Guidelines for the provision of community nursing services - Case ...
Guidelines for the provision of community nursing services - Case ...
Guidelines for the provision of community nursing services - Case ...
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3. When would <strong>the</strong> care be reviewed and by whom (eg level <strong>of</strong> personnel)?Answer Scenario 21. Personal Care Schedule – Personal Care 12-17 visits - NZ03Under <strong>the</strong> Personal Care Schedule limited clinical interventions can be provided(The personal care takes <strong>the</strong> majority <strong>of</strong> <strong>the</strong> time as opposed to <strong>the</strong> injections)2. Registered nurse/enrolled nurse/<strong>nursing</strong> support staff <strong>for</strong> <strong>the</strong> personal care andregistered nurses or endorsed enrolled nurses <strong>for</strong> <strong>the</strong> clinical care*3. As clinical care is involved, <strong>the</strong> 28-day retrospective and 3 monthly reviews <strong>of</strong> carewould be conducted by a registered nurse* Based on <strong>the</strong>ir qualifications, experience and <strong>the</strong> legislative requirements <strong>of</strong> <strong>the</strong> State/Territoryin which <strong>the</strong>y workScenario 3A younger disabled veteran was referred to <strong>community</strong> <strong>nursing</strong> following hospitalisation<strong>for</strong> a fall in which he sustained a fracture to <strong>the</strong> right ankle.During his stay in hospital <strong>the</strong> veteran client developed a pressure ulcer on his left heelwhich will require wound dressings three times per weekly.While <strong>the</strong> veteran client usually manages all activities <strong>of</strong> daily living independently, <strong>the</strong>fracture has caused some limitations in his mobility and capacity to per<strong>for</strong>m householdtasks.VHC domestic assistance was organised by <strong>the</strong> Discharge Planner.The veteran client is seen by RN/EN three days per week <strong>for</strong> wound management <strong>for</strong>three weeks, <strong>the</strong>n discharged from CN. The average length <strong>of</strong> visit was less than 20minutes.The Wound consumables cost <strong>the</strong> provider $52.00.1. Under which Schedule and which item number would <strong>the</strong> DVA-contractedprovider classify this veteran client?2. What level <strong>of</strong> personnel would be required to give <strong>the</strong>se <strong>services</strong>?3. When would <strong>the</strong> care be reassessed, and by whom (eg level <strong>of</strong> personnel)?4. When would <strong>the</strong> care be reviewed and by whom (eg level <strong>of</strong> personnel)?5. How would your answer differ if <strong>the</strong> veteran client received <strong>the</strong> same <strong>services</strong>, butwas discharged in less than 14 days?The Department <strong>of</strong> Veterans’ Affairs – Community Nursing <strong>Guidelines</strong> DVA Community NursingClassification System - '<strong>Case</strong> Studies' with answers.docPage 2 <strong>of</strong> 5