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Document Created 19-May-2011, 20:00
Document Owner Medway NHS Foundation Trust
Authored by Mary Jones - Nurse Triage Practitioner, Medway NHS Foundation Trust on 19-May-2011, 20:00
Consent Status Consent given for electronic record sharing
NHS 111 Report
Encounter Type NHS111 Encounter
Encounter Time 19-May-2011, 19:45 to 19-May-2011, 20:15
Case Reference CASEREF1234
Case ID CASEID123
Encounter Disposition Go to the nearest Emergency Department within 4 hours.
Care Setting Location Incident Location
Care Setting Address

Visit Address

2, Brancaster Road
Medway
ME5 FL5
Follow the high street and turn left by Boots
GB
Great Britain
+38.265789-85.623415

Care Setting Type Example Care Setting
Responsible Party Dave Cornwell - Medical Director, Medway South Out of Hours Centre

Permission To View

Permission to view outcome Permission to view obtained
Date obtained 19-May-2011, 20:00
Date expires 26-May-2011, 20:00

Patient’s Reported Condition

Patient has an insect bite.

Case Summary

Disposition:
Go to the nearest Emergency Department within 4 hours.
Selected care service:
Dx009
Pathways Assessment:
An injury or other health problem was described.
The individual was described as breathing and conscious.
Loss of at least a mugful of blood in the last 30 minutes was not described.
An illness or other health problem was described. - Insect Bite
Fighting for breath was not described.
A heart attack, chest/upper back pain, recent probable stroke, recent fit/seizure or suicide attempt was not described as the main call reason.
New confusion, a diabetic hypo, a probable allergic reaction or successful resuscitation was not described as being the main call reason.
The individual was described as being warm to touch.
An insect or spider bite or sting was described. - Tick Bite
A sting/bite occurring within the last hour was not described.
10 or more stings were not described.
Nausea or vomiting since the sting was not described.
A sting involving the eyes or mouth was not described.
A fever was not described.
An insect still attached to the skin was described.
A tick bite was described.
Advice given:
Remove any jewellery or tight clothing from the area.
Antihistamine medication and creams help reduce swelling and itching. They can be bought from pharmacies. Talk to the pharmacist for advice. Follow the instructions in the pack.
Unless advised not to, or they have already been given, paracetamol or ibuprofen can be used to relieve pain. Follow the instructions in the pack. If in doubt ask a pharmacist.

Patient Special Notes

Patient has history of violence towards health care professionals
Document ID A709A442-3CF4-476E-8377-376500E829C9 Version 2
Replacement of A709A442-3CF4-476E-8377-376500E82AAA Version 1
Distribution list
Primary Recipients Thames Medical Practice
 Phone 0123476895
Medway Kent Out of Hours Clinic