THE STATEHOSPITAL

PATIENT NAME: ………………………. Date of Admission: .…./……/……….
  • This document is for nurses to use as a checklist, to keep a record of what has been done along the patient pathway, i.e. leading up to and just after the patient’s Admission Case Conference.
  • It is intended as an aid to nursing practice, no data collection or analysis will be carried out using this document.
  • The Checklist however, should be used in conjunction with the new ‘Variance Analysis Tool’, from which data will be collected and analysed in order to help improve quality of patient care.

Contact Information / Julie McGee, ICP AssistantTel ext: 2073
ADMISSION PATHWAY INTERVENTIONS / Notes:
Prior to Admission
Nursing Pre-Admission assessment completed
Day of Admission
Nursing Pre-Admission report available
External notes available at point of admission
Blood Borne Virus risk assessment
Initial admission risk assessment tool completed
Patient introduced to ward
Patient assigned to Key Worker (Associate Worker)
Patient introduced to KW/ AW
Does patient smoke? yes no
Admission profile completed

CONTINUED OVER >

‘Advance Statement’ discussed with patient
Copy of ‘Advance Statement’ available in patient folder
At-Risk Register completed
Nursing Care Plan commenced
Carer/ relative contacted successfully
Identified as being on drug withdrawal programme
Cultural assessment tool completed as required
Patient with physical disability, and minority groups. Referred to CNS, Manual Handling Advisor &/or OT as required.
Patient with moving & handling issues referred to Manual Handling Advisor
By day 7
Nutritional Screening Tool Completed
Information Booklets (i.e. Patient Info, Hosp Info, Section Info, MWC Info, etc) explained and given to Patient - in a relevant and understandable format.
Referred to Spiritual & Pastoral Care Team as req.
Referred to Advocacy as required
Risk Assessment discussed (at CTM)
By day 14
Complete LUNSERs
if approp, e.g. if on anti-psychotic medication
Referral to Occupational Therapy for assessment completed
Patient informed of CC date and invited to attend.
BEST-Index Assessment Completed (+ Care Plan updated)
PECC Nursing Assessment Completed (+ Care Plan updated)
By day 42 (prior to Case Conference)
2nd BEST-Index Nursing assessment done and report updated ready for case conference
Patient asked if they want Carer / Named person invited to CC
Carer/ Named Person invited to CC
One Week Prior to case conference (W8)
Key Worker / Associate Worker discusses nursing report with patient
KW / AW liaise with ward staff re proposed recommendations for nursing report.
Nursing report prepared (and sent to RMO secretary for distribution)
At case conference
Attends Case Conference?KW / AW
Patient
Carer
Advocacy
After Case conference (same day)
KW / AW discuss case conference with patient
Three Weeks after case conference
Treatment Plan received on ward

Have you remembered to complete the ICP ‘Variance Analysis Tool’?

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