This section is designed to draw you attention to some of the common clinical processes, systems and policies at Westmead, which all new medical staff should know about.
In general, the way of doing things at Westmead should not vary enormously to what you are used to elsewhere, and we will try to draw your attention to any variation under each section.
The one section you should definitely familiarise your self with is at the top of the list: Between the flags - our Clinical Emergency Response System. You need to be aware from Day 1 of the nomenclature used at Westmead and exactly how to call for help in an emergency.
Between the Flags is the statewide Clinical Emergency Response System (CERS), which sets out standard calling criteria for triggering either a "clinical review" or a "rapid response". These calling criteria align with colour coding on the state-wide standardized adult observation (SAGO) chart. A breach of the yellow zone criteria triggers a "clinical review" and a breach of the red zone criteria triggers a "Rapid Response".
In many NSW hospitals, the rapid response is known as a "MET" call, but at Westmead, a rapid response has two components: "PACE" - which is an urgent review by the specialty team registrar or, if the clinical situation is more urgent, or the patient does not improve following the PACE call - escalation to an ALS call. An ALS call will activate an emergency response by the Advanced Life Support Team.
An ALS call can be activated by the wall mounted red emergency buttons bedside each bed, or by dialing 111. Our PACE & ALS policy can be downloaded below along with other key documents relating to the deteriorating patient. Further resources can be found on the hospital intranet which can be accessed by clicking here, from inside the hospital or on the CEC website, with specific information about CERS
and the Sepsis Kills
Clinical Emergency Response Policy - Westmead Hospital - Please refer to the Policy section of the WSLHD intranet.
Clinical Emergency Response Policy - Within ED - Please refer to the Policy section of the WSLHD intranet.
Advanced Life Support Flowchart
Using Resuscitation Plans in End of Life Decisions - NSW Health Policy - Please refer to the Policy section of the WSLHD intranet.
Using Resuscitation Plans in End of Life Decisions - Westmead Procedures - Please refer to the Policy section of the WSLHD intranet.
Inpatient Sepsis Pathway
Sepsis Antibiotic Guidelines
Management of Acute Hypoxia Flowchart
Anticoagulants are confusing, and while you can find plenty of guidelines in the literature, Westmead has maintained and updated its own comprehensive set of guidelines for many years. These represent the consensus Westmead approach to the prophylactic and therapeutic use of anticoagulants in a range of clinical different settingsAnti-coagulation guidelines - Please refer to the Policy section of the WSLHD intranet.
Although you will see very few children at Westmead Hospital, you may come across a few transferred to us from the Children's Hospital, for specialized services. In addition junior medical staff may be rotated to secondment hospital with exposure to children. In short you still need to be aware of Child Protection at Westmead. The NSW summary fact sheet can be downloaded below, or you can click here for the longer NSW Health Child Protection policy document
. Don't forget that Child Protection is also a mandatory e-learning module which you will find on "My Health Learning".
NSW Child Protection Policies and Procedures Fact Sheet