1
Clinical Governance
6
Communicating for Safety
Clinical Governance
6
Communicating for Safety
2 Processes for structured clinical handover
Safety huddle
MDT meetings
ISBAR on referrals in and out
Handover to external partners
eMR notes
Important to use which service, to ensure effective communication with consumers, as required
Interpretors
Define polypharmacy
The concurrent use of five of more. medicines by the same person.
Who should be screened for falls and what screening tool should be used?
>65 y
Falls Risk for Older People in the Community (FROP-com)
Mandatory training for detecting and recognising acute deterioration, and escalating care
Detect between the flags
Correct identification
2 examples of partnering with consumers utilised by OPMH
Open discussions about care
Reviews
Euroa Times
YES/CES and other surveys
5 Moments of Hand Hygiene
Falls Risk factors for MH Consumers
Age, poor nutrition, physical illness, mental illness, psychiatric treatments, adverse drug effect, sleep disturbances, interactions of others (pushing/shoving)
Community Procedure Following a Fall
Check for signs of injury or BLS
Person has had a fall and is UNABLE to get to their feet/has an injury/acute confusion and is unable to be treated and stabilised - ambulance
Person is found on the floor – has no obvious injury and is able to get to their feet OR person reports that they have had a fall - assist, assess, discuss, wait to stabilise/support person, refer or recommend GP
Advise line manager and complete IMS report a
• Document actions - communicate fall information at Clinical Handover
• Make referrals to appropriate disciplines to conduct falls risk assessment and management
3 frameworks of care for MH
When is Informed Consent obtained?
Voluntary admissions
AH interventions
Pathology investigations
general health procedures
Where does community OPMH store medication
Upstairs in locked cupboard of Adult Mental Health
Patients at risk of specific harm are identified, and clinicians deliver targeted strategies to prevent and manage harm. Name the six
Preventing Pressure injuries
Preventing Falls and harm from falls
Preventing delirium and managing cognitive impairment
Predicting, preventing and managing self-harm and suicide
Predicting, preventing and managing aggression and violence
Minimising restrictive practices: restraint and seclusion
What service can family use to escalate conchs
REACH Recognise, Engage, Act, Reach Call, Help is on its way
4 processes to ensure safe and evidenced based care
A person has legal capacity to make a particular decision when they are able to do all of the following:
Understand the facts involved
Understand the treatment choices
Understand how the consequences of treatment affect them
Retain the information and recall the details
Weigh up the consequences of those choices,
including the choice to refuse treatment
Communicate their decision and understanding of its implications.
What information is to be given regarding medication
4 features of delirium
Bonus Screening test
Acute change or
Fluctuating course
Inattention
Disorganised thinking
Altered level of conciseness
4AT
How do you know id a consumer has an ACD
eMR
5 types of critical points of care
5 Health Care Rights
Access
Safety
Respect
Communication
Participation
Privacy
Comment
What are high risk drugs (classes)
5 mandatory screens for people over 65 in the community
Mental state - harm to self or others
DV / Abuse of Older People
Home visits
COVID
Falls
Cognition
Protocols that specify criteria for escalating care