Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message data to display” instead of a table, then no corrective actions were required as a result of this audit. “no Criterion with Attainment Audit Evidence Audit Finding Corrective action desired outcome Rating required and timeframe for completion (days) Criterion 1.3.12.6 PA Low Twelve medication charts were Of the twelve medication charts reviewed, two had Ensure there is consistent reviewed; all were correctly two different types of chart for the same resident. It charting to aid clarity of Medicine labelled including the resident was not clear as to the medications that were to be medication charts management name, photo and any known given at any given time. information is allergies. Medication signing recorded to a of sheets all documented that the 60 days detail, and administering nurses were communicated to signing for medication on consumers at a administration. All medication frequency and detail charts reviewed identified that to comply with the GP had seen the reviewed legislation and the resident three monthly. As guidelines. required (PRN) medications included indications for use and all administration signing sheets were completed. Criterion 1.3.5.2 PA Low Lifestyle support plans are in i) One hospital resident (tracer) with documented i-v) Ensure that resident place for all residents and weight loss, did not have interventions for weight lifestyle support plans document care plan loss management documented in the care plan, and include nursing
Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message “no data to display” instead of a table, then no corrective actions were required as a result of this audit. Criterion with desired outcome Attainment Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.3.12.6 Medicine management information is recorded to a of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines. PA Low Twelve medication charts were reviewed; all were correctly labelled including the resident name, photo and any known allergies. Medication signing sheets all documented that the administering nurses were signing for medication on administration. All medication charts reviewed identified that the GP had seen the reviewed the resident three monthly. As required (PRN) medications included indications for use and all administration signing sheets were completed. Of the twelve medication charts reviewed, two had two different types of chart for the same resident. It was not clear as to the medications that were to be given at any given time. Ensure there is consistent charting to aid clarity of medication charts 60 days Criterion 1.3.5.2 PA Low Lifestyle support plans are in place for all residents and document care plan i) One hospital resident (tracer) with documented weight loss, did not have interventions for weight loss management documented in the care plan, and i-v) Ensure that resident lifestyle support plans include nursing
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