ED triage to CDU - direct transfer criteria

20/03/20 In light of the current COVID-19 situation this re-direction criteria is suspended and replaced by the triage to CDU re-direction criteria outlined in the COVID-19 patient pathway 2020 guideline

After a further meeting between ED and Medical Paediatrics on Thursday 21st June 2018, it was agreed that the following patient groups would be streamed from ED direct to CDU from Monday 25^th June 2018.

1. Following satisfactory scoring on a PEWS Chart on arrival in the ED, patients in the following groups will be directly streamed to Medical Paediatrics for assessment in CDU:
   • Medical Paediatric patients discharged from CDU/Ward 2C within the past 48 hours re-presenting with the same condition
   • Any patient seen in another ED and referred to Medical Paediatrics
   • Any patient seen in a remote/distant medical setting and referred to Medical Paediatrics

2. Following initial ED nursing assessment, Triage Category 3, 4 & 5 patients in the following groups will be directly streamed to Medical Paediatrics for assessment in CDU:
   • Infants under 3 months of age with a confirmed pyrexia ≥ 38°C as measured at triage, or by a GP or a parent/carer
   • GP referrals discussed directly over the phone with Medical Paediatrics and specifically asked to attend to see the Medical Paediatric team
   • Patients contacted by Medical Paediatrics for urgent same day review through GP outpatient referral vetting process
   • Patients requiring further Medical Paediatric assessment/admission from a General Paediatric outpatient clinic
   • Diabetic patients
   • GP referrals with a history of symptoms for more than 1 week

3. To facilitate better communication and team working, the ED Consultant on for Majors will join the Monday-Friday CDU huddle that takes place at noon. The Medical Paediatric Consultant(s) on for CDU will join the Monday-Friday 1600hr ED handover in the ED Seminar Room.