Offering a special service for their patients provides them with better care and keeps them out of the emergency department.

Saskatoon Health Region’s Bleeding Disorders Clinic has been doing good things to  provide their with faster, more appropriate care for years.

 

A treatment room.

The Saskatchewan Bleeding Disorders Program treatment room diverts patients involved with the program from the emergency room.

For at least four years now, as part of the Saskatchewan Bleeding Disorders Program, a treatment room at Royal University Hospital (RUH) has been set aside as a place for patients to receive assessment and treatment of acute injuries by the team that knows them. And for the last year and a half, a nurse is always on call as a patient and clinician resource.

“Having this assessment room available means our patients do not have to receive an infusion by emergency department staff,” noted Tara Schlosser Clinical Nurse Coordinator with the Saskatchewan Bleeding Disorders Program at RUH. “It also gives them access to the staff that are most familiar with their disorder. Our patients find this resource invaluable. ”

Because of the treatment room, when patients involved with the bleeding disorders program need urgent help, they can bypass the emergency room and go directly to those who know them and exactly how to treat their injuries.

Their patients also asked for a nurse involved in the program to be on call after hours, and that service has been in place for the past 18 months.

“We can troubleshoot on the phone with them,” Schlosser said of that service. “And if they do need to attend a hospital for treatment or further assessments, we can help navigate them through that process. We are able to arrange and communicate with the hospital staff what the patients’ needs are and act as a resource for the emergency room staff about the patients’ bleeding disorder and its management.”

Many of the patients involved with the Saskatchewan Bleeding Disorders Program live with Hemophilia A and B, but there are many others with other bleeding disorders, like von Willebrand disorder. When they are injured, they don’t necessarily bleed quicker than anyone else; it just doesn’t stop. If they don’t get treatment right away, they can end up with secondary issues or complications. While they could be triaged appropriately for care in the emergency department, the prospect of waiting for care leads some of their patients to sit on things longer, or not seek care at all, which can cause complications and longer recovery.

“With our treatment room, they know they can come in and be assessed and receive treatment or care, from people with special knowledge of their bleeding disorder.  And it speeds up the process for them to receive other supporting services. They can be seen by the entire health care team – physiotherapists, social workers, nurses and doctors – if needed, in a very short time,” Schlosser said, “and they don’t have to wait for that service.”