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Critical Care Outreach

Box: 93

Cambridge University Hospitals NHS Foundation Trust
Hills Road,
Cambridge, 
CB2 0QQ

Enquiries: 01223 245 151 (Hospital Switchboard)

About Critical Care Outreach:

We are a team of nurses with acute care experience supported by two Consultant Intensivists.

We aim to support, educate and work with ward staff looking after critically ill patients in ward environments.

Our aims:

  • Share Critical Care skills with ward staff
  • Education and clinical support
  • Prevent unnecessary Critical Care admissions
  • Ensure timely Intensive Care admissions by early identification of patients who are deteriorating
  • Follow up patients discharged from Critical Care

How we help patients at Addenbrooke's:

  • Early identification of patients at risk of deterioration aims to ensure early intervention and early appropriate therapy
  • Supporting ward staff in the care of the acutely ill patient through advice and working with staff
  • Supporting patients and dispelling anxieties that they may have when transferred to and from the intensive care units
  • Ensuring safe and timely transfers between ICU and the wards

Teaching/education:

  • We provide formal and informal teaching programmes covering a variety of clinical skills which enable ward staff to develop and build on their own expertise.
  • Using a systematic teaching format enables staff to recognise when a patient is deterioating rapidly and to provide appropriate care to prevent unnecessary Critical Care admissions.
  • We assist and support staff with the implementation of Modified Early Warning Score (MEWS) throughout the hospital. This tool aims to aid early identification of the deteriorating patient.

Enabling continuity of care:

Follow-up visits are undertaken for all patients discharged from the General Intensive Care and Neurosciences Critical Care by Dr G R Park and Dr R Burnstein. 

These visits are an opportunity for the outreach team to ensure that the patients’ transition to the ward has been straightforward enabling continuity of care. They also allow patients and relatives the opportunity to discuss their intensive care stay, allowing any anxieties and comments to be expressed and resolved.

Patients are given the opportunity to re visit the intensive care unit enabling them to dispel any distorted memories they may have.

Goals for the future

  • Continued Education and development of Acute Care Skills in Ward based areas
  • Development of practical based courses to look at acute care skills
  • MEWS (Modified Early Warning Score) implemented throughout hospital
  • To work in conjunction with the acute pain service
  • Extension of the services working hours, liaising with the hospital at night team, to be 24 hrs, 7 days a week