service provider levels wing have a 16 bed capacity each. Cleaning and that the psychogeriatric unit and and skill mixes in order laundry duties are completed by the caregivers who are hospital unit can share a RN 30 days to provide safe service multi-skilled. This is in keeping with providing a homely between 10pm -7am only if the delivery. environment with minimal people entering and exiting service is under 50 beds. There is the homes on various tasks. Interviews with a RN, five not always a RN rostered in the caregivers stated that staffing is adequate to meet the hospital as well as the PG unit needs of residents. during the day/evening. Criterion 1.3.12.1 PA Low There is a standing order list signed by the GP’s for The standing order form does not Ensure the standing hospital residents only. have a specified time for review. order from complies A medicines The maximum number of doses for with the Ministry of management system is each standing order is not specified Health standing implemented to manage on the standing order form. order guidelines the safe and appropriate 2012. prescribing, dispensing, administration, review, storage, disposal, and 90 days medicine reconciliation in order to comply with legislation, protocols, and guidelines. Criterion 1.3.6.1 PA Low Frequent falls physiotherapy assessments are carried Hospital resident long term care Ensure dietitian out as required. Falls risk and interventions are well plan reviewed August 2014 referrals are The provision of services documented in care plans that include sensor mats, hip documents a need for referral to initiated and and/or interventions are protectors, adequate hydration, clutter free environment dietitian. There is no evidence of a followed-up. consistent with, and and good fitting shoes. Mobility and handling plans are dietitian referral or visit. contribute to, meeting reviewed regularly to guide the staff in the safe transfer the consumers' of residents. Frequent fallers are reviewed by the MDT 90 days assessed and team. Reduction of psychotropic medications are desired outcomes. reduced to minimise side effects and monitored by the GP, geriatrician and psychiatric team. The dietitian visits monthly and completes any resident reviews due and attends to any referrals received for residents with weight loss and initiates special authority for supplements and liaises with the cook regarding any resident dietary changes/requirements. Residents are weighed monthly or more frequently as per the weight
service provider levels and skill mixes in order to provide safe service delivery. wing have a 16 bed capacity each. Cleaning and laundry duties are completed by the caregivers who are multi-skilled. This is in keeping with providing a homely environment with minimal people entering and exiting the homes on various tasks. Interviews with a RN, five caregivers stated that staffing is adequate to meet the needs of residents. that the psychogeriatric unit and hospital unit can share a RN between 10pm -7am only if the service is under 50 beds. There is not always a RN rostered in the hospital as well as the PG unit during the day/evening. 30 days Criterion 1.3.12.1 A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines. PA Low There is a standing order list signed by the GP’s for hospital residents only. The standing order form does not have a specified time for review. The maximum number of doses for each standing order is not specified on the standing order form. Ensure the standing order from complies with the Ministry of Health standing order guidelines 2012. 90 days Criterion 1.3.6.1 The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed and desired outcomes. PA Low Frequent falls physiotherapy assessments are carried out as required. Falls risk and interventions are well documented in care plans that include sensor mats, hip protectors, adequate hydration, clutter free environment and good fitting shoes. Mobility and handling plans are reviewed regularly to guide the staff in the safe transfer of residents. Frequent fallers are reviewed by the MDT team. Reduction of psychotropic medications are reduced to minimise side effects and monitored by the GP, geriatrician and psychiatric team. The dietitian visits monthly and completes any resident reviews due and attends to any referrals received for residents with weight loss and initiates special authority for supplements and liaises with the cook regarding any resident dietary changes/requirements. Residents are weighed monthly or more frequently as per the weight Hospital resident long term care plan reviewed August 2014 documents a need for referral to dietitian. There is no evidence of a dietitian referral or visit. Ensure dietitian referrals are initiated and followed-up. 90 days
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