Introduction:

Preliminary Care Unit (PCU) is so named because patients are first admitted to and receive first medical care.

PCU at Teaching Hospital Peradeniya provides services to all adults above 14 years of age with a medical or surgical illness or injury. Patients with Gynaecological and Obstetric problem and children less than 14 years of age will be admitted to the relevant unit without admitting to the PCU.

The clinical management team consists of the consultant physician (OPD), all unit consultants on call, on call registrars of relevant units and PCU staff (medical officers, nurses and minor employees).

PCU is equipped with all major monitoring emergency care equipments and is ready to handle any emergency 24 hours a day. Our emergency management teams have the expertise to deliver the required services for most emergency cases.

Patient management and treatment is supported by a wide range of diagnostics including ECGs, Ultrasounds, X-rays and Laboratory tests.

Administrative work is carried out by the medical officer in charge of the OPD with the guidance by the Director of the hospital and the monitoring committee of the PCU.

All the patients admitted to the PCU will be assessed by the medical officers at PCU. We use triage – a way of classifying patients in order of seriousness. Priority will be given for emergencies. The majority of patients will be discharged from the PCU after initial treatment and observation. Patients who need long term treatment will be referred to a relevant specialized clinic.

If a patient needs immediate specialized treatment, the relevant unit on call team will assess and treat the patient. Patients with a medical illness who need admission will be admitted to the medical ward and patients with a surgical problem who need further interventions will be transferred to the General Hospital Kandy other than on Sundays, after the patient is stabilized by the surgical unit.

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