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SAU Surgical Assessment Unit – Direct Access Numbers

  

Referral pathways for surgical assessment and management of surgical emergencies avoiding ED. This service does NOT assess dental pain


Referral of Surgical Conditions to Surgical Assessment Unit (SAU)

SAU hours of availability: 07:30 – 20:00 Monday – Sunday

Referrals accepted via:

  • Direct line (new) 02476 965762 (for GP & Health professional use only)

    General enquiries please contact 024 7696 6185/6

  • SAU Advanced Clinical Practitioner (ACP) UHCW switchboard 02476 964000 Bleep 5526 

Email referral form after speaking to ACP: uhcw.generalsurgeryuhcw@nhs.net

Patient directed nil by mouth to Ward 22 UHCW

 

Please assess patient suitability for referral to SAU (versus ED) by consideration of of the secondary care validated NEWS scoring tool or primary care assessment of patient condition

SAU: Clinically stable   NEWS <5

ED: Clinically unstable NEWS >5 (Ambulance) Typically severe sepsis, hypotensive, tachypnoeic, hypoxic, tachycardic

 

 

Inclusion Criteria (*not exhaustive)

  • 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
  • Ischaemic limb
  • Minor epistaxis
  • Foreign body nose / ear / rectum
  • Tonsillitis / Quinsy
  • Otalgia / Otitis media
  • Haematuria
  • Kidney stones

Exclusion criteria

  • Medical conditions leading to presenting complaint
  • Gynaecology – PV bleeding
  • Pregnancy
  • End of Life Pathway
  • Trauma & Orthopaedics / Plastics
  • Patients requiring isolation (Diarrhoea)
  • Active bleeding
  • Leg abscess → Trauma & Orthopaedics
  • Epiglottitis
  • Stridor
  • Complex Airway
  • Button battery ingestion
  • Urinary retention
  • Suspected ruptured AAA → ED
  • Suspected ureteric colic >60 year old male
  • Dental pain (patient to see registered dental practitioner or emergency dental service)

 

 

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