3 Complex pain management and practice undertaken by an allied health professional or registered nurse. This will involve therapeutic massage and/ or pain management involving technical equipment specifically designed for pain management AND Frequency at weekly AND Involving at least 20 minutes of staff time in total. You can only one item 4–either 4a or 4b Directive [registered nurse or medical practitioner or allied health professional] AND Evidence based pain assessment AND on request: record 4a 6 Complex pain management and practice undertaken by an allied health professional. This will involve therapeutic massage and/ or pain management involving technical equipment specifically designed for pain management AND Ongoing treatment as required by the resident, at least 4 days per week You can only claim one item 4–either 4a or 4b. Directive [medical practitioner or allied health professional] AND Evidence based pain assessment AND on request: record 4b 3 Complex skin integrity management for residents with compromised skin integrity who are confined to bed and/ or chair or cannot self-ambulate. The management plan must include repositioning at least 4 times per day. Directive [registered nurse or medical practitioner or allied health professional] AND Skin integrity assessment 5 3 Management of special feeding undertaken by an RN, on a one-to-one basis, for people with severe dysphagia, excluding tube feeding. Frequency at least daily. Diagnosis or ACCR AND Directive [registered nurse or medical practitioner or allied health professional] AND Swallowing assessment 6 1 Administration of suppositories or enemas for bowel management is a usual care need. The minimum required frequency is ‘at least weekly.’ Directive [registered nurse or medical practitioner] AND on request: record 7 3 Catheter care program (ongoing); excludes temporary catheters e.g. short term post-surgery catheters. Diagnosis or ACCR AND Directive [registered nurse or medical practitioner] 8 6 Management of chronic infectious conditions Antibiotic resistant bacterial infections Tuberculosis AIDS and other immune-deficiency conditions Infectious hepatitis Diagnosis or ACCR AND Directive [registered nurse or medical practitioner] 9
6 Management of chronic wounds, including varicose and pressure ulcers, and diabetic foot ulcers. Diagnosis or ACCR AND Directive [registered nurse or medical practitioner or allied health professional] AND Wound assessment AND on request: record 10 6 Management of ongoing administration of intravenous fluids, hypodermoclysis, syringe drivers and dialysis. Directive/ prescription [authorised nurse practitioner or medical practitioner] 11 3 Management of oedema, deep vein thrombosis or arthritic joints or chronic skin conditions by the fitting and removal of compression garments, compression bandages, tubular elasticised support bandages, dry dressings and/ or protective bandaging. Diagnosis or ACCR AND Directive [registered nurse or medical practitioner or allied health professional] 12 3 Oxygen therapy not self-managed. Diagnosis or ACCR AND Directive [registered nurse or medical practitioner] 13 10 Palliative care program involving end of life care where ongoing care will involve very intensive clinical nursing and/ or complex pain management in the residential care setting. Directive by CNC/ CNS in pain or palliative care or medical practitioner AND Pain assessment 14 1 Management of ongoing stoma care. Excludes temporary stomas e.g. Excludes pubic catheters (SPCs) Diagnosis or ACCR AND Directive [registered nurse or medical practitioner] 15 6 Suctioning airways, tracheostomy care. Diagnosis or ACCR AND Directive [registered nurse or medical practitioner] 16