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hospital doctors - frequently asked questions
 
 

1. What does it mean for me?

When a patient passes into the care of MediHome Nurses, they are transferring to a "virtual ward" of your hospital rather than being discharged.  You remain clinically responsible for your patient, in control of their medical care until the point that the patient is finally discharged.

2. How can I keep track of my patients if they are not an in-patient?

You are able to access the very latest patient observations and nurses notes from your desk (or any web connected PC) without needing to wait until the next ward round or other opportunity to visit the patient.  Should it be necessary, the nurses can post images of wounds, clinical signs or 12 lead ECGs onto the EPR system

3. Why should I do it?

Patients generally prefer to be at home rather than in hospital.  Academic research points to improved outcomes for many conditions.  Risks of hospital acquired infection are reduced.  Costs can be reduced and resources freed up in the hospital.

4. Will it mean more work for me?

If anything, it should allow you to work more efficiently because logging onto the EPR takes less time than a ward round.

5. How do I use the service?

We are very pleased to have the opportunity to talk to groups of clinicians and managers in acute trusts to explain more about how we work.  We can then put together a proposal for your trust based on a review of the local case mix.

6. Can I be assured of a high quality service?

MediHome Nurses operate within a robust clinical governance framework and a comprehensive set of policies and frameworks.  For more detail,  click here.

7. What do patients think who have used this service?

MediHome Nurses receive very positive scores in our patient satisfaction surveys.  This bears out the academic research that demonstrate the preference patient for this pattern of care. For more detail click here.

8. What is the evidence for the benefits of this service

The MediHome Review archive contains links to a number of studies that demonstrate benefits in terms of clinical outcome as well as patient preference.  Click here.

9. If a patient doesn’t want to go home what should I do?

MediHome's policy is only to care for patients who have first signed a consent form. 

We recommend that patients should be prepared for the prospect of returning home under the care of a MediHome Nurse early in their admission.  Nurses caring for them should be reassuring them about the safety of receiving care from a MediHome Nurse and how closely the doctors will be able to monitor their condition.  But if the patient remains reluctant to reluctant to return home, this is likely to be a symptom of their insecurity about their underlying condition and some undisclosed problems about their home circumstances and itself a contraindication for MediHome care.