Deirdre O’Gara CNS Pain Control

Sligo General Hospital (SGH)

Referred from Fibromyalgia

Clinic

Back Pain Triage

Meetings

PalliativeCare

Referrals from PhysiotherapyDepartment

Out-pt referrals from Consultants

Outside SGH

In-patientreferrals from

Consultants from Sligo General

Out-patient referrals from

Consultants fromSGH

GPreferrals

Pain Clinic Referrals

Waiting times 1st appointment Pain Consultants increased & review appointments

The Nurses and Midwives Bill (2010) encompasses delivery Nurse Led Clinics.

International research by the OECD- Advanced practice nurses can improve access to services and decrease waiting times

The Irish Pain Proposal Executive Committee

Several Meetings with Key Stakeholders determine caseload, referral source and resources required.

Biopsychosocial assessment, physical exam, chart review, previous investigations.

Analysis of the history presented & findings – arrive at a provisional diagnosis.

Patient presented to the Anaesthetist – plan of care finalised.

20 Patients

Since January 2012 seeing 3 patients per clinic 1 routine and 2 urgent patients

7 DNA’s 9 Patients had a procedure or series of

procedures 3 Patients MRI’s ordered 1 Patient discharged 3 Patients referred to Physiotherapy

Deirdre O’Gara CNS Pain Control

Sligo General Hospital (SGH)

Referred from Fibromyalgia

Clinic

Back Pain Triage

Meetings

PalliativeCare

Referrals from PhysiotherapyDepartment

Out-pt referrals from Consultants

Outside SGH

In-patientreferrals from

Consultants from Sligo General

Out-patient referrals from

Consultants fromSGH

GPreferrals

Pain Clinic Referrals

Waiting times 1st appointment Pain Consultants increased & review appointments

The Nurses and Midwives Bill (2010) encompasses delivery Nurse Led Clinics.

International research by the OECD- Advanced practice nurses can improve access to services and decrease waiting times

The Irish Pain Proposal Executive Committee

Several Meetings with Key Stakeholders determine caseload, referral source and resources required.

Biopsychosocial assessment, physical exam, chart review, previous investigations.

Analysis of the history presented & findings – arrive at a provisional diagnosis.

Patient presented to the Anaesthetist – plan of care finalised.

20 Patients

Since January 2012 seeing 3 patients per clinic 1 routine and 2 urgent patients

7 DNA’s 9 Patients had a procedure or series of

procedures 3 Patients MRI’s ordered 1 Patient discharged 3 Patients referred to Physiotherapy

Deirdre O’Gara CNS Pain Control

Sligo General Hospital (SGH)

Thank you for listening

Deirdre O’ Gara

CNS Pain Management

Sligo General Hospital