Guidelines for the provision of community nursing services - Case ...

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3. When would the care be reviewed and by whom (eg level of personnel)?Answer Scenario 21. Personal Care Schedule – Personal Care 12-17 visits - NZ03Under the Personal Care Schedule limited clinical interventions can be provided(The personal care takes the majority of the time as opposed to the injections)2. Registered nurse/enrolled nurse/nursing support staff for the personal care andregistered nurses or endorsed enrolled nurses for the clinical care*3. As clinical care is involved, the 28-day retrospective and 3 monthly reviews of carewould be conducted by a registered nurse* Based on their qualifications, experience and the legislative requirements of the State/Territoryin which they workScenario 3A younger disabled veteran was referred to community nursing following hospitalisationfor a fall in which he sustained a fracture to the right ankle.During his stay in hospital the veteran client developed a pressure ulcer on his left heelwhich will require wound dressings three times per weekly.While the veteran client usually manages all activities of daily living independently, thefracture has caused some limitations in his mobility and capacity to perform householdtasks.VHC domestic assistance was organised by the Discharge Planner.The veteran client is seen by RN/EN three days per week for wound management forthree weeks, then discharged from CN. The average length of visit was less than 20minutes.The Wound consumables cost the provider $52.00.1. Under which Schedule and which item number would the DVA-contractedprovider classify this veteran client?2. What level of personnel would be required to give these services?3. When would the care be reassessed, and by whom (eg level of personnel)?4. When would the care be reviewed and by whom (eg level of personnel)?5. How would your answer differ if the veteran client received the same services, butwas discharged in less than 14 days?The Department of Veterans’ Affairs – Community Nursing Guidelines DVA Community NursingClassification System - 'Case Studies' with answers.docPage 2 of 5
Answer Scenario 31. Clinical Care Schedule: Technical, visit length – 20 minutes or less per visits - NY02and Clinical Care Schedule Additional Components: Wound ManagementConsumables - NC142. Personnel used to deliver wound management services must be registered nurses orenrolled nurses*3. As clinical care is involved, the care needs would be reassessed at each visit by aregistered nurse4. As clinical care is involved, the 28-day retrospective review and 3 monthly reviews ofcare would be conducted by a registered nurse5. Clinical Care Variation Schedule: NY14* Based on their qualifications, experience and the legislative requirements of the State/Territoryin which they workScenario 4A new veteran client has been recently diagnosed with diabetes.The community nursing provider receives a referral asking that the veteran client’s bloodglucose be monitored second daily and once blood glucose level is stable, weekly. TheCN also provides reinforcement of the veteran client’s education on the management oftheir diabetes.1. Under which Schedule and which item number would the DVA-contractedprovider classify this veteran client?2. What level of personnel would be required to give these services?3. When would the care be reviewed and by whom (eg level of personnel)?4. How often would you feedback to GP?Answer Scenario 41. Clinical Care Schedule: Clinical Monitoring - NY012. Personnel used to deliver Clinical Monitoring services must be registered nurses orenrolled nurses*3. As clinical monitoring is involved, the 28-day retrospective and 3 monthly reviews ofcare would be conducted by a registered nurse4. Weekly feedback to the GP until BGL is stable and once stable on a regular basis,generally at every 3 monthly review or if any changes occur* Based on their qualifications, experience and the legislative requirements of the State/Territoryin which they workThe Department of Veterans’ Affairs – Community Nursing Guidelines DVA Community NursingClassification System - 'Case Studies' with answers.docPage 3 of 5
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Page 5: Scenario 7A veteran client has comp

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