safe and effective each session being provided more than once on different assistants who have worked psychogeriatric units for services to days and at different times of day to ensure high in the psychogeriatric units longer than one year have consumers. attendance. All required training except wound for longer than one year have completed the required management and cultural safety have now been not yet completed the dementia standards. provided. The roving manager is a qualified Careerforce required dementia standards. assessor and all staff working in the psychogeriatric units are now enrolled in or have completed the required 180 days dementia standards but not all contractual requirements had been met at the time of the audit. As these issues had been identified and are being actively addressed the risk has been assessed as low. Criterion 1.2.8.1 PA Low The service has a registered on duty 24 hours per Over nine weeks of the roster Ensure is a registered day in each of the two psychogeriatric units and a sampled there were two nurse on duty in the is a clearly registered nurse on duty in the hospital units (Sumner weekends where there was hospital wings at all times. documented and and Wanaka/Tekapo) on afternoon and night shift. They an enrolled nurse but no implemented process are supported by sufficient numbers of healthcare registered nurse on duty in which determines assistants. The service has made two notifications about the hospital on morning shift. 30 days service provider levels a shift where they have had one registered nurse down. and skill mixes in An enrolled nurse works full time morning shift in the order to provide safe hospital units. When this person is rostered during the service delivery. week the clinical nurse manager provides oversight in these wings. The initial sample of four weeks roster had the enrolled nurse on duty for one weekend. The sample was expanded to include an additional five weeks and there was another weekend where the enrolled nurse was rostered on duty. As there are two registered nurses in the facility at all times that the enrolled nurse can consult with, the risk is assessed as low. Criterion 1.3.12.3 PA Low The registered nurse competency register documents Two of RN files sampled Ensure all staff who that all RNs had their medication competency assessed did not have a medication administer medications Service providers in June 2017, however not all staff had a current competency completed when have a documented responsible for competency prior to this. they commenced competency on file. medicine employment. management are competent to perform 90 days
safe and effective services to consumers. each session being provided more than once on different days and at different times of day to ensure high attendance. All required training except wound management and cultural safety have now been provided. The roving manager is a qualified Careerforce assessor and all staff working in the psychogeriatric units are now enrolled in or have completed the required dementia standards but not all contractual requirements had been met at the time of the audit. As these issues had been identified and are being actively addressed the risk has been assessed as low. assistants who have worked in the psychogeriatric units for longer than one year have not yet completed the required dementia standards. psychogeriatric units for longer than one year have completed the required dementia standards. 180 days Criterion 1.2.8.1 is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery. PA Low The service has a registered on duty 24 hours per day in each of the two psychogeriatric units and a registered nurse on duty in the hospital units (Sumner and Wanaka/Tekapo) on afternoon and night shift. They are supported by sufficient numbers of healthcare assistants. The service has made two notifications about a shift where they have had one registered nurse down. An enrolled nurse works full time morning shift in the hospital units. When this person is rostered during the week the clinical nurse manager provides oversight in these wings. The initial sample of four weeks roster had the enrolled nurse on duty for one weekend. The sample was expanded to include an additional five weeks and there was another weekend where the enrolled nurse was rostered on duty. As there are two registered nurses in the facility at all times that the enrolled nurse can consult with, the risk is assessed as low. Over nine weeks of the roster sampled there were two weekends where there was an enrolled nurse but no registered nurse on duty in the hospital on morning shift. Ensure is a registered nurse on duty in the hospital wings at all times. 30 days Criterion 1.3.12.3 Service providers responsible for medicine management are competent to perform PA Low The registered nurse competency register documents that all RNs had their medication competency assessed in June 2017, however not all staff had a current competency prior to this. Two of RN files sampled did not have a medication competency completed when they commenced employment. Ensure all staff who administer medications have a documented competency on file. 90 days