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NSW AMBULANCE AUTHORISED CARE PLANS Building Partnerships In Palliative Care Michelle Shiel Manager, Low Acuity Care 2015 Rural Innovations Changing Healthcare Forum
NSW AMBULANCE AUTHORISED CARE PLANS
Building Partnerships In Palliative Care
Michelle Shiel
Manager, Low Acuity Care
2015 Rural Innovations Changing Healthcare Forum
Children’s Hospital Westmead Phillip Good Dr John McKenzie Johnathon Tunhavasana Graeme Malone Veronica RACF– Central Coast Amaranth Foundation Southern NSW Medicare Local Natalie Cook – State Coordinator, Medicare Local
Acknowledgements
Working Towards a Common Goal
NSW Health Advance Planning for Quality End of Life Action Plan 2013 – 2018
This is being achieved through: paramedics responding to the palliative wishes of patients and families 1)Authorised Care Plans 2)Resuscitation Plans
Background: Building of Partnerships
• Initially established in collaboration between NSW Ambulance and The Children’s Hospital at Westmead where paediatric palliative care plans were put in place to support children in their home
• 2012/13 piloted adult palliative care plans at Veronica RACF Central Coast and across community patients in Southern NSW under the care of the Amaranth Foundation
The Purpose
NSW Ambulance Authorised Care Program was set up to: •Support paramedic decision making in meeting the needs of individual patients with specific medical conditions
•Respecting palliative wishes when an ambulance responds to where an Authorised Care Plan is in place.
General Authorised Care Plans
Adult Palliative Authorised Care
Plans
Paediatric Palliative Authorised Care
Plans
Aspects of the Care Plans
Accessing the Plans
Requests for Palliative and General Authorised Care Plans can be obtained through NSW Ambulance by:
•NSW Ambulance Intranet site
•Request via email [email protected]
•Telephone 9779 3808 or 9779 3821
Taking a Look at Selected Sections of the Plans
Completing the Plans
Cardiac Arrest Treatment Decision
Treatment Decisions
Location of Care
Contact List
Medication Administration
Arrangements for Post Death Management
Plan Endorsement
Processing of the Plans
•The Plan is clinically reviewed •Discussed with treating clinician if required •Forwarded for endorsement •Once endorsed notification uploaded on
computer system •Letter of reply sent to patient and treating
clinician with endorsed plan enclosed
How does the paramedic know there is a plan in place?
Statewide Availability
Information and plan templates have been widely distributed: Local Health Districts Medicare Locals – Including uploading on Health Pathways Age Care Provider Groups Individual RACFs A GP Information Booklet has been developed and distributed via the Medicare Local
Collaboration with Southern NSW Medicare Local
Current Status
Since inception1,100 plans have been registered Currently we have: • 414 Adult Palliative Care Plans in total (299 regional and 115 metro locations) • 76 General Authorised Care Plans in total (21 regional and 55 metro) • 38 Paediatric Palliative Care Plans in total (10 regional and 28 metro)
“ We just want to do right by the patient because if they have a final wish about their care it should be respected” -Paramedic “
Do you have any Questions? My contact details are: [email protected] 97793809 or 0407 259 039
