Standard 1 - Clinical Governance
What is Lester's favorite food?
Sausages
How do you seek feedback from families, carers and consumers?
Yes Surveys
Compliments and complaints process
Carer experience survey
What stewardship do we follow for antibiotics?
Antimicrobial Stewardship
How often should you do the medication fridge temperature checks?
Daily if storing medications, twice daily if storing vaccines.
What assessment is required to be completed to prevent Pressure Injuries?
Waterlow Assessment
How is a consumers identity verified in an inpatient setting?
ID band
Photo
If a consumer declines to wear an ID band and have a photo ID taken. 2 x nursing staff to confirm ID through DOB, address, MRN, allergies when giving medications.
How do you escalate care for physical deterioration?
CERS Pathway
2222
CR/RR form must be completed for any
How do you identify and communicate consumer risks?
Safety Huddles
Handover
Debriefs
MDT
How do you meet health literacy needs of consumers?
- Health literacy leaflets
- Talk back
- Medication information leaflets in other languages
Your consumer is suspected COVID, What do you do?
- RAT/PCR
- Isolate
- Contact ID
- Set up donning and doffing station
- Monitor symptoms of both consumer and co-consumers/staff that have come into contact with the consumer.
Where would you find if a patient has an allergy to a medication and what reaction they have to it?
eMR - Patient Summaries - Allergies
What screen needs to be completed for Delirium?
When do you need to check the identity of a consumer?
On admission
When applying the ID band
Each patient encounter e.g medications, clinical procedures
Transfer of care and discharge
How do you document a deterioration in Mental State?
Mental State Examination
Risk Assessment
How do you identify and manage environmental risks?
Safety Huddles
Monthly WHS QARS audit
Escalate to NIC/NUM
Log issue in AFM
Describe all the instances where informed consent is obtained from a consumer in your clinical area?
- Voluntary admissions
- Allied health intervention
- Prior to Pathology or Investigations
- Any general health procedure (Not under MH Act)
What precautions would you put in place for a consumer with COVID19?
Droplet, Airborne and Contact.
What are the "5 Rights"
Right Patient
Right Drug
Right Time
Right Dose
Right Route
What eMR powerform needs to be completed to screen for Falls Risk?
Ontario Modified Screen (OMS)
What does the acronym ISBAR stand for?
I - Introduction
S - Situation
B - Background
A - Assessment
R - Recommendation
Post any CERS activation, how frequently do vital signs need to be done?
Every Hourly for 4 Hours at a minimum
What security and safety systems do you have in place?
Duress alarms
Two way radios
Call 2222
CCTV
Key and swipe access
Anti-barricade doors
What do you do to ensure the diverse needs of consumers, families and carers are met ?
Use of interpreters
Family meetings
COPMI input
Completion of mandatory training e.g respecting the distance/TIC
Referrals to appropriate services e.g AOL, PIMHS
How do you communicate a consumer's infectious status during care, TOC and DC?
-ISBAR
-Handover
-Care plan
-Electronic Patient Journey Board
-Signage
-Admission/DC summary on eMR
What is SESLHD Mental Health Services High Risk Medication
Clozapine
What eMR Powerform needs to be completed to screen for malnutrition?
Malnutrition Screening Tool
What processes do we have to ensure safe clinical handover?
Electronic Patient Journey Board
Safety huddles
MDT meetings
Case conferences
Family meetings
What SESLHD processes are used to screen for, assess and manage delirium within an episode of care?
AMTS
Physical Health Observations
A-I Assessment
What is CAC?
- Support the improvement of public mental health services
- Ensure the perspectives of mental health consumers are heard and documented
- monitors and evaluates the progress towards goals and improvements
- Facilitate communication between consumers, carers and the health service
- Make education materials that are easy to understand
What strategies do you have to partner with consumers?
Consumer attendance at MDT
Consumer input for Care plans
Consumer Advisory Committee (CAC)
Consumer Advisory Group (CAG)
Charter of healthcare rights visible
Peer support input
What are the 5 moments of Hand Hygiene?
1. Before touching a patient
2. Before a procedure
3. After a procedure or body fluid exposure risk
4. After touching a patient
5. After touching a patients surroundings
What does APINCH stand for
A - Anti-infective (antibiotics and antifungals)
P - Potassium and other electrolytes
I - Insulin
N - Narcotics and other sedatives
C - Chemotherapy
H - Heparin and other anticoagulants
How soon does a physical health assessment need to be done on admission?
48 hours
How do we involve consumers and carers?
Consumer attendance at MDT
Consumer input for Care plans
Family meetings
What are the timeframes for the different Observation and Engagement Levels? 1-5
Level 1 = Constant Observation. At all times a nurse must be within one metre of the consumer or the consumer must remain under the visual observation of a nurse.
Level 2 = Observation every 15 minutes. Nurses must regularly engage and randomly observe consumers on this level at least every 15 minutes (at a minimum)
Level 3 = Observation every 30 minutes. Random and regular checks of a consumer’s location and activity within the unit at least every 30 minutes (at a minimum)
Level 4 = Observation every hour. Random and regular checks of a consumer’s location and activity within the unit at least every 60 minutes (at a minimum).
Level 5 - Observation every two hours. Random and regular checks of the location and activity of the consumer every two hours (at a minimum).
What are the top 3 risks for Kiloh General and how do we mitigate them?
Top 3 Risks
- Falls
- Restraints
- AWOL
How do we ensure we are addressing the needs of Aboriginal and Torres Strait Islander consumers?
- process for identifying Indigenous consumers in ED
- First assessment on ward
- Mental Health Care Plan
- Referral to AOL
What are the top 3 Risks for MHICU and how do we mitigate them?
- Seclusion and Restraint
- Aggression
- Falls
What are Kiloh Observation Wards top 3 risks and how do we mitigate them?
- Seclusion and Restraint
- Aggressions
- Sexual Safety
What are the top 3 risks for PECC and how do we mitigate them?
- Concerning behavior
- Med errors
- Post discharge follow up
What are the top 3 risks for Rehab and how do we mitigate them?
- Medication errors
- Leave compliance
- Limited group activities
What are the top 3 risks for Older Persons and how do we mitigate them?
- Falls
- Restraints
- AWOLs