Intensive Care Service Model NSW Level 4 Adult Intensive Care Units

3. Standard protocols and procedures
3.1 Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional
linkages between the Level 4 and 5/6 ICUs.
3.2 Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the
LHD Executive.
3.3 Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce
clinical variation.
3.4 Process for the update of guidelines and procedures based on the best available evidence, with input from
multidisciplinary team members.
3.5 Telehealth solutions where appropriate to support clinical decision making across networked hospitals.
4. Patient safety & experience, quality outcomes & data
4.1 Regular local multidisciplinary Morbidity and Mortality (M&M) meetings and combined intensive care network
meetings, consider quarterly.
4.2 Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum
monthly.
4.3 Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.
4.4 Undertake patient/carer & staff experience activities at a minimum annually.
4.5 Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service
patients.
4.6 Risk register developed and maintained in relation to the service model.
5. Education, training & clinical supervision
5.1 Structured orientation and education programs available to medical and nursing staff, supported by the LHD
Executive.
5.2 Medical staff responsible for the Intensive Care Service, work within a defined scope of practice, with clinical
supervision requirements clearly documented and communicated.
Intensive Care Service Network – Intensive Care Service Model: NSW Level 4 Adult Intensive Care Units Page 21