Year-in-Review-2021-22 - Flipbook - Page 80
Respiratory and
Critical Care
The Critical Care Stream provides services at
Balmain, Canterbury, Concord and RPA hospitals.
Services provided include: anaesthetics; pain;
burns; emergency; intensive care; organ and tissue
donation; respiratory medicine and sexual assault
medical services. Services are resource intensive
and contain many components of care that are
technologically advanced. The Stream cares for
some of the most medically vulnerable people
who use the healthcare system, including those
who are medically unstable, recovering from major
invasive operations, suffering from multiple organ
failure, potentially lethal arrhythmias, acute renal
failure, extensive burns, those who have been
sexually assaulted and those suffering from severe
respiratory compromise.
Women’s Health,
Neonatology and
Paediatrics
It is astounding, despite the unprecedented year that
was 2021, the volume and quality of activity provided
by the Stream. By way of example our obstetric/
maternity outpatient visits at RPA were 80,213 and
Canterbury 32,623. Our birthing numbers at both
locations remained stable with 4232 births at RPA
and 1287 at Canterbury. Gynaecology services were
impacted by COVID, but numbers of appointments
for service remained high with 701 gynaecology
out-patient visits at Concord, 1050 visits at
Canterbury and 11,864 at RPA. Overall Women’s
Health at RPA for obstetrics/maternity and
gynaecology there were 92,077 outpatient visits,
with Canterbury and Concord having 33,673 and
2698 respectively. Our Neonatology Department
at RPA and Canterbury are an integral part of our
Stream. At RPA there were 986 admissions and
3649 outpatient attendances, whilst Canterbury
there were 183 admissions.
The Paediatric Department at RPA has consistently
increased outpatient attendances from 159 in
2017 to 3907 in 2021. Outpatient appointments at
Canterbury remain high with 1127 outpatient visits
in 2021.
Highlights for the service include the introduction of
a midwifery-led Implanon Insertion (contraceptive)
service; the establishment of the Hypertensive
Diseases in Pregnancy Clinic at Canterbury Hospital;
the expansion of the Canterbury Antenatal and
Postnatal service to include six midwives, the
expansion of Outreach Midwifery Clinics, utilising
nine Child Family Health Centres across the District;
the establishment of the Midwifery Antenatal and
Postnatal Service at RPA – increasing the number
of women receiving continuity of midwifery care in
the antenatal and postnatal period; completion of
Children’s Ward Redevelopment at RPA Hospital;
RPA Paediatrics Team awarded the Inspiration
Award – Value-Based Healthcare Awards – Leading
Better Value Care; commenced District-wide Child at
Risk MDT meetings; the neonatal ICU successfully
recruited and commenced training of two new
transitional neonatal nurse practitioners, continuing
its leadership role in NSW.
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Sydney Local Health District
