate entry and exit doors in the lift. 6606 pregnant women (16 years old) with suspected first trimester pregnancy complications attending the participating EPAUs or Emergency Departments (ED) from December 2016 to July 2017. The route from the car park to the hospital entrance is not clearly signposted. Writing review & editing, Affiliation Formal analysis, Language interpreters can be provided on request. Opening Times. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. There is level access to the consultation / treatment room. They were established following a publication by Bigrigg and Read [5] in 1991 who reported on cost savings and improved quality of early pregnancy care following the opening of an EPAU in their local hospital. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. General Practitioner (GP)
Disposal facilities are available in the cubicle. The controls for the lift are within 90cm - 120cm from the floor. Contact details will be put on all outpatient letters. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. View Article PubMed/NCBI . The soap dispenser can be reached from seated on the toilet. Both provide consultant-led care for women who experience problems in early pregnancy. There are not parking charges for the hospital car park. d) previous tubal surgery
Early Pregnancy Assessment Unit (EPAU) - Mid and South Essex NHS The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. Women are often contacted on the same day, or the next working day if the referral is received after 3pm. Investigation, There is / are 10 consultation / treatment room(s) available. 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. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. If you would prefer to contact the Early Pregnancy Unit for information and support, you can contact the Specialist Nursing Team for a consultation between 8:30 am and 5:30 pm, Monday to Friday. North Central London GP Website. The contrast between the wall-mounted grab rail(s) and wall is good. You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. The lift does have a visual floor indicator. The towel dispenser can be reached from seated on the toilet. Supervision, Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. The height of the soap dispenser is 100cm. A moderate level of clustering within units (Intraclass Correlation Coefficient, ICC = 0.04) was assumed. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. we'll add the event details to your CPD section automatically. The dimensions of the accessible toilet are 212cm x 220cm (6ft 11in x 7ft 3in). Tel: 01793 605257 Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page A . The variable Emergency admission indicates whether a patient had an unplanned admission to hospital following any visit for investigations or treatment of first trimester pregnancy complications. We do not accept self-referral to the Early Pregnancy Unit for vomiting in pregnancy unless you are currently under our care or have been diagnosed with hyperemesis in a previous pregnancy. f) Intrauterine Contraceptive Device in-situ. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The reception area/desk is clearly visible from the entrance. here. Get contact details, videos, photos, opening times and map directions. In addition, we recorded the amount of time senior clinicians (consultant gynaecologists) spent working in EPAUs which is of critical importance when assessing the impact of their presence on various clinical outcomes. Mobility aids are available to help patients move around and include; wheelchairs. Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. The soap dispenser cannot be reached from seated on the toilet. Conceptualization, Access to the hospital is via the main hospital lifts. No car parking (other than for Blue Badge holders) is available at University College Hospital (UCH). At the time of patient recruitment, we collected information about the unit referral policy with regards to the minimum gestational age at which women could be seen at the EPAU. Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. This accessible toilet is located to the right as you pass through the waiting area. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. The door(s) is/are single width with a locked extension leaf. You can contact the service by calling 01279 827107. Visit website. Writing review & editing, Affiliation There are parking charges for the hospital car park. Board Meetings (including Agenda and Papers), Corporate publications (Annual Reports and Accounts), COVID vaccine resources for minority ethnic communities, Accelerating care across Lancashire and South Cumbria, Patient Portal: mobile phone appointment letters, Test your equipment for Video Appointments / Calls, Academic Surgical and Perioperative Medicine Unit. There is not sufficient space to write or sign documents on the counter. After yourscan, you will be reviewed by one of the specialist nurses who will then discuss with you the likely cause of your symptoms, whether you need to have any more investigations, and your treatment options.
King's College Hospital Early Pregnancy Assessment Unit (EPAU) No, Is the Subject Area "Nurses" applicable to this article? EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. If a scan is required and where it cannot be performed on the same day we will do our best to ensure that any wait is as short as it can be and we will endeavour to keep you updated of any delays. It is likely that they will be unable to offer reassurance scans if you have experienced previous early pregnancy problems unless you have symptoms in this pregnancy but individual units availability may vary. Standard manual wheelchairs are available for people to borrow at this entrance. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. clinic appointment letter. To obtain mobility aids please contact a member of staff. The clinic is open from 08.30 to 11.00 Monday to Saturday. This accessible toilet is located straight ahead as you enter and to the right. People who still have an ongoing pregnancy will be discharged back to the care of their midwife. If you are experiencing heavy bleeding and/or severe pain, or feeling dizzy, please go straight to the Emergency Department. Copyright 2023 East and North Hertfordshire NHS Trust. Planned and actual senior clinician presence, unit size, and weekend opening. Investigation, 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. Visualization, The toilet is not for the sole use of disabled people. Copyright 2023 AccessAble. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. Tel: 0118 322 8741. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. There is sufficient space next to the bed/couch for a mobile hoist to operate. Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. There is a/are door(s) leading into the department/service. The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. There is a dropped kerb from the drop-off point. Data curation, 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. You're adding a service to your CPD log. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. There is step free access to the reception area/desk. Conceptualization, Scan is an appointment based service and we aim to see you at your given appointment time, but if you have been referred as an emergency without an appointment time or if you require further assessment or investigations then there may be a waiting time to be seen, which can vary. 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 Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Pinderfields Hospital To view other access guides that are related to this one please use the links below. Data curation, The association between the three factors: senior clinician presence, unit volume, and weekend opening hours, and the proportion of emergency admissions was investigated by using regression models, where hierarchical models were used for analysing patient-level data, and standard models were used for analysing unit-level data. When we compared actual with planned senior clinicians presence, we found that in only 3/19 units (16%) did senior clinicians spend more than 15% of their time actively delivering clinical care, and in 13/19 units (68%) their actual documented presence was less than 5%. We have placed cookies on your computer to help make this website better. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). The toilet roll holder can be reached from seated on the toilet. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. The waiting room / area is approximately 7m from the clinic entrance. Is the Subject Area "Pregnancy" applicable to this article? Clinical follow-up was not standardised but was based on local management protocols and womens medical needs.
Early Pregnancy Assessment & Gynaecology Unit: RFL https://doi.org/10.1371/journal.pone.0260534.t001. There is a canopy or recess which provides weather protection at this entrance. This technique was adopted to ensure that units of all configurations were equally represented in the final sample. These responses were used to categorize the units according to three factors: planned senior clinician presence (yes or no); weekend opening (yes or no); and the annual volume of patients, as reported by the corresponding clinicians (low volume <3000 appointments per year vs. high volume 3000 appointments annually). 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). The waiting room / area does have background music playing. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. 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). The lighting levels in the imaging room are low to moderate. Final diagnosis (FD) was divided into five groups: 1) Normal intrauterine pregnancy including early and live pregnancies; 2) Abnormal intrauterine pregnancy including early embryonic demise, incomplete, and complete miscarriage; 3) Ectopic pregnancy at any site; 4) Pregnancy of unknown location; and 5) Other: molar pregnancy, multiple pregnancy, and not pregnant. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. Investigation, MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. Writing review & editing, Affiliation Funding acquisition, The Early Pregnancy Assessment Unit is part of the Gynaecology Assessment Unit, which offers help and support for those experiencing problems in early pregnancy up to 16 weeks. We will keep you updated and we have refreshments available for your comfort. Where applicable, participants gave informed written consent before taking part in the study. If it is decided that you need outpatient care,the Emergency Department will send an electronic referral to the EPAU nurse, and you will be contacted either the same dayor the next working day. The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. For the emergency hospital care audit strand, data from routine hospital databases for women attending hospital emergency services (EDs) at the same location as the EPAU were collected in collaboration with the Information Services (IS) departments in the participating hospitals. Barnet Hospital also offers a walk-in service. No, Is the Subject Area "Hospitals" applicable to this article?
Early pregnancy and gynaecology unit - Overview No, Is the Subject Area "Miscarriage" applicable to this article? Fitting hierarchical logistic regression models for Emergency admission from EPAU, there was little evidence of an association between the admission rate and planned senior clinician presence or unit volume controlled for final diagnosis and maternal age, as shown in Table 5. Recurrent pregnancy loss The relationship between emergency admissions from the Emergency Department and senior clinicians presence in EPAU is shown in Fig 4. https://doi.org/10.1371/journal.pone.0260534.g004. We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study.
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