OCTOBER 2024 NSLHD Disability Care Plans Procedure
EDITION 35
The new NSLHD Disability Care Plans Procedure supports all clinicians involved in providing care to a person with a disability who cannot self-communicate their needs. The newly endorsed procedure explains how clinicians can access existing Disability Care Plan documents created by private community clinicians to enhance continuity of care. This procedure addresses recommendations made by the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability and aligns with National Safety and Quality Health Service (NSQHS) standards particularly partnering with consumers, comprehensive care and communicating for safety standards.
Disability Care Plans document a person’s preferences, support requirements, communication, behavioural support needs, and contact details of organisations providing care. Disability Care Plans can be in any format endorsed by the Agency for Clinical Innovation and used across the state including the Top 5 form, Admission2Discharge (A2D) folder, Hospital Support Plan, My Health Matters, and My Health Passport. Clinicians can now request, upload, access, and use existing electronic documents. This helps to facilitate improved continuity of care and reduce workload and paper use.
Behaviour support/Disability Care Plans are routinely used for people with established behavioural support needs funded by the National Disability Insurance Scheme (NDIS) and are mandatory for people living in a Residential Aged Care Facility (RACF) who need that type of care. If documents don’t exist Mental Health Drug and Alcohol ( MHDA) and Disability Support Workers can use the Top 5 form. The Communication and Care Cues form can be used for unpaid carers.
Communication and Care Cues form The Communication and Care Cues (CCC) form is an NSLHD- endorsed tool designed to be used to improve the communication and understanding of the needs of patients who have a cognitive impairment. It provides quick access to essential information provided by the patient's carer.
The CCC form is to be completed by the carer with nursing staff ensuring it is then reviewed, shared with colleagues at handover, and loaded onto the patient’s record, making it accessible in eMR or Clinical Notes View. The form provides insights from carers - those who know how to communicate with and calm the patient best - helping staff better understand how to engage and support patients. By integrating the CCC into daily practice, nursing and clinical teams can offer more tailored care and an improved hospital experience for patients with cognitive challenges, aligning directly with the goal of quality, person-centred care (Quality Statement 1). For more information on the CCC, see the CCC Toolkit page, which also provides access to corresponding NSLHD Policies and Procedures.
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