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P A C E Emergency Department Origin NIPEC Recording Care Project - PowerPoint PPT Presentation

Apr 27, 2023 •331 likes •706 views

Care Planning P A C E Emergency Department Origin NIPEC Recording Care Project SINCE 2009.. Improve the standards of nurse record keeping practice in the region Recording Care ...... Whats the point? Why Keep Records I I Int

  1. Care Planning P A C E Emergency Department

  2. Origin NIPEC Recording Care Project SINCE 2009…….. Improve the standards of nurse record keeping practice in the region

  3. Recording Care ...... What’s the point?

  4. Why Keep Records I I Int ntegral ral par art o t of p f pra ract ctice ice Evidence of partnership with people in our care  Communication  Support delivery/continuity of care  Evidence clinical judgement/decisions  Identifies risks

  5. Requirement Co-production – being person centred  Regulatory – NMC  Legal - Improves accountability and provides evidence  Employer - Policies

  6. What it’s not.....

  7. What it is.....

  8. CARE PLAN

  9. What is a Care Plan

  10. It is.. A written record of the ‘care planning process’. This process identifies the persons needs , plans the nursing intervention to achieve the desired outcomes and evaluates the effectiveness of delivered care. Care planning – Action Care plan – Recording Can be viewed as a negotiated contract laying down both parties’ responsibilities

  11. Care plan should..  be Person-centred  Involve person in decision making  be in Partnership  be Collaborative  enable Information Sharing  be Regularly Reviewed

  12. Caution….  Over reliance – not questioned  Difficultly to keep updated as person changes  Constant revision costs time  Not always individual  Not flexible  Reduced critical thinking

  13. Is there a better way The development of the way forward to improve the quality of care planning within the nursing profession began January 2014

  14. START NOV 2014 CARE PLANNING SUMMIT – January 2015 Presentation to EDoNs April 2015 Meetings June, July and August 2015 Product PACE Pilot September 2015 Presentation to EDoNs Nov 2015 Larger Pilot Feb-April 2017 Presented to CNO/ EDoNs July 2016 PROCESS OF PLANNING ROLLOUT

  15. What did the literature tell us Variety models underpin care plans Involving person Highly skilled and family Record keeping not reflective of Dynamic process delivered care Ongoing reflection required Safety issues Complex/ inflexible Difficult to understand

  16. Current practice • Nursing process • Models • Care pathways • Care bundles • Clinical assessment tools

  17. PACE – What's possible Passive recipients PARTNERSHIP EMPOWERMENT Paternalistic INFORMED CONSENT Informed of care SIMPLICITY Comprehensive FACTUAL/CONCISE ‘it wasn’t recorded it wasn’t done’

  18. PACE P ERSON E VALUATION A SSESSMENT PLAN OF C ARE

  25. When to record P – commencement of record and during their time in the department A - Depending on the need - ongoing care/episodes of care/emergency & critical care C - Following assessment of needs E - After a plan is in place and the action has been carried out or if unable to be carried out

  26. Champions

  27. Champions Role Motivator Promote awareness Resource Educator WHAT Embracing barriers / Facilitate/ Mentor Monitor HOW Role model Embed Good Change practice culture Evaluator/ Feedback

  28. PACE Educator  Train their peers, tailoring this to their area of practice.  Can be formal or informal. Run short sessions or work with staff during the shift.  Work through resource pack.  Feedback on the resources and possible development of new materials such as posters, leaflets.  Guide to other resources  Become familiar with NIPEC site with resources and tools for practice improvement

  29. Embracing Barriers

  30. BARRIER ENABLER New approach – increase time Given adequate time from to record nurse leaders Inadequate training Adequate training preparation preparation

  31. BARRIER ENABLER Lack of explanations of Given adequate explanation change/expectations Lack of feedback to Facilitate feedback to department level department level. Misunderstanding of PACE Training/Resources Reluctance from patient Explanation

  32. BARRIER ENABLER Lack of training/ preparation Support from NIPEC at all levels Attendance at training workshops. Lack of awareness Involvement of department champions to cascade Resource pack. Training audit tool

  33. BARRIER ENABLER Fear -not writing Training/on going support at enough/change of entire style ward level Fear of legal/professional Addressing these issues repercussions Revalidation Staff attitudes - sceptical Communication / Discussion Challenging department Creative thinking to current environment processes Staff levels Appropriate reporting Understanding

  35. Resources • Resource pack • NIPEC website http://www.nipec.hscni.net/ • NIPEC microsite http://www.nipec.hscni.net/resource- section/improve-record-keeping/ • NMC Code • Standards document

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