Mandatory Interview Preperation

8/17/2019 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

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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

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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.