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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