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Annual Report 2019

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Annual Report 2019 The Rotunda Hospital Dublin Annual Report 2019 THE ROTUNDA HOSPITAL DUBLIN ANNUAL REPORT 2019 2 The Rotunda Hospital ABOUT THE ROTUNDA In 1745 Bartholomew Mosse, surgeon and man-midwife, founded the original Dublin Lying-In Hospital as a maternity training hospital, the first of its kind. The Rotunda Hospital is unique as an institution in that it has continued to provide an unbroken record of service to women and infants since its foundation. The Rotunda Hospital has been in operation at the Parnell Square campus for 263 years, with the main inpatient building remaining in continuous use since the doors first opened on December 8, 1757, making the Rotunda Hospital the longest serving maternity hospital in the world. The Rotunda remains an independent, voluntary organisation operating under Charter with a Board of Governors and the Mastership System responsible for clinical and operational management. Since the introduction of Hospital Groups in 2013, the Rotunda is the lead maternity centre for the RCSI Hospitals Group. The ethos and core values of its founder are still at the heart of the Hospital and this is demonstrated through the care and dedication of the staff and the Board of Governors of the Hospital. Over time the Rotunda has evolved into a 198-bed teaching Hospital which provides specialist services in order to support women and their families at a local, regional and national level. Annual Report 2019 3 IN 2019 10,200 MOTHERS CARED FOR 8,410 BABIES DELIVERED 326 1,009 EMPLOYEES 480 MEDICAL AND NURSING STUDENTS 4 The Rotunda Hospital CONTENTS INTRODUCTION 7 Introduction by the Master ..........................................................................................................................................................9 Introduction by the Chairperson ............................................................................................................................................16 Strategic Plan Highlights in 2019 ..........................................................................................................................................20 Clinical Directors Office ..............................................................................................................................................................22 CLINICAL SERVICES 25 MATERNITY 27 Department of Midwifery and Nursing .............................................................................................................................28 Emergency and Assessment Unit .......................................................................................................................................36 Early Pregnancy Assessment Service .............................................................................................................................. 37 Recurrent Pregnancy Loss Service ....................................................................................................................................39 Fetal Medicine Service ................................................................................................................................................................40 Bereavement Support and Chaplaincy Services .......................................................................................................44 Maternal Medicine Service .......................................................................................................................................................45 Teenage Pregnancy Service ....................................................................................................................................................50 Combined Obstetric Endocrine Service ...........................................................................................................................51 Infectious Diseases Service .....................................................................................................................................................53 Epilepsy Service ..............................................................................................................................................................................56 Mental Health Service .................................................................................................................................................................57 Next Birth After Caesarean Section ...................................................................................................................................58 Labour and Delivery .....................................................................................................................................................................59 Anaesthesiology Service ............................................................................................................................................................64 Critical Care Service .....................................................................................................................................................................66 Maternal Morbidity.........................................................................................................................................................................70 Complicated Post Natal Service ...........................................................................................................................................73 Radiology Service ........................................................................................................................................................................... 75 GYNAECOLOGY 79 Gynaecology Service ...................................................................................................................................................................80 Pregnancy Options Service .....................................................................................................................................................86 Colposcopy Service ......................................................................................................................................................................88 Sexual Assault Treatment Service .......................................................................................................................................90 NEONATOLOGY 93 Department of Neonatology ....................................................................................................................................................94 ALLIED CLINICAL SERVICES 115 Laboratory Medicine Department .....................................................................................................................................116 - Division of Clinical Biochemistry and Point-of-Care Testing........................................................................118 - Division of Clinical Microbiology ....................................................................................................................................120 - Division of Haematology and Transfusion ................................................................................................................121 - Division of Histopathology .................................................................................................................................................122 - Laboratory Medicine - Quality Management ........................................................................................................124 - Laboratory Medicine – Information and Communications Technology ...............................................126 Clinical Nutrition and Dietetics Service .........................................................................................................................128 Medical Social Work Service..................................................................................................................................................131 Pharmacy Service.........................................................................................................................................................................136 Physiotherapy Service ...............................................................................................................................................................139 Annual Report 2019 5 QUALITY AND SAFETY SERVICES 143 Quality and Patient Safety Service ....................................................................................................................................144 Infection Prevention and Control Service .....................................................................................................................149 Clinical Audit Service .................................................................................................................................................................152 Clinical Risk and Patient Safety Service ........................................................................................................................154 Clinical Information Department ........................................................................................................................................156 ACADEMIA 159 Department of Research ..........................................................................................................................................................160 Research Ethics .............................................................................................................................................................................163
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