Every resident seen whole, on one clinical record
Care plans, medicines, assessments and incidents share one record, so the nurse on shift sees the whole resident. The AN-ACC class refreshes from Services Australia every morning.
The people at this step
Owns the clinical moments: assessments, the care plan, escalation and the handover at the end of the shift.
Record the care they give, in the same record the nurse reads.
Reviews and prescribes against the resident's chart rather than a faxed summary.
Step by step
- A care plan from the assessments
Falls, skin, continence and the other assessments feed the resident's care plan.
- Medicines on the chart
Each dose on the medication round is recorded against the chart it was given from.
- Changes picked up early
Chronic condition pathways and connected devices pick up deterioration before it becomes an emergency.
- Handover
A care handover is drafted from the record for the nurse to review before it is shared, alerts first.
- The class, kept current
AN-ACC classes refresh from ACWS daily, with the date each took effect.
What the next step gets
Care minutes and the Quality Indicators read from the care that was recorded, with nothing extracted by hand.
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