3 Complex skin integrity management for residents with 1. Directive [registered nurse or 5 compromised skin integrity who are usually confined to medical practitioner or allied bed and/ or chair and cannot self-ambulate. The health professional] management plan must include repositioning at least AND 4 times per day. 2. Skin integrity assessment Score Complex health care procedures Evidence Requirements Tick if yes 3 Management of special feeding undertaken by an RN, 1. Diagnosis 6 on a one-to-one basis, for people with severe AND dysphagia, excluding tube feeding. 2. Directive [registered nurse or Frequency at least daily. medical practitioner or allied health professional] AND 3. Swallowing assessment 1 Administration of suppositories or enemas for bowel 1. Directive [registered nurse or 7 management is a usual care need. The minimum medical practitioner] required frequency is least ‘at weekly.’ AND on request: record 3 Catheter care program (ongoing); excludes temporary 1. Diagnosis 8 catheters e.g. short term post-surgery catheters. AND 2. Directive [registered nurse or medical practitioner] 6 Management of chronic infectious conditions 1. Diagnosis 9 Antibiotic resistant bacterial infections AND Tuberculosis 2. Directive [registered nurse or medical practitioner] AIDS and other immune-deficiency conditions Infectious hepatitis 6 Management of chronic wounds, including varicose 1. Diagnosis 10 and pressure ulcers, and diabetic foot ulcers. AND 2. Directive [registered nurse or medical practitioner or allied health professional] AND 3. Wound assessment AND on request: record 6 Management of ongoing administration of intravenous 1. Directive/ prescription 11 fluids, hypodermoclysis, syringe drivers and dialysis. [authorised nurse practitioner or medical practitioner] 1 Management of arthritic joints and oedema related to 1. Diagnosis 12a arthritis by the application of tubular and/or other AND elasticised support bandages. 2. Directive [registered nurse or Note: The maximum score for claiming both items medical practitioner or allied 12.12a and 12.12b is 3 points. health professional]
3 Complex skin integrity management for residents with compromised skin integrity who are usually confined to bed and/ or chair and cannot self-ambulate. The management plan must include repositioning at least 4 times per day. 1. Directive [registered nurse or medical practitioner or allied health professional] AND 2. Skin integrity assessment 5 Score Complex health care procedures Evidence Requirements Tick if yes 3 Management of special feeding undertaken by an RN, on a one-to-one basis, for people with severe dysphagia, excluding tube feeding. Frequency at least daily. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner or allied health professional] AND 3. Swallowing assessment 6 1 Administration of suppositories or enemas for bowel management is a usual care need. The minimum required frequency is ‘at least weekly.’ 1. Directive [registered nurse or medical practitioner] AND on request: record 7 3 Catheter care program (ongoing); excludes temporary catheters e.g. short term post-surgery catheters. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner] 8 6 Management of chronic infectious conditions Antibiotic resistant bacterial infections Tuberculosis AIDS and other immune-deficiency conditions Infectious hepatitis 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner] 9 6 Management of chronic wounds, including varicose and pressure ulcers, and diabetic foot ulcers. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner or allied health professional] AND 3. Wound assessment AND on request: record 10 6 Management of ongoing administration of intravenous fluids, hypodermoclysis, syringe drivers and dialysis. 1. Directive/ prescription [authorised nurse practitioner or medical practitioner] 11 1 Management of arthritic joints and oedema related to arthritis by the application of tubular and/or other elasticised support bandages. Note: The maximum score for claiming both items 12.12a and 12.12b is 3 points. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner or allied health professional] 12a
final_acfi_answer_appraisal_pack.docx