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Tiered Perinatal Network Operational Plan- South Eastern Sydney Local Health District and Illawarra Shoalhaven Local Health District

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Tiered Perinatal Network Operational Plan- South Eastern Sydney Local Health District and Illawarra Shoalhaven Local Health District Tiered Perinatal Network Operational Plan- South Eastern Sydney Local Health District and Illawarra Shoalhaven Local Health District 1 NOVEMBER 18 2019 ENDORSED SESLHD AND ISLHD CHIEF EXECUTIVE FEBRUARY 7 2020 Contents POLICY STATEMENT ............................................................................................................................ 4 RESPONSIBILITY .................................................................................................................................. 4 REVISION HISTORY ........................................................................................................ 5 LEGAL AND LEGISLATIVE REQUIREMENTS ................................................................ 5 TIERED NETWORKS: ............................................................................................................................ 6 SERVICE CAPABILITIES 2019 ............................................................................................................. 7 SOUTH EASTERN SYDNEY LOCAL HEALTH DISTRICT (SESLHD) ............................. 8 Royal Hospital for Women: ...................................................................................................... 8 St George Hospital: ................................................................................................................... 9 The Sutherland Hospital: ......................................................................................................... 9 Sydney Eye Hospital; War Memorial Hospital; Prince of Wales Hospital; Calvary Healthcare, Garrawarra Centre and Gower Wilson (Lord Howe Island): ................... 10 Norfolk Island: ........................................................................................................................... 10 PRIVATE HOSPITALS WITHIN SESLHD: ..................................................................... 10 Prince of Wales Private .......................................................................................................... 10 St George Private ..................................................................................................................... 10 Hurstville Private ...................................................................................................................... 11 Kareena Private ........................................................................................................................ 11 ILLLAWARA SHAOLHAVEN LOCAL HEALTH DISTRICT (ISLHD): ................................................ 11 The Wollongong Hospital: ..................................................................................................... 11 Shoalhaven District Memorial Hospital: ............................................................................ 12 Milton Ulladulla Hospital: ....................................................................................................... 12 PRIVATE HOSPITALS WITHIN ISLHD: ......................................................................... 12 Wollongong Private ................................................................................................................. 12 NETWORK MATERNITY AND NEONATAL SERVICE CAPACITY ............................... 13 TRANSFER PROCESSES ................................................................................................................... 14 1.1 In-Utero transfer to Royal Hospital for Women (RHW Level 6), Tiered Perinatal Network (TN) .................................................................................................................. 14 1.2 In-Utero transfer from St George / Wollongong Hospitals (Level 5) .................... 16 1.3 In- Utero transfer from The Sutherland Hospital (TSH) (Level 4) ......................... 17 1.4 In- Utero transfer from Shoalhaven District Memorial Hospital (SDMH) (Level 3) ........................................................................................................................................ 18 1.5 In- Utero transfer from Milton - Ulladulla Hospital (Level 1) ................................. 19 1.6 Transfer Process for Non - Birthing Services ........................................................ 19 1.7 In-Utero transfer to Royal Hospital for Women (RHW Level 6) from Norfolk Island (NI) .................................................................................................................................. 20 MATERNAL TRANSFERS DECISION MAKING TOOL INTERPRETATION .................. 23 2 NOVEMBER 18 2019 ENDORSED SESLHD AND ISLHD CHIEF EXECUTIVE FEBRUARY 7 2020 CLINICAL PRESENTATIONS – Assessment of Risk: ...................................................................... 25 PATIENT FLOW PORTAL INTERHOSPITAL TRANSFERS: ............................................................. 26 Maternal transfers- timing and mode of transport ...................................................... 26 Entering maternal transfers onto the Patient Flow Portal (PFP) & transport arrangements ................................................................................................................. 26 TIERED NETWORK COMMUNICATION FOR TRANSFER: .............................................................. 26 TIERED NETWORK DEMAND ACCESS ESCALATION (STEP) ....................................................... 27 Introduction ............................................................................................................................... 27 Core Roles and Responsibilities: ........................................................................................ 28 STEP ESCALATION: ...................................................................................................... 29 RHW MATERNITY SERVICES ESCALATION MEASURE .................................................................. 30 RHW NEONATAL SERVICES ESCALATION MEASURE ................................................................... 32 ST GEORGE HOSPITAL STATUS & STRATEGY ............................................................................... 33 THE SUTHERLAND HOSPITAL STATUS & STRATEGY .................................................................... 34 THE WOLLONGONG HOSPITAL STATUS & STRATEGY ................................................................. 35 SHOALHAVEN DISTRICT MEMORIAL HOSPITAL STATUS & STRATEGY ....................................... 36 DATA AND REPORTING REQUIREMENTS .................................................................. 37 APPENDIX ............................................................................................................................................ 38 TIERED FACILITIES AND CONTACT DETAILS ................................................................. 38 TIERED FACILITIES AND CONTACT DETAILS ................................................................. 38 MP1 - TIME CRITICAL TRANSFER TO ROYAL HOSPITAL FOR WOMEN (LEVEL 6 ...................................................................................................................................................... 39 MP2 AND MP3 TRANSFERS TO ROYAL HOSPITAL FOR WOMEN (LEVEL 6)......... 40 MP1 TIME CRITICAL TRANSFER FROM ST GEORGE/ WOLLONGONG HOSPITAL (LEVEL 5) .................................................................................................................................... 41 MP2 AND MP3 TRANSFERS FROM ST GEORGE/ WOLLONGONG HOSPITAL (LEVEL 5) .................................................................................................................................... 42 MP1 - TIME CRITICAL TRANSFER FROM SHOALHAVEN DISTRICT MEMORIALHOSPITAL (LEVEL 3) ......................................................................................... 45 MP2 AND MP3 TRANSFERS FROM THE SHOALHAVEN DISTRICT MEMORIAL HOSPITAL (LEVEL 3) .............................................................................................................. 46 NORFOLK ISLAND TRANSFERS TO SESLHD – RHW – time urgent ......................... 47 NORFOLK ISLAND TRANSFERS TO SESLHD – RHW - non urgent ........................... 48 FETAL FIBRONECTIN LEVELS AND RISK OF DELIVERY ............................................. 49 MATERNAL TRANSFERS CONSULTATION FORM ......................................................... 51 3 NOVEMBER 18 2019 ENDORSED SESLHD AND ISLHD CHIEF EXECUTIVE FEBRUARY 7 2020 POLICY STATEMENT The operational plan provides a framework for safe patient flow and the management of maternal transfers within the Tiered Perinatal Network (Tiered Network) for South Eastern Sydney Local Health District (SESLHD)/ Illawarra Shoalhaven Local Health District (ISHLHD). The operational plan is a frame of reference for the provision of optimal maternity care where referral, consultation or transfer is required with the aim of having the woman in the right place at the right time. In situations of extreme demand, demand for beds may exceed capacity. This document outlines strategies to implement when beds are unavailable within the facility and processes to follow non-time urgent maternal patient transfers, when no capacity is available within Tiered Network RESPONSIBILITY The operational plan will identify the specific responsibilities of each service in the Tiered Network. Higher level maternity and neonatal services have a responsibility to: • Provide consultation to clinicians at lower level facilities 24 / 7 as required • Support shared care arrangements for women and / or neonates when care can be provided at a lower level
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