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AMU/DEM/Level 4&5 Project

Launceston General Hospital

Acute Medical Unit / Department of Emergency Medicine & Levels 4 & 5 Capital Works, Launceston General Hospital

Due to the LGH experiencing a significant increase in demand for its emergency services, sub-acute services, day procedures and elective surgery services, a portion of the Federal and State Government capital infrastructure funds will be used to develop and upgrade the infrastructure that supports these services.

New models of care are being developed in conjunction with the design and planning of the clinical areas that will undergo the redevelopments. These new models will be implemented to help facilitate the long term sustainability of services provided by the Launceston General Hospital to meet the health care needs of the Northern community.

Department of Emergency Medicine

A consistent and large increase in patients presenting to Department of Emergency Medicine (DEM) requires the DEM to increase in physical size for more treatment bays and other support services.

The DEM’s existing location and relationships with other supporting hospital services has confirmed that the most logical redevelopment site is to be its current location. Extension of the current department will be out to Frankland and Charles Street on Level 3 of the LGH. The DEM will be expanded and reconfigured to provide a contemporary facility with an increase in treatment bays from 20 to 43. The redevelopment of the DEM will be funded by the State with a budget of $12million.

The newly built portion of the DEM will have the structural capacity to support Levels 4 & 5 above.

Acute Medical Unit

The Acute Medical Unit (AMU) will be an example a new model of care. The current traditional emergency medical model of care is not assisting the DEM meet its current demand due to various issues. The LGH has undertaken a review of emergency acute and medical models and determined that a contemporary and innovative model of care needed to be implemented. The new model aims to provide a patient to attend the LGH where their assessment and treatment is not delayed through the absence of specialist or diagnostic services and a multidisciplinary approach is undertaken in the patient’s treatment.

Essential to this new model is the creation of an Acute Medical Unit collocated with the DEM. The AMU will be developed as a designated unit that will include a multidisciplinary team that is equipped to receive medical patients for assessment, care and treatment for a designated period (4-72hrs) prior to transfer to the medical ward or home as appropriate. The AMU will be a 28-bed unit with a mix of High Dependency and Cardiac beds.

The proposed location identified to accommodate the AMU is to utilise the existing Day Procedure Unit (DPU) site on Level 3, therefore necessitating the DPU to be relocated temporarily until surgical day procedures are undertaken on Level 5 within the surgical reconfiguration. The DPU will temporarily move across the corridor on Level 3.

Ambulatory Care Unit

DPU currently provides services for day surgical cases, endoscopy services and day infusion services. The temporary DPU will continue to provide all services until the building of Level 5 above the DEM is completed and surgical services reconfigured to support the relocation of day procedure cases and recovery up to main theatre. Endoscopy and day infusion services will remain on Level 3, creating the Ambulatory Care Unit.

Level 4

A Launceston Health Precinct Site Master Plan will be undertaken to inform the Project Control Group of what services should be located within the extra 1000m2 of floor space on Level 4 above the new DEM building. The Master Plan will consider the need to place services with critical physical interdependencies in close proximity to each other.

Level 5

Currently, main theatre and recovery are located on Level 5, however due to significant increases in patient elective waiting lists and surgical cases since the Hospital was built, the current floor area and layout are some of the reasons surgical lists are delayed.

To facilitate the above redevelopment, interim measures of decanting various services throughout the Hospital may be necessary to accommodate construction requirements/staging. The services that will require temporary relocation and decanting will be identified as the program of works progresses.