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Pneumonia Pathway
Within 6 hoursof arrival:
Patient with confirmed #NOF admitted to Orthopaedic Ward
Assessment undertaken by Nursing Staff
(inc. pressure ulcer, falls risk assessment and nutrition screen) 
Medical Assessment
- Osteoporosis risk factors
- Pre-operation checklist
- VTE Assessment
- Dementia Screening (inc. AMTS)
Relatives/NoK/Care Home contacted for previous mobility information and care plan discussed
- Fluid management plan commenced
- Pain relief management plan commenced
If not fit for surgery
Assessment of usual physiological
status from patient/carer
Keep NBM until Anaesthetic/
Medical Review
Clear plan for intervention in notes documented
Theatre slot organised at 8am Trauma MDT meeting
Orthogeriatrician review every 24 hours
Referred to Physiotherapy
Consider referral to OT
Consider referral to Early Supported Discharge
Patient allocated surgery slot & Consultant determined
Check consent obtained
Patient transferred to Theatre
Within 36 Hours of Admission
Operation undertaken with Consultant/
Associate Specialist/Anaesthetist/Senior Staff
supervision
Weight Bearing Status
documented in post-op notes
Within 24 Hours of Surgery
Patient transferred into recovery &
back into own bed
- Strict fluid management plan
- Post-op bloods checked
- Pain relief administered (if required)
Physio sees patient post-op
OT Sees patient post-op
Post-op Orthogeriatrician review to include:
- Falls risk
- Bone health
- Polypharmacy