early pregnancy unit opening times

Hospital staff do not receive disability awareness / equality training. Yes Travel information is subject to change. If you are unable to book an appointment, or need to see a GP out of hours, call your surgery and follow the advice provided. The lateral transfer space is 170cm (5ft 7in). No, Is the Subject Area "Cohort studies" applicable to this article? As you face the toilet pan the transfer space is on the right. Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are not provided in the reception area. The contrast between the internal door and wall is good. Early Pregnancy Unit and Gynae Assessment Unit. The Early Pregnancy Unit is classified as an Emergency Service and you may be invited to attend the unit for an appointment. There is a/are door(s) into the day room/lounge area. There are also several bus routes which stop at the Southampton General which is a short walk from the Princess Anne Hospital on Tremona Road. You can find more information about these on the patient information page. Site by daysix. This is an important finding for health providers as the cost of employing senior clinicians is much higher compared to nurses and other healthcare professionals. There is level access into the day room/lounge area. In this national prospective cohort study, we aimed to determine whether higher participation of senior clinicians in the delivery of first trimester pregnancy care would result in better quality clinical care reflected in a lower risk of acute admissions to hospital for women presenting with first trimester complications. Funding acquisition, Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. There are 4 consultation/treatment rooms in this department/service. Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. There is some flooring in the department/service which is shiny and could cause issues with glare or look slippery to some people. 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). Senior clinicians were present only in 19 of the 44 EPAUs. Early Pregnancy Assessment & Gynaecology Unit: RFL The toilet roll holder is placed higher than 100cm (3ft 3in). You can also call020 7794 0500 ext 38205 or 31468. Early pregnancy assessment unit - East Lancashire Hospitals NHS Trust An Early Pregnancy Unit in the United States: An Effective Method for Evaluating First-Trimester Pregnancy Complications. They will be asked to sign a declaration form and wait for you outside the department until you are called in for your scan. The height of the soap dispenser is 100cm. In addition, patients/carers should be encouraged, where they know the date and time of their next appointment, to get their dispensation notice prior to leaving the hospital. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. www.miscarriageassociation.org.ukprovides information to help thoseaffected by miscarriage, molar pregnancy or ectopic pregnancy. The variable Gestational Age Policy (GAP) captures whether units either accepted referrals for women of any gestational age or only reviewed women of six weeks gestation or more. Do not wait to be called by the EPAU team. You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. During patient recruitment, we collected data on the grade of all members of staff present in the EPAU during its opening hours, their involvement in delivering early pregnancy care, as well as the actual hours which each member of staff spent in the unit. When you attend the Emergency Department, you will be assessed by a doctor to see whether you need to stay in hospital and receive care as an inpatient, or whether you can be discharged and referred to to the EPAU as an outpatient. The Early Pregnancy Unit | Princess Alexandra Hospital The hospital entrance is clearly visible from the car park. Detailed information, also Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. The reception counter is not placed in front of a background which is patterned. Therefore many women may prefer to monitor mild painless bleeding in early pregnancy (below 12 weeks and 6 days) and you may want to explore our information about bleeding and pain in pregnancy prior to contacting the unit, here. 33 days (IQR 2447) was the median time for units to complete recruitment. As part of this assessment, they may ask for investigations that may be performed on the same day or within urgent time frames and a management plan will be made for you. Accident and Emergency Department/999 There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). Mobility aids are available to help patients move around and include; wheelchairs. This department/service has; a main reception, accessible toilet facilities for everyone, ambulant toilet facilities for everyone, consultation rooms, standard toilet facilities and a waiting room/area. The door(s) is/are double width but one door is locked. Monday to Sunday 08:00 to 13:00. The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). The distance between the floor and the highest table is 43cm (1ft 5in). There is ramped/sloped access at this entrance. From the west of the city Southampton General Hospital can be accessed via several routes from the M271. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. There is a waiting area close to the reception point. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. 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. Writing review & editing, Affiliation Resources, Water bowls for assistance dogs are available on request. Once you have been discharged from our care you can still contact us if you have any questions or problems. Women are seen in order of clinical priority, which means that you may be in the department for longer than anticipated. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. Data curation, Differences in the organisation of early pregnancy units and the effect The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. Urgent GP referrals are seen on the same day. There is a/are Blue Badge parking bay(s) available. A number of organisations give dedicated support and advice to people affected by pregnancy loss: CRADLE is anational registered pregnancy loss charity working in partnership with Lewisham and Greenwich NHS Trust. Assistance may be required because there is/are slopes/ramps. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. BSL interpreters can be provided on request. This variable was also dichotomised for some analyses to indicate whether they were expected to spend any time in EPAU (yes/no). As a result, we have been appointed by the Tommys charity as the Tommys National Centre for Miscarriage Research in collaboration with the University of Birmingham and the University of Warwick. Email this page 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. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page There is sufficient space for a wheelchair user to manoeuvre within the imaging room. Investigation, Writing review & editing, Roles You can also be referred by a clinician (doctor, midwife or advanced clinical practitioner) who will complete an electronic referral, or by yourGP who will email us directly. The Early Pregnancy Clinic should be your first port of call. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. Some women require hospital admission for rehydration. The VESPA study recruited from the EPAU population. Roles There is flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. If our guide needs updating - just let us know using this form. The post code for the Sat-nav is SO16 5YA. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. There is step free access to the reception point. Copyright 2023 AccessAble. Formal analysis, Charges apply to all users of these car parks. If the outcome of your consultation is that you require an ultrasound then our ultrasound scanning appointment times are from 9:30am 4.00pm on weekdays. The door(s) is/are single width with a locked extension leaf. f) Intrauterine Contraceptive Device in-situ. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Models were either unadjusted or adjusted for gestational age unit policy. Conceptualization, Women with nausea and vomiting in pregnancy should contact their GP for an assessment of their symptoms to exclude other causes for nausea and vomiting in pregnancy such as urinary tract infections. Writing review & editing, Roles We are open Monday - Friday 08 - 20:00 (last patient accepted 19:15) and Saturday -Sunday 08:30 - 14:00 (last patient accepted 13:15). 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. If you feel your symptoms require urgent assessment outside of these hours the wider medical team are here to support you 24 hours a day 7 days a week. All rights reserved. Unit volume was defined as the number of patient visits per year and was estimated using the time taken to obtain data on the required number of patients and the average number of visits per patient. Theyprovide a range of services such as peer support and counselling services. Conceptualization, The drop-off point is located on Beaumont Place. You can at any time read our cookie policy. The specific roles of these authors are articulated in the author contributions section. We report the data from two of the VESPA study strands: 1) the prospective cohort study of women attending EPAUs due to first trimester complications; and 2) the emergency hospital care audit of women admitted as an emergency with first trimester pregnancy complications. PLOS ONE promises fair, rigorous peer review, 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%. The door(s) open(s) automatically (towards you). Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). North Central London GP Website. Writing original draft. The unit sees women with common symptoms such as bleeding or pain in early pregnancy. The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). Clinic 3 - Early Pregnancy Unit. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. Forty units met this target, whilst four units recruited between 143 and 149 women. No, Is the Subject Area "Miscarriage" applicable to this article? Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. All rights reserved. The wash basin cannot be reached from seated on the toilet. As you face the toilet pan the transfer space is on the left. If necessary, patients can be admitted under the on-call gynaecology team 24 hours a day, seven days a week. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. Our team isproudto provide compassionate care during anxious times in early pregnancy, when you may be experiencing pain and/or bleeding or have had a previous ectopic or molar pregnancy. There are not separate entry and exit doors in the lift. Walk-in Centres Methodology, We carefully assessed the burden and timings of the study participation and questionnaires on patients. There is a vertical wall-mounted grab rail on the transfer side. Disposal facilities are available in the toilet. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). They are not issued to carers, relatives, visitors or friends who are Blue Badge holders bringing a non-Blue Badge holder patient to an appointment. We use cookies on this site to enhance your user experience, Getting To The Hospital (Princess Anne Hospital), Getting Help and Assistance (Princess Anne Hospital), Hospital Parking (Yellow Car Park - Level C - Accessible and Parent and Child Parking Only), Hospital Parking (Yellow Car Park - Open Air Parking), Hospital Parking (Yellow Car Park - Level B - Standard and Parent and Child Parking), Getting To (Early Pregnancy Unit and Gynae Assessment Unit), Outside Access (Level D and Out of Hours Entrance), Opening Times (Early Pregnancy Unit and Gynae Assessment Unit), Department / Service (Early Pregnancy Unit and Gynae Assessment Unit), To view the web page described above click here (opens in new tab), Princess Anne Hospital link (new tab) - click here, Hospital Parking at Princess Anne Hospital link (new tab) - click here. You will have a telephone assessment with a specialist EPAU nurse, and they will advise whether you need to attend a booked appointment for a face-to-face assessment and/orscan. There is a/are door(s) leading into the department/service. There is not a hearing assistance system. To view other access guides that are related to this one please use the links below. Data curation, In view of this, we revised our cut-off and used 2500 instead of 3000 visits to describe the units as high or low volume in the final data analysis. A hoist can be brought in from another department. The contrast between the walls and floor is good. 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. King's College Hospital Early Pregnancy Assessment Unit (EPAU) You should contact the Early Pregnancy Unit if you have a positive urine pregnancy test, and are experiencing pain and or bleeding from 5 to 20 weeks of pregnancy. Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. Please complete the form calledEarly Pregnancy Assessment Unit (EPAU) and email to: GP to telephone to make an appointment Data Availability: All relevant data are within the papers Supporting information files. The contrast between the internal door and wall is good. Data curation, The toilet is not for the sole use of disabled people. The contrast between the wash basin wall-mounted grab rail(s) and wall is good. This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. You will be given a copy of your ultrasound report. Telephone: 0161 922 6000 The designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. Early Pregnancy Assessment Unit (EPAU) - York and Scarborough Teaching VESPA included the services provided by MASS in the submittal for funding to NIHR. Both telephone and email applications will be coordinated by the UCH main reception team. There is sufficient space to write or sign documents on the low section of the desk. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. The room does not have background music playing. Wakefield This information is for the entrance located on Grafton Way. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . Child Emotional Wellbeing & Mental Health, Learning Disabilities & Neurodevelopmental Disorders (NDD), Gastroenterology, Colorectal, Renal & Urology, Care Home Training & Development (Islington), Data quality/standard referral form programme, 020 7472 6374(RFH) and 020 8216 5233 (Barnet), 020 7472 6374 (rfh: specialist nurse advice during opening hours) or020 7794 0500 ext 38205 or 31468, Early Pregnancy Assessment & Gynaecology Unit: RFL, assessment and management of women with pain and bleeding in early pregnancy (up to 15 weeks and sixdays), assessment of women at high risk of an ectopic pregnancy, assessment and management of women with acute gynaecological problems. Five working days should be allowed by patients/carers to receive their dispensation notice in the post, to allow time for the request to be processed and received in by second class post. The department/service does play background music. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. Validation, You can change the description, reflection or CPD Credit Hours at any time from within In addition, obtaining good quality data on emergency admissions from the Emergency Department based on routine hospital databases proved to be challenging, and we were only able to confidently utilise the data obtained from a fraction of the participating units.

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