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ADCC

Introduction To The Department

The overall objective of Ambulatory Day Care Centre (ADCC) is the provision of effective and efficient health care for the routine patients with predictable requirements. Its aim is to reduce the need for admission to a hospital bed and reduce return visits to the Ambulatory Day Care Centre.  In some instances consultation diagnosis and treatment will be undertaken in just one visit to the centre. ADCC is located on both ground and first floor of the Clinical services Building.

Range of Service Provision

  • The Ambulatory Day Care Centre at St. Vincent's University is located adjacent to the acute hospital site providing;
  •  General Medical and Surgical Out-patient clinics
  •  Medical and Surgical day care investigation and treatment e.g. injection, transfusions, aspiration, biopsy, urodynamics.
  •  Haemodialysis
  •  Endoscopy
  •  Phlebotomy for patients attending the clinics and GP referrals.

Patient Profile

  • Ambulatory Day Care service comprises of the following ;
  • Out-patients who attend for consultations, examinations, investigations and minor procedures and leave as soon as they are finished.
  • Day Patients who do not require an overnight stay but need a short period of time after a procedure for recovery.  Day patients stay in the hospital for a morning or an afternoon but on occasions they might need to stay in hospital for the whole of the working day.

Medical and Surgical Consultation/ Diagnostic Clinics

1. These patients can be referred from varying sources, which include:

  • General Practitioner referral
  • Emergency Department
  • Initiated from in-patient admission
  • Referrals from other Health Service Executive regions.
  • Referrrals to national specialist clinics, e.g. Sleep Apnoea, Liver Transplant Clinic, Rheumatology and Cystic Fibrosis.

2. No child under 14 years of age will be treated in the ADCC.  No person from the age of 14-15 years is assessed in the ADCC unless there is an adult present.

Hours of Service

3. The Department operates from 08.00 hours to 18.00 hours Monday to Friday inclusive.

Nursing

4. The structure of the nursing staff is:

  • Divisional Nurse Manager 1
  • Clinical Nurse Manager 2 x2
  • Clinical Nurse Manager 1 x1
  • Staff Nurses

5. A registered Nurse will attend each clinic. The support staff required for clinics will depend on the service provided by that clinic.  Skill mix will vary depending on scheduling and activity.

6. Advanced Nurse Practitioner clinics will include Breast Care, Cardiology Stroke.

7. Clinical Nurse Specialists service to ADCC will include:

  • Plaster Nurse
  • Cystic Fibrosis Nurse
  • Diabetes Nurse
  • Colorectal Nurse
  • Dermatology Nurse
  • Respiratory Nurse
  • Hepatitis C Nurse
  • Haematology Nurse
  • Haemoviligence Nurse
  • Rheumatology Nurse
  • MS Nurse Specialist
  • Tissue Viability Nurse
  • CAPD Nurse
  • Osteoporosis

8. Cancer Care Co-ordinators service to ADCC will include:

  • Thoracic
  • GU
  • Colorectal
  • Breast
  • Gynaecology
  • Gastroenterology
  • Oncology Liaison Nurse
  • Medical

9. The structure of the Medical staff:

  • Consultant
  • Registrars
  • SHOs
  • Interns

Support Staff

10. Other multi-disciplinary members of the team working in ADCC include;

  • Care Assistants
  • Porters
  • Clerical Support Staff
  • Catering Staff
  • Cleaning Staff