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FOI Request

Disclosure ID
FOI/02501
Request Date
June 14, 2018
Subject
Maternity Triage
Description
  1. In which hospital trust is your triage department based?
  2. Approximately how many deliveries does your unit have per year?
  3. What are your triage department’s opening hours?
  4. Do you have any other hospital based assessment / triage services?
  5. If so please describe including opening hours:
  6. Do you have standalone units that assess women? If so please state how many
  7. Do you have a separate maternity telephone advice line?
  8. How many midwives do you have per shift in triage?
  9. How many MCAs do you have per shift in triage?
  10. How many beds do you have in triage?
  11. What is the earliest gestation that women can be seen in triage?

 

  1. The following section contains 23 questions asking whether if deemed appropriate you invite women into Triage with the following conditions. Please select yes; no; or only if self-presents in each case. * Yes/No/Only if self-presents (see response for questions)
  2. Do you have any pre-booked assessments arranged to be seen in your area (select all that apply) (see response for questions)
Response
  1. Blackpool Victoria Hospital
  2. 3,000
  3. 08.30 to Midnight Monday to Friday.
    11.00-19.00 Saturday and Sunday
  4. Triage patients seen on Delivery Suite after midnight until 08.30
  5. As above
  6. No
  7. All women have contact numbers for Maternity Day Unit/Triage, Delivery Suite, the Maternity Ward and their community office number on their hand held notes
  8. 3 Midwives on MDU/Triage from 0830-18.00
    1 additional midwife starts at 16.00 until 24.00
  9. 1 to 2 on MDU/Triage until 18.00
    1 additional HCA starts at 16.00- 24.00
  10. 4 rooms on triage that include 3 single rooms with an examination couch and a room containing 3 reclining chairs.
  11. Protocol is from 16 weeks gestation.

 

Abdominal pain Yes
Reduced fetal movements Yes
PV bleeding Yes
Possible SRM Yes
Painful swollen leg(s) Yes
Shortness of breath Yes
Vomiting and diarrhoea Yes
Hypertension Yes
Headaches Yes
Threatened Pre-term Labour Yes
Itching Yes
Flank Pain Yes
Back Pain Yes
Minor trauma Yes, would also refer to A&E if appropriate.
Mental health crisis Only if self presents unless additional to other presenting symptom.

 
For diabetic review Yes
For USS review Yes
Abnormal FH with community midwife Yes
Breast inflammation Yes
Raised UPCR & bile acids Yes
Pelvic Pain Yes
Concealed Pregnancy Yes
Hyperemesis Yes
Do you have any further comments regarding your answer to the above question? No

2.

GTT Yes
Hypertension follow-up Yes
Follow-up bloods Yes
Admission for steroids or Anti-D Yes
Outpatient induction of labour Yes
CTG follow-up Yes
CTG follow-up Yes
LSCS pre-admission Yes
Other Consultant review and needing consultant plan.
Do you have access to formal departmental USS on the day of presentation? Sometimes
Can your midwifery triage staff perform USS for the following? * Yes/No

Viability
Presentation
Liquor volume
Foetal growth assessment

  

 

 

No

No

No

No ( 2 midwives currently on Third Trimester Scanning course)
At what gestation do the triage midwives perform speculum examinations for vaginal bleeding?

Any gestation
>24 weeks
>26 weeks
>28 weeks
>30 weeks
>32 weeks
>34 weeks
>36 weeks
>37 weeks
Depends on the competence of the midwife
Never

  

 

As per Trust policy, women presenting with PAINLESS PV bleeding can have speculum from 16 weeks when placental location known.

 
At what gestation do the triage midwives perform speculum examinations for possible SRM? *

Any gestation
>24 weeks
>26 weeks
>28 weeks
>30 weeks
>32 weeks
>34 weeks
>36 weeks
>37 weeks
Depends on the competence of the midwife
Never

 

  

 

 

Policy not indicative of gestation to perform from therefore depends on the competence of midwife. Amnisure commonly used.

 
 

At what gestation do the triage midwives perform speculum examinations for suspected labour? *

Any gestation
>24 weeks
>26 weeks
>28 weeks
>30 weeks
>32 weeks
>34 weeks
>36 weeks
>37 weeks
Depends on the competence of the midwife
Never

  

 

 

 

 

From 24 weeks
Do you have a doctor(s) dedicated to triage? *

Yes

No

  

No, doctor for Mat Day Unit/Triage cover all other areas too.
If you have a doctor(s) dedicated to triage please select grade (please choose all that apply

Foundation year 1/2

GP trainee

Obstetric ST1

Obstetric ST2

Registrar

  

N/A
Do you have a formal risk assessment score / triage acuity scoring system? * No
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