In this section
There are always two General Medical teams on take: The Short Stay Unit Team and a General Medicine team (A to D, rotating daily). We rely on the emergency department to help decide which one is more appropriate for the child.
If unsure whether SSU team versus Gen Med A-D is more appropriate, please discuss with the admitting registrar.
We realise that it is sometimes difficult to predict how long a patient will need to be in hospital e.g. children with asthma who have just completed burst therapy or bronchiolitis. We can only ask that you make your best assessment. If in doubt, talk to the admitting registrar. Sometimes a child is appropriate for Short Stay and is referred to the SSU Team but then deteriorates and requires a bed on the ward. If this is the case, please let the SSU registrar know and they will handover the patient to the appropriate Gen Med Registrar.
Neonates <28 days who require a General Medicine admission should be admitted under the Inpatient Unit bedcard (rather than the Short Stay bedcard). Where possible, admission should be to a bed on an inpatient (non-Dolphin) ward. A neonate may only be admitted to Dolphin following a discussion between the Emergency Department consultant and the General Medicine consultant. Note, this does not change the current practice that the neonatal consultant should be called for all neonates <7 days and for neonates 7-28 days with suspected meningitis
General Medical patients in ED who are felt to be appropriate for the Short Stay Unit > Refer to the Short Stay Unit team Registrar and request a bed under SSU Team
General Medical patients who are felt to be complex or requiring a bed on the inpatient wards > Refer to the General Medical unit of the day (unless well known to a different Gen Med team in which case, refer to their usual home team)
These children should be admitted under the specific subspecialty unit, and not SSU/Gen Med, if going to Dolphin ward.