Pat Evans, Patient Flow Manager, UHL
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Transcript of Pat Evans, Patient Flow Manager, UHL
Out-Patient Antimicrobial
therapy (OPAT)
Pat EvansPatient Flow Manager
ULHG30th September 2015
Outpatient Parenteral Antimicrobial Therapy
Long history of OPAT in UHL National OPAT program UHL : July 8 2013 Improved antimicrobial stewardship Compliance with National and International
guidance Standardized and Auditable processes Single governance structure
OPAT Process
• Identify patient •Contact OPAT Nurse (Patient Flow)•OPAT nurse consults ID •CIT Contacted – ongoing
Communication •OPAT referral Nationally• IV access/ PICC Line •Antimicrobials sourced/ Review visit
arranged
Cellulitis (h-OPAT with CIT)
Cefazolin 2g od iv PLUS probenocid 1g od po if no renal impairment ! Cefazolin 2g bd if probenocid not tolerated
Review within 4 days !
CIT/OPAT 2014
Patients
Days on OPAT
Mean days in service
Bed days saved
No of patients readmitted
Limerick 66 919 13.9 919 5 Clare 36 551 15.3 551 5 Tipperary 20 414 20.7 414 2 Total 122 1884 15.4 1884 12
OPAT % readmission
9.8%
Thank youPatrick.evans@hse.
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