Keeping aged care residents at their home rather than ED presentations

Assit aged care facilities with advanced education such as reconition of the deteriorating resident 

Why the contribution is important

A number of my RNs are new graduates or sponsored  and  who require additional education and support. Additionally care staff are AINs who may or may not have a cert 111 in aged care

This will allow earlier recognition of an  illnes before it becomes acute, particularly over the weekends

by JackyF on August 12, 2019 at 11:21AM

Current Rating

5.0
Average score : 5.0
Based on : 2 votes

Comments

  • Posted by kylie August 12, 2019 at 22:17

    Wouldn't it be more cost affective to have them seen in their nursing home and possibly hire a nurse to go around the homes and give whatever meds the doctors require rather then the lengthy stays we have in hospitals. This would also free up QAS and stop the hospitals becoming expensive nursing homes themselves
  • Posted by SonyaOsborne August 17, 2019 at 05:19

    There are some examples already of how this might look, eg The EDDIE Study in FNQ, that could be translated here. The key to successful and sustainable implementation for this or any project would be to use an implementation science approach to ensure any implementation plan targets the contextual barriers to implementation.
  • Posted by TrentWheeler August 21, 2019 at 16:42

    The number of unnecessary transports from nursing homes to ED is still significant despite the introduction of CARE-PACT. Many nursing homes restrict their nurses from doing simple procedures like attempting to flush urinary catheters. After hour consultations between the nursing home and a resident's GP almost always ends in a default response of sending the patient to hospital. Residents get sent to hospital because they had a fall several hours earlier, are not anti-coagulated, and are not showing any injuries or neurological symptoms, purely because it's the nursing home's policy. CARE-PACT needs to be expanded to an after hours service, as we have a significant number of presentations at night when the change of nursing shift comes on, which results in two ambulance dispatches (the patients get sent back home before the day shift when ambulance coverage is minimal).
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