About our Emergency Care Unit
About our Emergency Care Unit
I am very pleased to let you know that the new Children’s Outpatient and Emergency Care Unit at CHI at Tallaght is on schedule to open Saturday, November 13th.
The new building is purpose built for families and will deliver services – including Emergency Care (open 24/7), new Outpatient clinics, Radiology ( x-ray and Ultrasound), as well as the Child Sexual Assault Forensic medical Unit and Child Sexual Assault Therapy Unit.
Existing outpatient departments, inpatient and day patient beds and theatre allocation will remain in place within CHI at Tallaght in Tallaght University Hospital until the new children’s hospital opens.
Children who attend the emergency care unit will be triaged and seen in one of the single spacious rooms for examination and treatment. Our Paediatric Emergency team will provide assessment and care. Admission if required will be to CHI at Tallaght or to one of the other CHI sites in Crumlin or Temple Street. CHI at Tallaght will continue to provide short stay observation care for children and families who will benefit from a consultant led shorter duration of stay.
Since September 2020, our surgical inpatient pathway has changed we have made some changes in our Emergency Care Unit. We will immediately refer all patients with suspected testicular torsion/pain to either CHI at Crumlin or CHI at Temple Street as these are time-sensitive cases. We will also be on major trauma bypass (RTAs/severe burns) as these also may need time-sensitive surgical assessment. A refresher on our ECU criteria is included with this letter and this information and more can be found on our website.
The Outpatient Department will have 13 big, family-friendly examination rooms supported by therapy and treatment rooms, and these will be in addition to the current Outpatient Unit already established in CHI at Tallaght. We have sensory rooms available within the Emergency care unit and the outpatient unit and our x-ray and ultrasound department has moved to be within easy reach of these new services.
Conditions Suitable for Attendance at our Emergency Care Unit
✓ Acute asthma
✓ Abdominal pain (mild or moderate)
✓ Allergic reaction
✓ Bell's palsy
✓ Chest pain
✓ Dental pain (no trauma)
✓ Dermatitis / eczema
✓ Ear infections/ear pain
✓ Headache and migraine (GCS 15 and no neurological signs)
✓ Henoch-Schonlein purpura
✓ Rashes and skin conditions
✓ Respiratory tract infection / pneumonia
✓ Skin infection (except abscess)
✓ Urinary tract infection
✓ Bites & stings
✓ Burns (minor)
✓ Foreign body in ear
✓ Foreign body in skin
✓ Head injury
✓ Soft tissue injury
✓ Subungual haematoma
✓ Suspected nasal fracture
✓ Swallowed foreign bodyBites & stings
Conditions Not Suitable for Attendance at our Emergency Care Unit
✗ Premature infants under the care of the neonatology service
✗ Testicular swelling or pain
✗ Burns (severe)
✗ Head injury (GCS < 15)
✗ Spinal trauma
*This list is not exhaustive and may be further refined.
Our outpatient service offers better access to paediatric healthcare and is a key step in health care delivery. We can offer a wide range of service and better manage historic waiting lists. The types of clinics which will be provided by general paediatrics include:
Condition Specific and General Clinics
The majority of clinics provided by general paediatrics will have a general focus caring for the needs of the undifferentiated child. The casemix for these clinics will be varied and they will be run by a Consultant Paediatrician, a Registrar, a SHO and staff nurses including Clinical Nurse Specialists.
Condition Specific Clinics
Each clinic will be supported by specialist nursing with competencies and skills in particular areas such as asthma education, feeding and weaning advice, and food allergy management including dietary interventions and use of adrenaline autoinjectors as required. These clinics will also be supported by HSCP disciplines such as dietetics, psychology and play therapy.
A list of both types of clinics are below
|Ear, Nose and Throat||Gastroenterology||Dentistry|
|Phlebotomy (Blood Test)||Psychology||Speech & Language Therapy|
|Nutrition & Dietetics||Physiotherapy||Pulmonary Function Tests|
|Forensic and sexual assault therapy unit|
CHI Clinical Guidelines
Children's Health Ireland (CHI) Clinical Guidelines have been developed through a standardised pathway which aims to ensure the best available evidence and the expertise of the most relevant child health specialists within CHI is captured. The guidelines were developed with the aim of optimising the delivery of clinical care to our patients attending CHI.
CHI Research & Innovation
Clinical research is essential to provide an evidence base for improved medicines and the treatment of sick children. It is well accepted internationally that hospitals active in research and innovation are associated with better outcomes for patients and better recruitment and retention of staff. As the leading centre in Ireland for the conduct of clinical trials and studies in children and young adults, CHI has excellence in research and innovation as one of its key strategic objectives. Read more