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Table 1 Clinical panel rule set

From: An evaluation of the appropriateness of advice and healthcare contacts made following calls to NHS Direct Wales

Event statement The lowest level of care at which this process/intervention can reasonably be expected to be provided
No physical exam Self care
Not sure if physical exam Self care
Chest examined GP or emergency doctor
Abdomen examined GP or emergency doctor
Skin examined MIU/WIC*
Eyes examined GP or emergency doctor
Ears, nose or mouth examined MIU/WIC
PR or PV exam GP or emergency doctor
Limbs examined MIU/WIC
Other examination was done: (free text answer) Requires expert review
No tests Self care
Not sure if any tests were done Self care
Blood tests were done GP or emergency doctor
An ECG was done GP or emergency doctor
X-rays/scans were done A&E
Urine tests were done MIU/WIC
Other tests were done: (free text answer) Requires expert review
No treatment Self care
Not sure if treatment Self care
Drip or injection there and then Self care
The drip or injection was: Requires expert review
Medicine or prescription to take later Pharmacist
The medicine or prescription was: Requires expert review
A dressing, sling or support bandage was provided MIU/WIC
Plaster was applied A&E
Stitches were used to close a wound MIU/WIC
Steristrips were used to close a wound MIU/WIC
Glue was used to close a wound MIU/WIC
Other treatment was given: (free text answer) Requires expert review
Advice/information was given Self care
Advice: Requires expert review
Follow up appointment was made A&E
They said contact was right  
They said contact was not right  
No comment on contact  
Uncertain if comment on contact  
Comment on contact was: Requires expert review
No further care was advised/arranged Self care
Not sure about further care Self care
Hospital admission was arranged A&E
A&E was advised GP or emergency doctor
MIU/WIC was advised Pharmacist
Hospital clinic was arranged GP or emergency doctor
Advised to see GP Pharmacist
Advised to see pharmacist Self care
Advised to see a dentist Pharmacist
Other care was advised/arranged Self care
Other care advised or arranged: Requires expert review
A GSL medication was provided Self care
A pharmacy medication was used Pharmacist
A nurse-prescribable medication was used MIU/WIC*
A doctor-prescribable medication was used GP or emergency doctor
An IV infusion was used A&E
A stat IV or IM drug was given GP or emergency doctor
An A&E prescribable treatment was used A&E
Back examination GP or emergency doctor
Ribs examination GP or emergency doctor
Blood pressure examination MIU/WIC
Pulse/heart rate examination MIU/WIC
Breast examination GP or emergency doctor
Conscious level examination MIU/WIC
Fontanelle examination GP or emergency doctor
Head injury examination MIU/WIC
Face examination GP or emergency doctor
Gums examination MIU/WIC
Neck examination GP or emergency doctor
Shoulder examination GP or emergency doctor
Temperature measured MIU/WIC
Reflexes GP or emergency doctor
Blood oxygen test A&E
Blood sugar test (BM stix) MIU/WIC
Stool test GP or emergency doctor
Heart rate monitor A&E
CT scan A&E
Gas and air MIU/WIC
Nebuliser GP or emergency doctor
Oxygen A&E
Nose cauterised A&E
Nail trephine MIU/WIC
Eye wash for trauma A&E
  1. *MIU = Minor Injuries Unit, WIC = Walk in Clinic