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Emergency care in a remote loca/on – Shetland Islands Kirs/e Anderson Community Children’s Nurse

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Page 1: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Emergency  care  in  a  remote  loca/on  –  Shetland  Islands

Kirs/e  Anderson  

Community  Children’s  Nurse

Page 2: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

SHETLAND ISLES

Lerwick

Page 3: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Plane – 1hrFerry overnight 12-14hrs

No bridge, tunnel or motorway connection to mainland Scotland

Page 4: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

 

 

 

 

 

   

10  Health  Centres  

4 non doctor islands

Page 5: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Inter island plane

Page 6: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Inter island Ro-Ro ferries

Page 7: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Established links• Clinical nurse

specialist• Ward nursing staff• Dietitians• Consultants• CCN network

Page 8: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Emergency care – who do you call?

• GP• CCN• Hospital children’s nurse –locally• Specialist nurse/ Consultant –mainland• NHS 24• Other parent• Who?

Page 9: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES
Page 10: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

 

 

 

 

 

   

Page 11: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Secondary care

Gilbert  Bain  Hospital

• No dedicated paediatric inpatient facilities

• Any child admitted is under care of Adult Physicans or Surgeons;

• Consultant makes decision of transfer off island.

Page 12: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Retrieval teamsEquipmentParental escort

Page 13: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

CHALLENGES

• Travel

• Weather

• Equipment

• Lack of communication

• Lack of appropriate resources

Page 14: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES
Page 15: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES
Page 16: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES
Page 17: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Effects  on  the  family

• Unknown time away from home• Disruption to family life• Financial difficulties• Getting home• Communication

Page 18: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES
Page 19: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES
Page 20: Emergency care in a remote location – Shetland Islands€¦ · Emergency)care)in)aremote) locaon)–Shetland)Islands Kirs/eAnderson) Community)Children’s)Nurse. SHETLAND ISLES

Kirstie Anderson MA,RGN,RSCN,DN

Community Children’s nurse,Community Nursing Services,Breiwick house,South Road,Lerwick,ZE1 0RB

01595 743362

[email protected]