ph: 09 535 7218
Change to the renal colic HealthPathway The management of the acute episode of renal colic has been updated. In particular it includes POAC-funded imaging after acute presentation for all patients aged >/= 50 years, even if pain has fully settled. This information is in m...
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Testicular Torsion - A recent case has highlighted the importance of considering testicular torsion, even when there is a less common presentation.  A 12 year old boy presented on a Sunday with generalised abdominal and pelvic pain, which had been intermittent over a pe...
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In order to avoid sending symptomatic patients to community radiology providers unnecessarily, your co-operation is respectfully requested: please consider very carefully whether a POAC chest X ray is indicated for patients presenting with LRTI. Acute chest X ray under POAC ...
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Diabetic foot- use of IV antibiotics in primary care for patients with active foot disease will only be funded where there is clear documentation of discussion with a named endorsing specialist prior to treatment. There have been more than 12 sentinel event cases report...
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When a query DVT relates to an ACC case, POAC can arrange the DVT scan (and cover any surcharges if applicable) on behalf of the practice if there is difficulty obtaining an appointment in a timely manner using the usual mechanisms. Call in the usual way on (09) 5357218 and...
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The COVID-19 assessment and management algorithm (HERE) has been updated. The new algorithm now aligns with national rates for COVID-19 swabbing and comes into effect from midnight, Friday 18 September.  Please note that from this time there will no longer be different ...
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A recent review of POAC cellulitis cases has identified many cases where IV antibiotics have been administered for cellulitis at locations other than on limbs A sample of these cases has been reviewed with the regional Infectious Diseases specialists and the following change...
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A review of multiple recent cellulitis cases has shown an increase in hospital admissions for Acute Kidney Injury (AKI) secondary to cephazolin use. In these cases, cephazolin doses have not been considered for reduction in patients with known or possible renal impairment, a...
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As of 1st July a new process will be introduced for referring and claiming for OST services. No action will be required by the GP practice.  All new OST referrals and quarterly invoicing will now be automatically processed by the POAC team using the CADs register of act...
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MANAGEMENT OF CELLULITIS ASSOCIATED WITH ACTIVE ULCERATION IN PATIENTS WITH DIABETIC FOOT DISEASE

Over the last 12 months POAC claims have been made in seven cases where IV antibiotics were administered to patients with active diabetic foot ulceration who have then required hospital admission.  Five of these admissions resulted in amputation. POAC aligns its funding...
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