West Midlands Neonatal Transfer Service Time Critical Transfer

West Midlands Neonatal Transfer Service Time Critical Transfer WMNTS

West Midlands Neonatal Transfer Service Clinical criteria for categorising as Time Critical for the purpose of measuring against this standard 1. 2. 3. 4. 5. Gastroschisis Ventilated infant with Tracheo-oesophageal fistula +/- atresia Intestinal perforation Suspected duct-dependent cardiac lesion not responding to prostin Unstable respiratory or cardiovascular failure not responding to appropriate management: Despite giving appropriate ventilation via endotracheal tube the infant’s respiratory status remains unstable or severely compromised: l l persistent unstable pneumothorax despite chest drain requiring Fi. O 2 100% arterial oxygen < 5 k. Pa on 2 consecutive blood gas measurements p. H <7. 1 and p. CO 2 >9 k. Pa persistent mean blood pressure below corrected gestational age, measured on arterial line; if measured with cuff only, there should also be acidosis (p. H <7. 1)

West Midlands Neonatal Transfer Service 9 months Data - April to Dec 2012 l l l Data from WMNTS activity data 20 Transfers performed 13 from SWMNN 7 from SSBCNN 2 did not meet the 60 mins standard – – 1 out on transfer, change of shift 1 during on call (70 mins to respond)

West Midlands Neonatal Transfer Service From SWMNN 8 7 6 5 BWH 4 Heartlands City 3 2 1 0 BCH, PICU Surg. Wd Ald, PICU Ald, Surg. Wd

West Midlands Neonatal Transfer Service From SSBCNN 2, 5 2 1, 5 UHNS New Cross Walsall 1 Shrewsbury 0, 5 0 BCH, PICU Surg. Wd Ald, PICU Ald, Surg. Wd