Mandatory Interview Preperation

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    What is Aged Care in Australia?  Aged Care is most easily understood as beingnursing homes and home care. It may also refer to community services, specificgeriatric health care and community centres. 

     Aged care in Australia is principally funded by the federal government, with the

    States also contributing. There are also non-government funded services offered byprivate businesses, as well as church and charitable organisations.

    There are different types of Aged Care including Residential Aged Careprovision of residential aged care (aged care homes) for frail older people who areunable to continue living independently at home. There are different levels of agedcare homes – low level, aging in place and high level. 

    Community Care Services for older people receiving care in their own homes from

    visiting care providers. Services for community care generally include but are not

    limited to assistance with bathing, shopping, cooking, cleaning, attending Allied

    Health, doctor and specialist appointments.

    What legislation governs Aged Care in Australia? The two main pieces of

    legislation governing Aged Care programs and services, they are the Aged Care Act

    and the Home and Community Act 1985.

    What is Accreditation? To be eligible for continued Government funding, aged care

    homes are assessed against a list of standards which include:

      the health, personal care and lifestyle that they provide to residents

      the safety and quality of their buildings and standards, and

      their management and organisational development.

     Aged care facilities are granted accredited if they meet these standards. The

    evaluation process, which ensures that residents receive quality care and services,

    is carried out every three years or during a shorter time frame if there are areasneeding improvement. As part of the process, staff, residents and relatives are

    interviewed by an independent agency about their experiences with the quality of

    care and service in the home.

    What is ACFI? ACFI is an Aged Care Funding Instrument used to determine the

    level of funding that a facility receives for each resident. The amount of funding is

    based on 3 categories ADL, Complex Healthcare and Behavioural.

    what is the actabout

    http://www.agedcareguide.com.au/services.asphttp://www.agedcareguide.com.au/services.asp?serviceid=60http://www.agedcareguide.com.au/services.asp?serviceid=60http://www.agedcareguide.com.au/services.asp

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    Care plans are used to track the patient’s requirements and care needs, as the

    primary measure of assessment it is imperative care plans are completed accurately

    and reviewed regularly so that funding is paid correctly.

    About Wound Management About Wound Management

    In my Aged Care experience I understand that skin tears, pressure ulcers and

    chronic leg ulcers are the most common types of wounds in elderly patients.

     Assessment is the first part of managing a wound, both the patient and the wound

    are carefully examined to determine the best treatment.

    Healing can be impacted by the general health of the resident, when assessing and

    reporting on the patient I note the following:

      full medical history such as diabetes, vascular diseases, compromisedimmune system, connective tissue disorders and allergies  medication  nutritional status  lifestyle, for example tobacco and alcohol habits or impaired mobility  psychological problems  quality of life

    When I am following and updating the wound management plan I document:

      wound location, size and type

      characteristics of the wound bed, such as necrotic tissue, granulation tissueand infection

      odour and exudate (none, low, moderate, high)

      condition of the surrounding skin 

      clinical signs of critical colonisation or local infection

      wound pain: location of the pain, pain duration, pain intensity (Pain scale.pdf ),type of pain, nociceptive or neuropathic pain.

    If I am concerned about the wound or unsure I know to consult the physician and or

    wound management nurse.

     About Care Plans upon admission an assessment of each resident is required to

    provide the facility with ongoing information necessary to develop a care plan, to

    provide the appropriate care and services for each resident.

    Timing of care plans at minimum, residents must be assessed upon admission,

    when a significant change takes place, and at least annually plus the assessment

    must be reviewed at least quarterly.

    Accuracy of care plans  the assessments must be done in such a way that each

    resident receives an accurate assessment by staff that are qualified to assess

    Slough and eschar are the 2 types of necrotic tissues necrotic tissue must be

    removed before repair and healing can occur.

    Dark granulation tissue can be indicative of poor perfusion

    3 moths

    http://www.coloplast.com.au/woundandskincare/topics/woundandskinconditions/periulcerskin/http://www.coloplast.com.au/woundandskincare/topics/woundandskinconditions/periulcerskin/http://www.coloplast.com.au/WoundAndSkinCare/Topics/WoundManagement/Documents/Pain%20Scale.pdfhttp://www.coloplast.com.au/WoundAndSkinCare/Topics/WoundManagement/Documents/Pain%20Scale.pdfhttp://www.coloplast.com.au/WoundAndSkinCare/Topics/WoundManagement/Documents/Pain%20Scale.pdfhttp://www.coloplast.com.au/WoundAndSkinCare/Topics/WoundManagement/Documents/Pain%20Scale.pdfhttp://www.coloplast.com.au/woundandskincare/topics/woundandskinconditions/periulcerskin/

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    relevant care areas and knowledgeable about the resident’s status, needs,

    strengths, and areas of decline.

     An accurate assessment means the appropriate qualified health professional

    correctly documents the resident’s medical, functional, and psychosocial problems

    and identifies resident strengths to maintain or improve medical status, functionalabilities, and psychosocial status. The initial comprehensive assessment provides

    baseline data for ongoing assessment of resident progress.

    Each individual who completes a portion of the assessment must sign and certify the

    accuracy of that portion of the assessment.

    What do you know about Palliative and End of Life Care Palliative care is an

    approach that improves the quality of life of patients and their families facing the

    problems associated with a life-threatening illness, through the prevention and reliefof suffering by means treatment of pain and other problems, physical, psychological

    and spiritual.

    What qualities does a team leader have and what are some of their

    responsibilities? It is expected that Registered Nurses in a leadership ormanagement capacity exhibit communication and problem-solving skills.

    Team Leaders need to ensure the flow of the daily unit operations is in conjunctionwith meeting the organization's objectives, while ensuring the quality of care is beingrendered in a cost effective manner.

    Team leaders must manage patient flow, quality/risk manage, delegate and eachhas specific duties associated i.e. prioritization of flow, discharge planning, clinicaloutcomes, core measures

      Confident  Responsible  Fair  Flexible   Assertive  Have a positive attitude  Show Initiative

    Team Leaders role encompasses being the:  Coordination of nursing services

      Evaluator of staff performance  Resource to the staff, patients, visitors, and physicians

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      Mentor to staff so that the expectations set will be met with guidance anddirection

      Key role in ensuring the deliverance of excellent quality care  Ensuring safe and effective clinical practices are occurring  Enhancing the patient's experience by performing patient rounds and building

    relationships  Managing the people and patient flow  Contributing to the delivery of the organization's objectives   Acting as a change agent by being the catalyst for change using evidence-

    based, thereby, leading development and ensuring clinically effective practice  Being a role model to staff members by creating an atmosphere that

    empowers them to contribute to the delivery of high quality care.   Assignments are completed and covered based on a patient's needs   A schedule is completed and any gaps are dealt with  Tasks are delegated effectively and the care is supervised  Decision-making in the areas where they are both responsible and

    accountable for, eg: guidance to those with less experience, requestingadditional staff when census rises

      Staff accountability, especially if patient safety or the performance of patientcare duties is compromised, adherence to regulatory or organizationrequirements are not being followed.