In 2014, it was identified that the Home Link nursing service at Sir Charles Gairdner Hospital (SCGH) offered an opportunity to develop a pilot, metropolitan-based AAPD program, modelled on a program at Manchester Royal Infirmary (Brown & Vardhan, 2011).
The development of the AAPD program was a joint project between the external provider FMC, SCGH PD unit staff, Home Link, a lead nephrologist and the renal ward.
To determine potential uptake of AAPD, a 28-question (multiple-choice format) paper-based perceptions of dialysis survey was offered to any current PD or HD patients at SCGH. Clinical evaluation of the AAPD service included a KDQoL-SF36, Charlson Comorbidity Index scores (CCI), clinical outcome measures and a structured phone survey of participant opinions (AAPD participants).
Basic training and on-call for new patients was provided by the SCGH ward or PD staff.
The SCGH Ethics Committee approved this trial (approval number 2010-039) and a waiver of patient consent was granted on the premise that VHI has been demonstrated to be part of routine clinical management of ventilated patients in other comparable Australian ICU facilities and has widespread acceptance (6).
Our study was funded by the SCGH Research Advisory Committee and supported by the SCGH Research Foundation.
Table 2 Baseline demographic data (n=46) Age, y 57 (18.93) * Gender, M, n (%) 33 (72) ICU LOS, d 4 (1-13) ** APACHE II score 18.5 (5-42) ** BMI 28.9 (5.3) Admission category, n (%) Medical 24 (52) Elective surgical 2 (4) Trauma (including non-elective surgical) 19 (41) Other 1 (2) Admission diagnosis, n (%) Cardiac Pulmonary 9 (19) Neurological 15 (33) Septic 5 (11) Other 12 (26) Admission source, n (%) Emergency department 7 (15) Operating theatres 18 (39) Other SCGH wards 5 (11) M=male, ICU=intensive care unit, LOS=length of stay, BMI=body mass index, SCGH= Sir Charles Gairdner Hospital.
"At present, the service operates at SCGH
, with the Fiona Stanley service expected to be open early in the New Year."
Located at the Queen Elizabeth II Medical Centre 4km from Perth city centre, SCGH provides a comprehensive range of clinical services including trauma, emergency and critical care, orthopaedics, general medicine, general surgery and cardiac care.
Due to the ever increasing number of bariatric surgical patients SCGH has a requirement to procure one Eschmann T20A+ Operating Table.
Contract awarded for Located at the Queen Elizabeth II Medical Centre 4km from Perth city centre, SCGH provides a comprehensive range of clinical services including trauma, emergency and critical care, orthopaedics, general medicine, general surgery, ophthalmic and cardiac care.
The Ophthalmology Department at SCGH has a requirement to procure an Ophthalmic Ultrasound Equipment for the use in Eye Clinic.