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Child and young person temporary open-door hospital service

What is the temporary open-door service?

Temporary open door is for children and young people who have been seen by the paediatricians and for a set period will be seen by the paediatric team. Temporary open door enables children and young people to re-access care without having to get a referral from their General Practitioner (GP) or the Accident and Emergency Department first. The aim is that these children will receive timely, co-ordinated, high quality care.

The decision to place a child or young person on open door is made by the paediatricians who assessed your child.

When should you use the temporary open-door service?

When your child becomes unwell with their specific condition/need that placed them onto the  Temporary Open-Door Service. For all other concerns regarding your child, we recommend you take your child to their General Practitioner or A&E Department.

If your child is seriously unwell, please seek immediate attention by dialling 999. Do not wait to call the Paediatric Decision Unit (PDU).

If you are ever unsure as to whether you should use the temporary Open-Door Service or go to your child’s GP/ A&E Department, please telephone the nurse/doctors on the PDU for advice on 01296 315216.

How do we access the temporary open-door service?

Please telephone the Paediatric Decision Unit (PDU) on 01296 315216 which is open 24 hours a day, 7 days a week or the Children’s Day Unit (CDU) at Wycombe, Monday to Friday between 08.00- 18.00 hours excluding Bank Holidays on 01494 425506.  When telephoning, please tell us that your child is on temporary open door, along with their name, date of birth and their hospital (MRN) number if you know it; these details just make it easier to access your child’s information quickly. Your child’s hospital (MRN) number should be displayed on any letters you have received from the hospital

One of the nurses or doctors will speak to you and either provide advice over the telephone or ask you to bring your child either to PDU or CDU. Sometimes the doctors/nurses may advise you to call an ambulance or to come in via the A&E Department; this would only be because they feel your child is at immediate risk and needs urgent assessment. If this was to happen, the paediatric team would see you and your child in the A&E Department.

If you are ever unable to get through to PDU or CDU, please contact Ward 3 (the children’s inpatient ward) on 01296 315145

Where is the Paediatric Decision Unit (PDU)?

The PDU is based in Stoke Mandeville Hospital within the A&E department. When you arrive please report to the reception desk in A&E.

Where is the Children’s Day Unit (CDU)?

Is located within Wycombe Hospital and is signposted from the entrance to the hospital. Please report directly to the CDU.

Do we need to bring anything to PDU or CDU?

Please bring any medications that your child is taking. It is also advisable to bring an overnight bag with some night clothes, toiletries, nappies etc in case of possible admission.

What happens when we get to PDU?

A nurse will assess your child and then your child will be seen by a paediatric doctor. A plan will then be made with you about your child’s care. Sometimes your child will just be seen by a nurse, for example if they have to come in for a specific procedure for example insertion of a new nasogastric tube. PDU can be a very busy department and children will be seen in order of clinical priority.

If my child needs to be admitted where will they go?

They will be admitted to Ward 3 (the children’s inpatient ward) which is on the ground floor of the hospital.

How long will my child be on the temporary open-door service?

This is individual to all children and for a temporary period. You as parents/carers, will be involved in any decisions regarding your child’s care.

Can other children in my family use the temporary open-door service?

This service is just for your child who was put onto the Temporary Open-Door Service. However, other children in your family can be seen in the Paediatric Department following a referral from their GP if they become unwell.