early pregnancy unit opening times

Funding acquisition, Based on this study, the sample size of 44 units, each contributing 150 patients, was calculated to give us 90% power to detect a 5% absolute difference in the risk of an emergency admission. There is step free access at this entrance. The floors which are accessible by stairs are B-LG-G-1-2. Conceptualization, Investigation, The route from the car park to the entrance is accessible to a wheelchair user with assistance. Between the hours of 21:45 and 06:00, when the main entrance is closed, you may use the Maternity entrance situated at the end of the hospital at Glasgow Road. The study ran from December 2016 to July 2017. 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services 023 8077 7222. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. 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 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. There is space for an assistance dog to rest within the seating area. The width of the door opening is 86cm (2ft 10in). There is not a flashing fire alarm beacon within the room. Opening Hours for patient assessment and care planning. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. Do not wait to be called by the EPAU team. This venue does not play background music. Opening times. The waiting room / area is approximately 7m from the clinic entrance. We would like to express our gratitude to the 44 participating Early Pregnancy Assessment Units and their supporting research staff: Bishop Auckland Hospital, Bishop Auckland, Gloucestershire Royal Hospital, Gloucester, Luton and Dunstable University Hospital, Luton, Queen Elizabeth The Queen Mother Hospital, Margate, The James Cook University Hospital, Middlesborough, Association of Early Pregnancy Units (AEPU), Pat Doyle (Chairperson), Professor in Epidemiology, London School of Hygiene and Tropical Medicine, Cecilia Bottomley, Lead clinician for Early Pregnancy, Chelsea and Westminster Hospital, Elizabeth Bradley, General Practitioner, Hampstead Group Practice, Hannah-Rose Douglas, Research lead for Analytical Services, NHS England, Marjory Maclean, Consultant Obstetrician and Gynaecologist, NHS Ayrshire and Arran, Brad Manktelow, Associate Statistics Professor, University of Leicester, Alex Peace-Gadsby, Chair, The Ectopic Pregnacy Trust. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. There is not a designated drop-off point. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. Please be aware that some external resources may be restricted to NHS Secure Network connections only. The funder provided support in the form of salaries for authors MM, VG, GA, PB, EK, SS, ZA, JR, NK, JH, GB, JS, DJ; however, the funder and sponsors of the study did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. No, Is the Subject Area "Cohort studies" applicable to this article? Early Pregnancy Unit & Gynaecology Assessment Unit Burnley General Teaching Hospital, Casterton Avenue, Burnley, BB10 2PQ 01282 425 071 / 01282 804 268 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? The transfer space is obstructed by a waste disposal bin. These associations did not markedly change after further confounder adjustment. You can visit a walk in centre for any general illness or concern for which you may have visited your GP. Both telephone and email applications will be coordinated by the UCH main reception team. Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. be as descriptive as possible and include any specific error messages you may see. 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. Yes We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. If you are unable to book an appointment, or need to see a GP out of hours, call your surgery and follow the advice provided. Investigation, There is not an assistance dog toilet or toileting area on the hospital site. 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. If necessary, patients can be admitted under the on-call gynaecology team 24 hours a day, seven days a week. EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. Institute of Health Economics, Edmonton, Canada, Roles VESPA included the services provided by MASS in the submittal for funding to NIHR. a new pregnancy and under the care of the recurrent miscarriage clinic. From the north of the city there are several routes from the M27, from the north east the A33 offers the best route towards the hospital. The Early Pregnancy Unit is a consultant-led service and is delivered by a team of specialist nurse sonographers who provide consultation, assessment, scans and treatment plans for women with complications of pregnancy from 5 to 20 weeks. As a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. Email this page There is level access into the day room/lounge area. An ambulant toilet with wall mounted grab rails is available. If you have had a previous miscarriage, we would you advise to contact the Early Pregnancy Assessment Unit if you experience bleeding. Software, To obtain mobility aids please contact the main reception. But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. There is not a red flashing fire alarm beacon within the imaging room. Payment signs are located at the payment machines in the hospital building. The toilet roll holder is placed higher than 100cm (3ft 3in). Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. Report a problem or suggestion using this facility. If an appointment is necessary you will be offered a time to attend the unit for an ultrasound scan or to be assessed by the doctor. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. There is sufficient space to write or sign documents on the desk. Writing review & editing, Roles A key is not required for the accessible toilet. Scans appointments are every weekday morning and afternoon. Tommys Tommy's is a charity that funds research for pregnancy and babies. Validation, Unit volume was defined as the number of patient visits per year and was estimated using the time taken to obtain data on the required number of patients and the average number of visits per patient. GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. The entrance area/door is clearly signed with the name of the service/department. You're adding a service to your CPD log. We value all people andstrive to beopen, honest and accountable for the care provided. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. Possible symptoms include: Bleeding This maynot always possible depending on service demand and the type of investigation, monitoring or treatment you may need. Barnet Hospital also offers a walk-in service. Data curation, Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. Do you want to change or cancel an appointment? The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. The emergency pull cord alarm is not fully functional. 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. If counselling is required then people are signposted to Charlies Angels for further support. The door(s) open(s) away from you (push). The senior clinicians were actually spending less time in the EPAUs than expected. You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. For service contact details please visit the relevant service page. The bollards do not restrict access to the entrance. Assistance may be required because there is/are uneven surfaces. The width of the accessible toilet door is 87cm (2ft 10in). 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. Planned and actual senior clinician presence, unit size, and weekend opening. If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. The designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. f) Intrauterine Contraceptive Device in-situ. Recurrent pregnancy loss This is an important finding for health providers as the cost of employing senior clinicians is much higher compared to nurses and other healthcare professionals. There are accessible toilet facilities within the department/service. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. The route from the car park to the hospital entrance is not clearly signposted. The contrast between the walls and floor is good. Where applicable, participants gave informed written consent before taking part in the study. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. e) three or more previous miscarriages Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant . The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. EPAUs are currently operating in most acute hospital units in the UK aiming to provide women with comprehensive early pregnancy care, which includes clinical and ultrasound assessment, laboratory investigations, further management, as well as counselling and support, all in an out-patient setting. The lift does have a visual floor indicator. There is a dark mat or floor marking at this entrance that might be perceived as a hole. If you do not require an ultrasound but other investigations are indicated, the team will facilitate you into a suitable appointment. Early Pregnancy Unit (Day time): 0151 604 7450. . Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, As you face the toilet the wall-mounted grab rail(s) is/are on both sides. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. Yes The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. Find Early Pregnancy Assessment Unit in Worksop, S81. They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). There is not a flashing fire alarm beacon within the waiting room / area. If you are having a problem in early pregnancy, your first contact should be with your GP, or the out-of-hours service when your GP surgery is closed. 020 3688 1881 or email (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. The tube stations are located at opposite ends of the hospital main building. This video animation tells the story of one couples experience of miscarriage. Roles Software, The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. 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. Validation, The height of the toilet seat above floor level is 48cm (1ft 7in). Women may self-refer to the Royal Free EPAGU with early pregnancy problems. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. d) previous tubal surgery If you feel your symptoms require urgent assessment outside of these hours the wider medical team are here to support you 24 hours a day 7 days a week. 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.