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EPAC and GEAC

Early Pregnancy Assessment Clinic. R.U.H, Princess Anne Wing, Gynaecology Outpatient Department Patients advised to attend by GP/Midwife/Nurse or may self refer.To attend between 8-9 am, weekdays.Not bank holidays.. Referral Criteria. A positive pregnancy test!!!Up to 14/40 in pregnancy(scans us

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EPAC and GEAC

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    1. EPAC and GEAC Kate Palastre Jane Rideout Jenny Dixon

    2. Early Pregnancy Assessment Clinic R.U.H, Princess Anne Wing, Gynaecology Outpatient Department Patients advised to attend by GP/Midwife/Nurse or may self refer. To attend between 8-9 am, weekdays.Not bank holidays.

    3. Referral Criteria A positive pregnancy test!!! Up to 14/40 in pregnancy(scans usually performed from 6/40) Pain and/or bleeding. Scans not just for reassurance. Women to be stable clinically, If excessive pain/bleeding to A&E as first point of contact

    4. Patient Journey Triaged by Nurse /Dr Uninalysis and preganancy test performed. Scan time allocated to patient(12 slots from 9-12.00hrs) Reviewed with scan results. If positive, home to GP/Midwife If negative, expectant or ERPC chosen. If inconclusive rescan booked, usually 1-2/52(3 per afternoon) If PUL Serum BHCG. ECTOPIC, surgery, methotrexate or conservative management.(BHCG)

    5. Exclusions Women with history of Ectopic pregnancy who are symptomless should have a booked Departmental scan, by GP at 7/40. Women who have had Molar pregnancy previously and are symptomless to have booked departmental scan via GP at 8-10/40 Three consecutive miscarriages. Patients to have care planned on an individual basis .This may include a scan at appnt with Cons to discuss results of recurrent Misc Bloods.

    6. Questions ? Feedback? Comments?

    7. Gynaecology Emergency Assessment Clinic R.U.H, Princess Anne Wing,Gynaecology Outpatients Department Patients to be referred directly from GP/Dr/Nurse to on call consultant via mobile No 07824363076 or to on call Reg. Patients to arrive at 12.00 hrs.Weekdays, no bank holidays. 3 scan slots available for this clinic

    8. Referral Criteria Conditions which are unable to wait for an urgent outpatient appointment. Patients to be clinically stable, if not to A&E Eg Sudden exacerbation of pelvic pain,Bartholins/vulval Abscess, Hyper emesis gravid arum(see care plan). Bleeding/pain in pregnancy14-22/40(not usually scanned,sonicaid first), Excessive vaginal bleeding and Post op complications

    9. Patient Journey Pt assessed by SHO/REG Scan booked if clinically indicated Tests performed/examined Reviewed with results Plan of care Disharged to GP care, +/- Planned F/U/Admitted

    10. Questions ? Feedback ? Comments?

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