Northern Region Clinical Pathways for the Assessment and Management of Skin Infections

Northern Region Clinical Pathways
for the Assessment and
Management of Skin Infections
Louise McCarthy, Project Manager
GAIHN & 20,000 Days Campaign
Background and Drivers
• Northern Regional Health Plan (NRHP) Child Services Plan
& CM Health DAP: skin infections– child health priority
• Northern Region paediatric skin infections pathways and
Auckland Regional Adult Cellulitis pathway
• 20,000 Days Campaign: cellulitis and skin infections
intervention area
• Report: potential interventions for prevention of skin
infections in community and primary care settings
Paediatric Skin Infection Pathways
• Northern Region: assessment & management of skin
infections in children > 3 months – 14 years
• Cellulitis, abscess, impetigo, scabies, infected eczema
• Based on national and international guidelines and
evidence and local management
• Alignment with the protocols being used in school clinics
• Approved by GAIHN Alliance Clinical Network and NRHP
Child Health Network
• Available on Healthpoint by July 2013
Paediatric Skin Infection Pathways
• Designed to strengthen nurse role in practice team
• ‘Package’ accompanying the pathways and available to
PHOs (in development) :
Checklist for diagnostic features
Social risk factor assessment tool
Clinician resources: information, links, guidelines for
recurrent infections
– Family resources: handouts, pamphlets: health literacy
– Nurse standing orders
– Audit tool
• Education package for PHOs: ready by early July
• Clinical Pathways Implementation Group (GAIHN) :
oversight for implementation planning – liaison with
PHOs: education sessions, cell groups, other?
• 20,000 Days ‘Healthy Skin Otara’ Collaborative – two
practices and health and social service providers
• Locality-based initiatives, e.g. West Auckland – New
Lynn Health
Healthy Skin Otara
• Implement clinical pathways and practice systems:
Identify and triage
Nurse led : assessment tools, referral, coordination
Improved health literacy for whānau
Follow-up: adherence to medications and advice
Training: practice team and other providers
• Integrated care pathways and information sharing
Primary care, secondary care, community
Whānau ora and social services for high needs families
School nurses / Public Health Nurses
Kidz First Homecare
• Skin health promotion through
o Participating providers
o Local community networks
o Local media
• Address determinants of skin health
o Through whānau ora / community health services:
household hygiene, crowding, skin health knowledge
• Locality-based child services directory
o Being developed by Healthpoint – linked directly to clinical
pathways to enable easy and quick referral
Contact details
Louise McCarthy, Project Manager Child
Health, GAIHN and 20,000 Days (Counties
Manukau Health
DDI: 09 3697192 Mobile: 021576541
[email protected]