Complex pain management and practice Directive [registered nurse undertaken by an allied health professional or or medical practitioner or registered nurse. This will involve therapeutic allied health professional] massage and/ or pain management involving AND technical equipment specifically designed for pain Evidence based pain 3 4a assessment management AND AND Frequency at weekly AND Involving at least 20 minutes of staff time in on request: record total. You can only one item 4–either 4a or 4b Complex pain management and practice Directive [medical undertaken by an allied health professional. practitioner or allied health This will involve therapeutic massage and/ or professional] pain management involving technical AND equipment specifically designed for pain Evidence based pain 6 4b assessment management AND AND Ongoing treatment as required by the resident, at least 4 days per week on request: record You can only claim one item 4–either 4a or 4b. Complex skin integrity management for residents Directive [registered nurse with compromised skin integrity who are confined or medical practitioner or 5 3 to bed and/ or chair or cannot allied health professional] self-ambulate. The management plan must AND include repositioning at least 4 times per day. Skin integrity assessment Management of special feeding undertaken by Diagnosis or ACCR an RN, on a one-to-one basis, for people with AND severe dysphagia, excluding tube feeding. Directive [registered nurse 6 3 Frequency at least daily. or medical practitioner or allied health professional] AND Swallowing assessment Administration of suppositories or enemas Directive [registered for bowel management is a usual care nurse or medical 1 7 need. The minimum required frequency is practitioner] least weekly.’ AND ‘at on request: record Catheter care program (ongoing); Diagnosis or ACCR excludes temporary catheters e.g. short AND term post-surgery catheters. 3 8 Directive [registered nurse or medical practitioner] Diagnosis or Management of chronic infectious conditions ACCR Antibiotic resistant bacterial infections Tuberculosis AND 6 9 AIDS and other immune-deficiency Directive [registered nurse conditions or medical practitioner] Infectious hepatitis
3 Complex pain management and practice undertaken by an allied health professional or registered nurse. This will involve therapeutic massage and/ or pain management involving technical equipment specifically designed for pain management AND Frequency at weekly AND Involving at least 20 minutes of staff time in total. You can only one item 4–either 4a or 4b Directive [registered nurse or medical practitioner or allied health professional] AND Evidence based pain assessment AND on request: record 4a 6 Complex pain management and practice undertaken by an allied health professional. This will involve therapeutic massage and/ or pain management involving technical equipment specifically designed for pain management AND Ongoing treatment as required by the resident, at least 4 days per week You can only claim one item 4–either 4a or 4b. Directive [medical practitioner or allied health professional] AND Evidence based pain assessment AND on request: record 4b 3 Complex skin integrity management for residents with compromised skin integrity who are confined to bed and/ or chair or cannot self-ambulate. The management plan must include repositioning at least 4 times per day. Directive [registered nurse or medical practitioner or allied health professional] AND Skin integrity assessment 5 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. Diagnosis or ACCR AND Directive [registered nurse or medical practitioner or allied health professional] AND 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.’ 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. Diagnosis or ACCR AND 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 Diagnosis or ACCR AND Directive [registered nurse or medical practitioner] 9
answer_appraisal_pack_july2013_accessible.docx