Coombe Women & Infants University Hospital Annual Report 2020
the National Antimicrobial Point Prevalence Survey and continued to submit data regarding antibiotic consumption on a monthly basis to the HPSC.
The department issued stock to wards, outpatients, staff and babies discharged from SCBU on 31,000 occasions, equating to approximately 123 dispensing transactions per day.
The following audits were completed in 2020: audit of prophylactic antibiotics for gynaecological patients and a re- Peter Duddy continued as an attending member of the Irish Medication Safety Network, an attending member audit of prophylactic single dose antibiotic administration representing neonatal pharmacy and continued his for instrumental vaginal delivery. teaching collaborations with the School of Pharmacy In 2020, the department undertook significant expansion of in University College Cork. Orla Fahy continued as a the CWIUH prescribing apps for neonatology and obstetrics member of the Irish Antimicrobial Pharmacists group. and gynaecology. This work involved adding new sections Mairead McGuire and Orla Fahy continued in their to both apps and undertaking a review of app functionality review and editorial roles in the Primary Care Prescribing and making improvements to the layout and presentation Guideline Group. of information within the apps to make the prescribing process easier and safer. iPads were rolled out in the NICU to aid with prescribing and administration of medication, thus replacing paper-based guidance with a more efficient and permanently up to date system. Regular six to twelve The provision of inpatient services, a specialised monthly review of electronic and pdf versions of Prescribing physiotherapy service to the NICU and SCBU and outpatient and Microbiology Guidelines and the Neonatal prescribing group physiotherapy services was maintained during the handbook were conducted. These can be accessed from COVID-19 pandemic. All outpatient appointments ceased the user’s Smartphone. in March 2020. Staff used this extra time to triage patients The expansion of the Pharmacy Technician-led Medication over the phone, develop online classes and maintain the Top-up service to all wards and clinical areas in the inpatient services. CWIUH occurred in 2020. This led to further considerable The physiotherapy department received 2,196 referrals cost savings in 2020 and improved stock availability, in total from the adult OPD, a 21% decrease compared more efficient use of stock and cost efficiencies with 2019. However, there was a 36% (1,616) increase in throughout the wards. inpatient referrals compared with 2019. There were 1,308 The department continued to support and promote the referrals to the low back pain and pelvic girdle pain classes. use of new standard concentration parenteral nutrition There were 1,892 appointments, both new and review, in solutions in NICU. Compared to previous products, the Baby Clinic. these new solutions are a better source of nutrition for Details about the type and numbers of classes provided by our most vulnerable babies. The expected reduction in the physiotherapy department are presented in Table 7.5.1. the requirement for individualised parenteral nutrition Women were offered a two-hour class as part of the MDT was seen and in fact, exceeded expectations in terms led antenatal education classes. Physiotherapy classes were of reducing costs as well as reducing the reliance of delivered in person until March 2020. Classes moved to a the CWIUH on the national service for individualised live online format from August 2020. parenteral nutrition.
Physiotherapy Department
