Standard 1.3.10: Transition, Exit, Discharge, Or FA Exit, discharge or transfer is managed in a planned and co-ordinated manner, Transfer with an escort as appropriate. The service uses the DHB’s envelope’ ‘yellow system to facilitate transfer of residents to and from acute care services. Consumers experience a planned and coordinated There is open communication between all services, the resident and the transition, exit, discharge, or transfer from services. family/whānau. At the time of transition between services, appropriate information is provided for the ongoing management of the resident. All referrals are documented in the progress notes. An example reviewed of a patient recently transferred to the local acute care facility showed communication between the facility, hospital, ambulance staff and family and documented outcome of the transfer. Family of the resident reported being kept well informed during the transfer of their relative. Standard 1.3.12: Medicine Management FA The medication management policy is current and identifies all aspects of medicine management in line with the Medicines Care Guide for Residential Consumers receive medicines in a safe and timely Aged Care. manner that complies with current legislative requirements and safe practice guidelines. A safe system for medicine management (using an electronic system) was observed on the day of audit. The staff observed demonstrated good knowledge and had a clear understanding of their roles and responsibilities related to each stage of medicine management. All staff who administer medicines are competent to perform the function they manage. Medications are supplied to the facility in a pre-packaged format from a contracted pharmacy. The RN checks medications against the prescription. All medications sighted were within current use by dates. Clinical pharmacist input is provided on request. Controlled drugs are stored securely in accordance with requirements and checked by two staff for accuracy when administering. The controlled drug register provided evidence of weekly and six-monthly stock checks and accurate entries. The records of temperatures for the medicine fridge were within the recommended range and are monitored by an external company. The facility offers flu vaccines; however, all vaccines are provided by an external source and no vaccines are stored on Good prescribing practices noted include the prescriber’s signature and date recorded on the commencement and discontinuation of medicines and all requirements for pro re nata (PRN) medicines met. The required
Standard 1.3.10: Transition, Exit, Discharge, Or Transfer Consumers experience a planned and coordinated transition, exit, discharge, or transfer from services. FA Exit, discharge or transfer is managed in a planned and co-ordinated manner, with an escort as appropriate. The service uses the DHB’s ‘yellow envelope’ system to facilitate transfer of residents to and from acute care services. There is open communication between all services, the resident and the family/whānau. At the time of transition between services, appropriate information is provided for the ongoing management of the resident. All referrals are documented in the progress notes. An example reviewed of a patient recently transferred to the local acute care facility showed communication between the facility, hospital, ambulance staff and family and documented outcome of the transfer. Family of the resident reported being kept well informed during the transfer of their relative. Standard 1.3.12: Medicine Management Consumers receive medicines in a safe and timely manner that complies with current legislative requirements and safe practice guidelines. FA The medication management policy is current and identifies all aspects of medicine management in line with the Medicines Care Guide for Residential Aged Care. A safe system for medicine management (using an electronic system) was observed on the day of audit. The staff observed demonstrated good knowledge and had a clear understanding of their roles and responsibilities related to each stage of medicine management. All staff who administer medicines are competent to perform the function they manage. Medications are supplied to the facility in a pre-packaged format from a contracted pharmacy. The RN checks medications against the prescription. All medications sighted were within current use by dates. Clinical pharmacist input is provided on request. Controlled drugs are stored securely in accordance with requirements and checked by two staff for accuracy when administering. The controlled drug register provided evidence of weekly and six-monthly stock checks and accurate entries. The records of temperatures for the medicine fridge were within the recommended range and are monitored by an external company. The facility offers flu vaccines; however, all vaccines are provided by an external source and no vaccines are stored on Good prescribing practices noted include the prescriber’s signature and date recorded on the commencement and discontinuation of medicines and all requirements for pro re nata (PRN) medicines met. The required