Numerous brochures and specific information are available to augment the teaching and education provided. There is a community services directory that outlines the resources available to assist with meeting client s ongoing needs. The consent process is done well and physicians explain and obtain signed consent to invasive procedures. There is discussion of appropriate level of intervention when necessary and this, too, is signed. All disciplines document well and collaborate around care planning.
Effort is made to engage family members in learning necessary skills to assist the client.
The pharmacist discusses medication needs with clients and families. There is extensive use of clinical practice guidelines, protocols and care maps which are referred to as time lines. Regionalization and program management are cited as having improved interdisciplinary collaboration. Laboratory and radiology staff see themselves as part of the care team. Plans are reviewed and revised as the client s condition changes and again before discharge.