Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. Writing review & editing, Affiliation All rights reserved. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. The dropped kerb does not have tactile paving. The VESPA study received a favourable ethical opinion from the North West Research Ethics Committee (REC reference 16/NW/0587) in the UK, registration number ISRCTN 10728897. The percentage of emergency admissions from the Emergency Department ranged from 7% to 58% with the majority of the units having an emergency admission rate of between 10% and 30%. Writing review & editing, Affiliation Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. The intercom is in a suitable position to allow wheelchair users to gain access. Data for this observational study were collected as part of the VESPA study, a UK-wide prospective mixed-methods study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. Getting To The Hospital We listen to patient feedbackto deliver patient-centred care. Validation, The door(s) open(s) away from you (push). Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. The drop off bays are on the side of the access road to the car park and there are no kerbs. Assistance may be required because there is/are slopes/ramps. They will be asked to sign a declaration form and wait for you outside the department until you are called in for your scan. Methodology, Payment signs do not make it clear if parking charges apply to Blue Badge holders. If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. Contact us. Dispensation notices are issued at the main reception at the UCH site (07.00-20.00 Monday to Friday and 08.00-16.00 on Saturdays, Sundays and Bank Holidays).
There is a/are door(s) into the consultation / treatment room. There is not a hearing assistance system. Investigation, Writing review & editing, Roles This is an external link. Non-identifiable demographic and routine clinical data were collected for all women attending the participating EPAUs, and if women gave their written consent to participate to the VESPA study, their clinical data were linked. The hospital does have a dedicated car park. The lighting levels are moderate to good. Contact details will be put on all outpatient letters. We also accept GP referrals for emergency gynaecology problems. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . Early Pregnancy and Gynaecology Emergency Unit (EPU), Follow us on social media for all the latest news and announcements, Lister Hospital, Coreys Mill Lane, Stevenage, SG1 4AB. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. No, Is the Subject Area "Hospitals" applicable to this article? Detailed information, also Do not wait to be called by the EPAU team. The main car park for the Princess Anne Hospital is called the Yellow car park. Data curation, The contrast between the dropdown rail(s) and wall is good. Coping with problems in early pregnancy can be difficult, however unfortunately due to COVID 19 restrictions we are limited to the number of people who can be allowed into the department. If you have concerns with regards to this please speak to the nurse in charge. EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain.
Early Pregnancy Assessment | Mid Yorks WF1 4DG. A hearing assistance system is not available in the department/service. Referrals are either from GP or the emergency department. There is a dropped kerb from the drop-off point. In some miscarriages the uterus (womb) empties itself completely. The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. The car park is located on Level C of the hospital building. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. The lighting levels in the imaging room are low to moderate. We will keep you updated and we have refreshments available for your comfort. The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. There is step free access into the imaging room. View our cookie policy. If you are over 20 weeks of pregnancy please contact Maternity Triage. Access to the waiting area is unobstructed. On entering via the Level D entrance continue ahead and the entrance to the Early Pregnancy Unit and Gynae Assessment Unit department is on the right. Conceptualization, No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? As you face the toilet pan the transfer space is on the right. The wash basin is not placed higher than 74cm (2ft 5in). There is a dropdown rail on the transfer side. The maternity unit is situated on the second floor of the hospital (level2).
Early Pregnancy Assessment Unit (EPAU) - York and Scarborough Teaching There is not a hearing assistance system. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. This technique was adopted to ensure that units of all configurations were equally represented in the final sample. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. A member of staff is available to assist with opening the door if required. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: Once you have been referred you will be contacted by a member of staff who will initially offer a triage assessment over the phone. Resources, The drop-off point is located to the right of the Level D entrance. The toilet roll holder is placed higher than 100cm (3ft 3in).
The route from the car park to the hospital entrance is not clearly signposted. Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. The association between the three factors: senior clinician presence, unit volume, and weekend opening hours, and the proportion of emergency admissions was investigated by using regression models, where hierarchical models were used for analysing patient-level data, and standard models were used for analysing unit-level data. On the UCH site, security staff, at the security desk in the UCH Atrium and at the Elizabeth Garrett Anderson Hospital EGAH reception are able to issue dispensation notices out of hours. Final diagnosis (FD) was divided into five groups: 1) Normal intrauterine pregnancy including early and live pregnancies; 2) Abnormal intrauterine pregnancy including early embryonic demise, incomplete, and complete miscarriage; 3) Ectopic pregnancy at any site; 4) Pregnancy of unknown location; and 5) Other: molar pregnancy, multiple pregnancy, and not pregnant. However, at the time of your scan, you can be accompanied by your partner. There is not an assistance dog toilet or toileting area on the hospital site. Google map of Princess Anne Hospital Location. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard
Women's experiences of early pregnancy assessment unit services: a The contrast between the internal door and wall is good. . Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). A key is not required for the accessible toilet. Opening hours This line is open Monday to Friday 10-12pm Women's choices Use this number to discuss your pregnancy options 01592 6433355 ext 25445 Email: fifewomenschoices@nhs.scot Opening hours This line is open Monday to Friday 11am-3pm Bleeding in the early stages of your pregnancy? Investigation, Miscarriage is the most common type of pregnancy loss. Princess Anne Hospital is Located on Coxford Road to the north West of the city. You're adding a service to your CPD log. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). There is sufficient space for a wheelchair user to use the waiting area. Five working days should be allowed by patients/carers to receive their dispensation notice in the post, to allow time for the request to be processed and received in by second class post. The unit has strong international links, in particular with KU Leuven in Belgium. In the submitted paper, there are no competing interests and MASS has no claim of ownership for any IP arising from or related to this paper. There is a dropdown rail on the transfer side. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical need is identified. The height of the reception counter is low (76cm or lower) . EPAGU Level 2, Wellhouse Lane, Barnet, EN5 3DJ, 020 7472 6374, 020 7794 0500 ext 38205 or 31468, EPAGU 5th Floor, Pond Street, London, NW3 2QG, 020 7472 6374 (RFH) 020 8216 5233 (Barnet), Emergency clinic for women with pain or/and bleeding in early pregnancy or pregnant women with high risk of ectopic pregnancy, For recurrent miscarriages and early pregnancy concerns, For women with problems during early pregnancy. For some analyses, this variable was also dichotomised to indicate whether a unit was open at weekends (yes/no), whilst a three-level weekend opening variable was defined: None/Saturday only/Saturday and Sunday. Opening Hours for patient assessment and care planning. Twenty-three units were open during weekends. We see people who: are in the early stages of their pregnancy (up to 18 weeks) have acute gynaecological problems needing urgent support We provide: same day emergency care urgent planned appointments support during the first 18 weeks of pregnancy If you are not under the care of the EPAU, please contact your GP. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles Our team isproudto provide compassionate care during anxious times in early pregnancy, when you may be experiencing pain and/or bleeding or have had a previous ectopic or molar pregnancy. The name / number of the room surveyed was; D190. If the outcome of your consultation is that you require an ultrasound then our ultrasound scanning appointment times are from 9:30am 4.00pm on weekdays. There are not volunteers available for help and assistance at the hospital. Software, The name / number of the room surveyed was; 3. Click here for a guide to help you assess your bleeding. The lift does have a visual floor indicator. There are several services which stop on Coxford Road outside the Princess Anne Hospital, they are the X11, U6C, the THREE and the 7 Bluestar and 17 Bluestar. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. The VESPA study recruited from the EPAU population. There is sufficient space to write or sign documents on the desk. It is likely that they will be unable to offer reassurance scans if you have experienced previous early pregnancy problems unless you have symptoms in this pregnancy but individual units availability may vary. You can find some more helpful advice regarding nausea and vomiting in pregnancy on the Pregnancy Sickness Support website, here.
Early Pregnancy Unit - Cardiff and Vale University Health Board Carole Johnston/ NickyHewitt, Clinical Nurse Specialists for early pregnancy. Copyright 2023 East and North Hertfordshire NHS Trust. The room does not have background music playing. The route from the car park to the hospital entrance is not clearly signposted. For more information please contact Professor Tom Bourne, consultant gynaecologist by emailing t.bourne@ic.ac.uk at Queen Charlottes, or Dr Shahla Ahmed, consultant gynaecologist by emailing shahla.ahmed1@nhs.net at St Marys. The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. There are parking charges for the hospital car park. These responses were used to categorize the units according to three factors: planned senior clinician presence (yes or no); weekend opening (yes or no); and the annual volume of patients, as reported by the corresponding clinicians (low volume <3000 appointments per year vs. high volume 3000 appointments annually). The hospital entrance is not clearly visible from the car park. For the emergency hospital care audit strand, data from routine hospital databases for women attending hospital emergency services (EDs) at the same location as the EPAU were collected in collaboration with the Information Services (IS) departments in the participating hospitals. The wash basin and tap(s) can be reached from seated on the toilet. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. In total, 1,445/5,464 (26.4%; 95%CI 25.3 to 27.6) patients had an emergency admission from the Emergency Department. There is a Patient Advice and Liaison Service (PALS) at the hospital. Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles e0260534. There are 21 Parent and Child Bays available on this level. You can visit a walk in centre for any general illness or concern for which you may have visited your GP. Where applicable, participants gave informed written consent before taking part in the study. This section describes the Ultrasound Room(s), located to the left along the department corridor. There is not a play area or toys/books for a child to play with. You must telephone the unit before attending we do not run a walk-in clinic or service. However, there was evidence of an association between the emergency admission rate and weekend opening hours. The waiting room / area is approximately 7m from the clinic entrance. The nearest designated Blue Badge parking bay is approximately 25m (27yd 1ft) from the Elizabeth Garrett Anderson Wing main entrance. We provide high quality healthcare services primarily to the residents of East Lancashire and Blackburn with Darwen, which have a combined population in the region of 530,000. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. Recurrent pregnancy loss EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. The mirror is not placed at a lower level or at an angle for ease of use. There is not a flashing fire alarm beacon within the room. The Unit is open at all times. The soap dispenser can be reached from seated on the toilet. The door does not have a horizontal grab rail. Is the Subject Area "Pregnancy" applicable to this article? To view other access guides that are related to this one please use the links below. Child Emotional Wellbeing & Mental Health, Learning Disabilities & Neurodevelopmental Disorders (NDD), Gastroenterology, Colorectal, Renal & Urology, Care Home Training & Development (Islington), Data quality/standard referral form programme, 020 7472 6374(RFH) and 020 8216 5233 (Barnet), 020 7472 6374 (rfh: specialist nurse advice during opening hours) or020 7794 0500 ext 38205 or 31468, Early Pregnancy Assessment & Gynaecology Unit: RFL, assessment and management of women with pain and bleeding in early pregnancy (up to 15 weeks and sixdays), assessment of women at high risk of an ectopic pregnancy, assessment and management of women with acute gynaecological problems. There is not a/are not Blue Badge parking bay(s) available. The department/service does play background music. If you develop worrying symptoms during pregnancy or you need to discuss any underlying medical conditions in pregnancy, there are several places that you can turn to for advice: Midwife
There is level access into the waiting room / area. Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. Walk-in Centres
About the EPAU The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have had the following: Vaginal bleeding and/or pain in early pregnancy up to 16 weeks You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. Yell.com Yell Business. For more information about PLOS Subject Areas, click The contrast between the dropdown rail(s) and wall is good. f) Intrauterine Contraceptive Device in-situ.
During patient recruitment, we collected data on the grade of all members of staff present in the EPAU during its opening hours, their involvement in delivering early pregnancy care, as well as the actual hours which each member of staff spent in the unit. Writing original draft. If our guide needs updating - just let us know using this form. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. We are a very activeunit located in the Woodlands building (pink zone) at the Lister hospital and we see around 5,500 women every year. There is not a mirror to aid reversing out of the lift. There is level access to the consultation / treatment room. Investigation, The total number of opening hours per weekend was used to illustrate weekend opening. The IHE receives funding from, and collaborates with, government, academic, not-for-profit and private sector organisations. In line with our Trusts policy a chaperone is available for all intimate examinations. Having collected detailed data on the opening hours of all participating EPAUs over the weekend, we were able to identify that one hours increase in the weekend opening hours of an EPAU resulted, as expected, in an increased probability of a woman with first trimester complications being admitted to hospital from the EPAU, but decreased the chance of an admission to hospital from the Emergency Department. If you want to park near, or in UCLH disabled parking bays, you will need to apply for a parking dispensation to use with your Blue Badge. The Early Pregnancy Assessment Unit is part of the Gynaecology Assessment Unit, which offers help and support for those experiencing problems in early pregnancy up to 16 weeks. It is likely that the caller ID will show as a private number orwithheld number. Also required will be vehicle registration number, date of appointment and time of appointment. Yes Writing review & editing, Affiliations Conceptualization, In addition, obtaining good quality data on emergency admissions from the Emergency Department based on routine hospital databases proved to be challenging, and we were only able to confidently utilise the data obtained from a fraction of the participating units. The Miscarriage Association, Wakefield, United Kingdom, Roles Scan is an appointment based service and we aim to see you at your given appointment time, but if you have been referred as an emergency without an appointment time or if you require further assessment or investigations then there may be a waiting time to be seen, which can vary. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. There is not a designated drop-off point. The barrier controls/touchscreen can be reached from the car. The variable Emergency admission indicates whether a patient had an unplanned admission to hospital following any visit for investigations or treatment of first trimester pregnancy complications. You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. Visualization, If counselling is required then people are signposted to Charlies Angels for further support. Formal analysis, The dimensions of the accessible toilet are 156cm x 241cm. The aim was to capture hospital emergency activity with regards to early pregnancy care in EDs. No, Is the Subject Area "Nurses" applicable to this article? Methodology, Standard toilet facilities are available. Opening Times (Early Pregnancy Unit and Gynae Assessment Unit) Department / Service (Early Pregnancy Unit and Gynae Assessment Unit) Reception Consultation / Treatment Room (3) Imaging Room Day Room / Lounge Area (Quiet Room) Accessible Toilet (s) Related Access Guides Getting To The Hospital (Princess Anne Hospital) Collapse all By Road View The admission rates by patient characteristics is shown in Table 2. The height of the toilet roll holder is 118cm (3ft 10in). 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. Search for local Pregnancy near you on Yell. Opening times Weekdays: 07:30 - 15:00 Weekends and Bank Holidays: 09:00 - 13:00 Contact us Patients already under the care of the EPAU may contact the unit on 01274 364325 and Ward 20 on 01274 364414. The entrance door(s) does/do contrast visually with its immediate surroundings. Telephone: 0161 922 6000 The study ran from December 2016 to July 2017. General Practitioner (GP)
The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. Resources, Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. We provide a dedicated service to women under 16 weeks gestation. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. The height of the soap dispenser is 97cm. There is / are 4 consultation / treatment room(s) available. this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. The toilet roll holder is not placed higher than 100cm (3ft 3in). There is space for an assistance dog to rest within the seating area. This is because women with an early pregnancy complication may not necessarily need to attend in-person or may be more suited for an assessment in different clinical or maternity service. If your condition may affect your pregnancy, you will be referred to the appropriate department. Send email. Resources, The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. View Article PubMed/NCBI . Bearing in mind that women attending the ED are eight times more likely to be admitted than those seen in the EPAU, keeping EPAUs open over the weekend reduces the overall number of emergency admissions to hospital. Methodology, This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. The unit is open Monday to Friday, from 9am-5pm. If you would prefer to contact the Early Pregnancy Unit for information and support, you can contact the Specialist Nursing Team for a consultation between 8:30 am and 5:30 pm, Monday to Friday. As part of this assessment, they may ask for investigations that may be performed on the same day or within urgent time frames and a management plan will be made for you. The route from the car park to the entrance is accessible to a wheelchair user with assistance. Data curation, Units were divided into eight mutually exclusive strata based on these characteristics, and 5 or 6 EPAUs were randomly selected from each stratum to a total of 44 for inclusion in the VESPA study. There is room for a wheelchair user to manoeuvre. The height of the towel dispenser is 125cm (4ft 1in). We have placed cookies on your deviceto help improve our website. There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. This site is intended for healthcare professionals only. Investigation, You can find your nearest walk-in centre at www.nhs.uk.
Early Pregnancy Assessment Unit - Betsi Cadwaladr University Health Board No car parking (other than for Blue Badge holders) is available at University College Hospital (UCH). Our findings are in contrast with the results of previous studies in other clinical settings, which showed that involvement of more experienced clinicians in delivering emergency care results in a significant reduction in emergency hospital admissions and the length of stay in hospital [12, 18]. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. The height of the bell/buzzer is 134cm (4ft 5in). The wash basin is not placed higher than 74cm (2ft 5in).