Table 2.

Summary of local hip fracture protocol

	Orthogeriatric unit/integrated care model	Orthopaedic trauma ward/geriatric consult service
Emergency unit
Triage and radiographs of pelvis/hip	x	x
Blood tests	x	x
Ward preoperatively
Nerve block	x	x
Evening round by the geriatrician on call	x
Interdisciplinary rounds by the orthogeriatric team during weekdays. (Weekends: separate consultations by geriatrician and orthopaedic surgeon)	x
Offer of geriatric consultation		x
Review of comorbidities	x	x
Nutritional screening	x	x
Delirium screening (4AT)	x	x
Haemoglobin every 6 hours (extracapsular fractures)	x	x
Thromboprophylaxis (low molecular heparin 5000 IU daily) if time to surgery >12 hours	x	x
Operating room
Surgery within 24–48 hours	x	x
Prophylactic antibiotics, dexamethasone, tranexamic acid	x	x
Surgery according to guidelines	x	x
Ward postoperatively
Thromboprophylaxis (low molecular heparin 5000 IU daily)	x	x
Removal of urinary catheter day 1	x	x
Discharge plan day 1	x	x
Mobilisation day 1	x	x
Mobilisation three times/day	x	x
Delirium assessment daily	x	x
Constipation assessment daily	x	x
Medications review	x	x
Blood tests (including haemoglobin) every second day until discharge. (Transfusion limit 80 g/L without symptomatic cardiac disease and 100 g/L with)	x	x
Secondary fracture prevention assessment and treatment	x	x