Hospital at home (30 min radius of DGRI only)
DGRefHelp - NHS Dumfries & Galloway
WHAT IS FRAILTY HOSPITAL AT HOME - H@H?
The purpose of the service is to reduce hospital admissions and length of stays for elderly patients by providing acute treatment in the comfort and familiarity of their own home. The service enables people to receive hospital level care that would otherwise require them to be admitted to hospital, such as an intravenous drip or oxygen supply. It also provides access to hospital tests under the care of a consultant in their own home.
GEOGRAPHICAL AREA COVERED
WHO IS ELIGIBLE FOR H@H?
Frail patients ages 75 and over or 65 and in a care home, who are independent or already have an appropriate care package in place and do not need an increase in their care package or PT/OT input.
Do you have a patient within this criteria in your care that needs IV ABX or short term O2? (Max 2L on constant flow or 6L pulse flow).
WHAT CONDITIONS CAN H@H OFFER TO SUPPORT WITH?
Examples of conditions-
- Delirium and falls due to acute medical illness
- Infections (urine, chest, skin, D&V etc.)
- Acute exacerbation COPD
- Acute exacerbation CCF
- Acute kidney infection or hyponatraemia
WHAT ASSESSMENTS/TREATMENTS CAN THE SERVICE OFFER?
- Comprehensive geriatric assessment
- IV antibiotics (up to twice daily)
- IV furosemide (up to twice daily)
- Daily blood monitoring
- Medication reviews
- Delirium management
- Short term O2 requirement (max 2L on constant, 6L on pulse)
- Rapid access to radiological tests e.g. CT, ultrasound, and plain film.
HOW ARE PATIENTS REFERRED TO THE SERVICE?
If you think your patient would benefit from H@H and meets the criteria for the service please phone the H@H Coordinator who will fill out the patient referral form.
Please make sure the patient has been seen by yourself or another member of your team before referring.
CONTACT DETAILS
Any referrals, questions or quires please contact the H@H coordinator-
- Telephone- 07483169629
- Email- Rachel.mclarty@nhs.scot
WHEN DOES THE SERVICE OPERATE?
The service operates from 8.30am-4.30pm, 5 days a week Monday- Friday.