Early Ward Discharge

  • Reference Number: HEY1095/2020
  • Departments: Haematology, Oncology (Cancer Services)

Introduction

This leaflet has been produced to give you general information.  Most of your questions should be answered by this leaflet. It is not intended to replace the discussion between you and the healthcare team, but may act as a starting point for discussion. If after reading it you have any concerns or require further explanation, please discuss this with a member of the healthcare team.

The early ward discharge is a clinic that takes place within the Outpatient department of the Queens Centre, Castle Hill Hospital.  It is a clinic that is run by doctors and nurses.

There is a separate waiting area in the clinic specifically for patients who are attending this clinic.

Once you have completed your chemotherapy the doctors and nurses will check that you no longer need to stay in hospital and that you are well enough to cope at home.

How do we decide if it is safe for you to be at home?

The doctors and nurses will look carefully at very specific things.  This includes how far you live from Castle Hill Hospital, whether you live with someone who is able to support you after chemotherapy, how well your kidney and liver are working and whether you are currently being treated for infection.

In order to be discharged and monitored on the early ward discharge programme you must agree to attend the clinic at least 3 times a week and have immediate access to transport.  The hospital will NOT be able to provide transport for you to attend these clinics.

What will happen when you go home?

We know that the chemotherapy will affect your general well-being as well as your blood counts.  Though you may be well enough to go home the risk of infection is still there.

  • You will need to continue the dietary restrictions and avoid activities that put you at risk of infection.
  • Whilst at home you and your carer must be watchful for signs of infection and in this case contact the Haematology Department urgently.
  • You will need blood product support (red cells and platelet transfusions) and may require re-admission for symptom control or infection.

You can contact the department on (01482) 461098 or out of hours call (01482) 875875 and ask for bleep 500.

Follow up

You will be seen in the clinic 3 times per week (Mondays, Wednesdays and Fridays) and blood tests will be done so that we can give you whatever blood products you need and make sure that you remain well enough to be at home.

We will check your observations (blood pressure, pulse respirations and temperature, bloods will be obtained peripherally or via your skin tunnel catheter/PICC), the results will be reviewed and blood products given thereafter.    This means you will need to remain in the Queen’s Centre for this entire time until you have completed any treatment that is required.

If you are found to be unwell or we find any abnormalities in your blood tests that suggest you need to remain in hospital you will be admitted to Ward 33 for ongoing treatment.

What to do if you are unwell at home

When you are discharged you should follow the advice given for monitoring your temperature as well as being watchful for any signs that you may be unwell.

Contact numbers for the Haematology department are:

Monday to Friday 7.00am to 7.00pm

Chemotherapy Assessment Unit

Telephone Number (01482) 461098

Outside of these hours contact the hospital switchboard on (01482) 875 875 and ask for the bleep 500.

Information about you

We collect and use your information to provide you with care and treatment. As part of your care, information about you will be shared between members of a healthcare team, some of whom you may not meet. Your information may also be used to help train staff, to check the quality of our care, to manage and plan the health service, and to help with research. Wherever possible we use anonymous data.

We may pass on relevant information to other health organisations that provide you with care. All information is treated as strictly confidential and is not given to anyone who does not need it. If you have any concerns please ask your doctor, or the person caring for you.

Under the General Data Protection Regulation and the Data Protection Act 2018 we are responsible for maintaining the confidentiality of any information we hold about you. For further information visit the following page: Confidential Information about You. www.hey.nhs.uk/privacy/data-protection

If you or your carer needs information about your health and wellbeing and about your care and treatment in a different format, such as large print, braille or audio, due to disability, impairment or sensory loss, please advise a member of staff and this can be arranged.