Policy No. |
Titles for residential care service policies and procedures |
CSM |
Care Services Manual introduction page |
CS1 |
Admission to hospital for medical emergency |
CS2 |
Adverse Health Policy |
CS3 |
Anti-coagulation monitor |
CS4 |
Warfarin blood monitoring results |
CS5 |
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CS6 |
Bereavement / Termination Care policy |
CS6 A |
Bereavement notification form (and resource material) |
CS7 |
Blood Glucose monitor form |
CS7 A |
Blood sugar levels record sheet |
CS7 B |
Diabetes Testing and Treatment sheet |
CS7 C |
Blood glucose monitor form |
CS8 |
Blood sugar equipment check |
CS9 |
Blood sugar testing |
CS10 |
Case Conference for care plan review forms |
CS11 |
Care Plan Review Schedule |
CS11 A |
Doctors Visits Schedule |
CS12 |
Catheter management policy |
CS12 A |
Catheter change schedule |
CS13 |
Continence management policy |
CS13 A |
Continence assessment form |
CS13 B |
Continence Voiding Chart and Bowel chart |
CS14 |
Clinical Management Policy (includes resource directly and key responsibilities) |
CS14 A |
Robinson’s Resident Acuity & Clinical Risk Assessment |
CS15 |
Challenging behavior assessment form |
CS15 A |
Behavior monitoring chart |
CS15 B |
Challenging behavior assessment form |
CS16 |
Diversional Therapy – Quality of life policy |
CS16 A |
Diversional Therapy – Residential profile |
CS16 B |
Diversional Therapy – Care plan |
CS16 C |
Diversional Therapy – Activities attendance register |
CS16 D |
Diversional Therapy – Care plan evaluation form |
CS16 E |
Sample Activities Calendar |
CS17 |
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CS18 |
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CS19 |
Falls Prevention Programme |
CS19 A |
Falls Risk Assessment – Coombe’s Assessment Form |
CS19 B |
Repeated Falls Analysis – Accident Summary |
CS19 C |
Resident Mobility Assessment Chart |
CS19 D |
Resident Mobility Guide Form |
CS19 E |
Post Falls Investigation Form |
CS20 |
Fluid Balance Chart |
CS20 A |
Daily Fluid Balance Chart (more reflective of hospital level care) |
CS21 |
Handover sheet |
CS22 |
Health status and clinical risk assessment policy |
CS22 A |
Health status and clinical risk assessment form |
CS23 |
‘Health Promotion’ Initiative Planner |
CS24 |
Lab form – Pathology report storage sheet |
CS25 |
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CS26 |
Long Term Care Plan (Including InterRai prompts and Evaluations) |
CS26 A |
Short term care plan for acute issues |
CS26 B |
Treatment Sheet |
CS26 C |
Daily Care Summary (for inside wardrobe reference in resident room) |
CS27 |
Care Plan multi-disciplinary review policy (and associated form) |
CS28 |
Administration of medication policy – different version supplies for those using Medimap / 1 Chart |
CS28 A |
Administration of medication procedure – different version supplies for those using Medimap / 1 Chart |
CS28 B |
Glucagon Administration |
CS28 C |
Blister pack contents verification |
CS28 D |
Medication competency assessment forms |
CS28 E |
Insulin competency assessment form |
CS28 F |
Medication changes / order notification |
CS28 G |
Medication order sheet – supplied for non-electronic system users |
CS28 H |
Medication Signing sheet – supplied for non-electronic system users |
CS28 I |
PRN medication signing sheet – supplied for non-electronic system users |
CS28 J |
Medication error analysis form |
CS28 K |
Medication error analysis form |
CS28 L |
Respite / short term resident medication signing |
CS28 M |
Self Medication resident initial competency reviews |
CS28 N |
Self medicating – shift by shift verification |
CS28 O |
Medication Returned to Pharmacy form |
CS28 P |
Medication Key Holder Register |
CS28 Q |
Injection Register form |
CS30 |
Nebulizer usage and maintenance policy |
CS31 |
Neurological Recordings policy |
CS31 A |
Neurological Observation sheet |
CS32 |
Podiatrist Service agreement |
CS33 |
Pain Management policy |
CS33 A |
Pain – Detailed Assessment form |
CS33 B |
Pain – Review Assessment form |
CS33 C |
Pain – ABBEY pain scale (for non-verbal resident) |
CS33 D |
Pain – ABBEY pain scale reviews form |
CS34 |
Personal hygiene and grooming policy |
CS35 |
Pharmacy Service Agreement |
CS36 |
Temp, Pulse and Respirations monitor form |
CS36 A |
General Recordings record (optional use) |
CS36 B |
Weight and Blood Pressure Monitor form |
CS36 C |
Blood Pressure Monitor form |
CS37 |
Pressure Injury Risk policy |
CS37 A |
Pressure Injury Clinical Procedures |
CS37 B |
Pressure Injury risk assessment form |
CS38 |
Nursing (care) progress notes form |
CS38 A |
Pressure Note Writing Guidelines |
CS39 |
Medical Notes progress forms |
CS40 |
Restraint / Enabler use policy and procedure |
CS40 A |
Restraint / Enabler Authorisation form |
CS40 B |
Restraint / Enabler Monitoring record |
CS40 C |
Restraint / Enabler Register |
CS40 D |
Restraint / Enabler Assessment prior to use |
CS40 E |
Restraint / Enabler monitoring guidelines |
CS40 F |
Restraint Approval Group Review meeting |
CS40 G |
Restraint / Enabler Review form |
CS41 |
RN – Medical practitioner communication |
CS42 |
Sleep and Comfort policy |
CS42 A |
Sleep Monitor form |
CS43 |
Turn Chart for bed-ridden resident |
CS44 |
Weight Management policy |
CS44 A |
Weight Monitoring chart |
CS45 |
Wound Management policy |
CS45 A |
Wound care plan / dressing schedule |
CS45 B |
Wound care competency assessment |