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Surgical Assessment Unit (SAU)

  

Referral pathways for surgical management of abscess and appendicitis


Referral of Surgical Conditions

The Surgical Assessment Unit (SAU) now accepts a wider range of conditions in addition to abscess and appendicitis (see pathways below)

Please see inclusion and exclusion criteria:

Inclusion Criteria

  • Recent surgical admission- within 2 weeks
  • Bariatric surgical procedure- within 6 weeks
  • Previous gastric band insertion
  • Abdominal pain
  • Biliary Colic / cholecystitis  / pancreatitis
  • Abdominal / Axillary abscess
  • Lower GI bleed
  • Stoma
  • Surgical wound dehiscence

Exclusion criteria

  • Medical conditions leading to presenting complaint
  • Diabetic ketoacidosis / hyperosmolar non-ketoacidosis
  • Gynaecology – PV bleeding
  • Pregnancy
  • Trauma & Orthopaedics / Plastics
  • End of life pathway
  • Confusion
  • Acute mental health issues
  • Patients requiring isolation (Diarrhoea)
  • Upper GI bleeding
  • Neck abscesses refer to ENT / Maxillo facial team
  • Leg abscesses or Ischaemic limb refer to Vascular Registrar  # 2738
Surgical Management of Abscess Using Surgical Assessment Unit
  • Patient presents to Primary Care with abscess
  • GP calls UHCW 02476964000 to speak to Surgical Assessment Unit Coordinator (bleep 1760)
  • Patient informed to starve and attend Emergency Department with referral letter from where they will be directed to Ward 22 Surgical Assessment Unit
  • If appropriate, the patient will be treated in the Surgery On Day of Admission Ward (SODA)

 

Surgical Management of Appendicitis Using Surgical Assessment Unit
  • Patient presents to Primary Care with suspected appendicitis (subject to checklist below)
  • GP calls UHCW 02476964000 to speak to Surgical Assessment Unit Coordinator (bleep 1760)
  • Patient informed to starve and attend Emergency Department with referral letter from where they will be directed to Ward 22 Surgical Assessment Unit
  • If appropriate, the patient will be treated in the Surgery On Day of Admission Ward (SODA)

 

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