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Issue October 2016
To download a PDF version of the ACE Service Newsletter click here.
Armidale Commences 24/7 ACE service model

The ACE service is proud to extend the 24/7 model of care to Armidale Residential Aged Care staff.  The ACE Model of Care assists staff from Residential Aged Care Facilities (RACFs) to provide acute care within the facility and avoid unnecessary transfers to the Emergency Department (ED).

When an ED presentation is required, the ACE model assists ED staff to understand the purpose of the visit and to proactively manage the stay.

Working together RACF staff and ACE clinicians can ensure residents receive
 
The right care, at the right time and in the right place.

Armidale Interagency Meeting

The ACE service team joined with Armidale stakeholders at their recent Interagency meeting on Wednesday 31 August 2016.  The 24/7 ACE model will go live in Armidale on 26 September 2016.  The ACE model was explained and processes discussed with all stakeholders.

The ACE team distributed a number of resources to stakeholders such as clinical algorithms, ISBAR clinical handover form and ISBAR tags with how to call the service.  The ACE website was discussed.  The website can be accessed at http://ace.healthpathways.org.au

Attendees at Armidale Interagency Meeting

Tamworth Interagency Meetings commence

The inaugural Tamworth ACE interagency meeting was held on Thursday 1 September 2016.  The attendees heard more information about the ACE process and supporting resources available to RACF staff.

Further stakeholder engagement in the after hours process is required in Tamworth prior to the ACE service model being rolled out 24/7.

The service is currently provided Monday to Friday 8am to 4.30pm and Saturday 8am to 12pm.

Aged Care Interagency Meetings
Hunter Primary Care (HPC), Hunter New England Local Health District (HNELHD), NSW Ambulance (NSWA), Hunter New England Central Coast Primary Health Network (HNECCPHN) and RACF staff now participate in local regional interagency meetings at Newcastle, Port Stephens, Manning, Singleton, Maitland, Armidale and Tamworth.

These meetings are held in conjunction with the Residential Aged Care Facility (RACF) collaborative group and provide an opportunity to learn from each other and showcase how the service is making a difference.  Guest speakers will present their experiences, innovations and strategies for emergency care.

Advanced Care Directives and Advanced Care Plans - Summary from Interagency Meeting Presentation

Advance Care Directives (ACD)

  • An ACD is a legal document.  No one can override an ACD, not even the legally appointed guardian.
  • An ACD can only be written and signed by the person themselves (must be 18 years or over).

Everything else is an Advance Care Plan (ACP)

  • If a plan exists then the clinician can usually be comfortable that previous conversations have taken place.
  • It is subject to change (patient or family) and may often be vague or conflicting.
  • It is a trigger for another respectful conversation ALWAYS!  Preferably before aggressive treatment begins.
  • Other triggers for a respectful conversation may include the presence of a MOLST, an Enduring Guardian document, concerned family and friends.
  • The conversations should be the right people i.e. person responsible, know the hierarchy of responsibility or Enduring Guardian if appointed.

NSW Guardianship Act Hierarchy

Guardian/Enduring or Public or Private
With the function of consenting to medical, dental and health care treatments.
If there is no guardian
A spouse of de facto spouse
With whom the patient has a close, continuing relationship (de facto spouse includes same sex partners)
If there is no spouse or de facto spouse
An unpaid carer
Who is now providing support to the person or provided this support before the person entered care
If there is no unpaid carer
A relative or friend

Ongoing Education

Understanding Dementia

There is further information at the Understanding Dementia MOOC website including links to the course, a poster and flyer that you may wish to share with friends and colleagues.

To enrol please visit
https://mooc.utas.edu.au

Integrated Care in Ageing
Newcastle University developed a two year associate degree - Integrated Care in Ageing.

This course is a combination of online and hands-on skills workshops at facilities in Newcastle, Central Coast, Port Macquarie and Tamworth.  it is aimed at all levels of nursing.

Fore more information visit
http://www.newcastle.edu.au/degrees
 

Aged Care Interagency Meetings

Hunter Primary Care and HNELHD have now established local regional interagency meetings at Newcastle, Port Stephens, Manning, Singleton and Maitland.

These meetings are held in conjunction with the Residential Aged Care Facility (RACF) collaborative group and provide an opportunity to learn from each other and showcase how the service is making a difference.

Guest speakers will present their experiences, innovations and strategies for emergency care. 
Tomaree ACE Interagency
Date: Thursday 10 November 2016
Time: 9.00am - 12.00pm
Venue: Regis the Gardens, 40 Bagnell Beach Road, Corlette
RSVP: 27 October 2016 to agedcare@hunterprimarycare.com.au


Maitland ACE Interagency
Date: Tuesday 18 October 2016
Time: 10.30am - 12.00pm
Venue: Maitland Hospital - Meeting Room 1, 550/560 High Street, Maitland  NSW  2320
RSVP: Lyndal.Hawke@hnehealth.nsw.gov.au


Newcastle ACE Interagency
Date: Thursday 17 November 2016
Time: 9.00am - 12.00pm
Venue: Scenic Lodge, 251 Scenic Drive, Merewether
RSVP: 3 November 2016 to agedcare@hunterprimarycare.com.au


Singleton ACE Interagency
Date: Tuesday 15 November 2016
Time: 1.30pm - 4.30pm
Venue: Elizabeth Gates Nursing Home, 128 Blaxland Avenue, Singleton
RSVP: 27 October 2016 to agedcare@hunterprimarycare.com.au


Manning ACE Interagency
Date: Thursday 24 November 2016
Time: 9.30am - 12.30pm
Venue: Karingal Gardens, 9 Bligh Street, Taree

RSVP: 10 November 2016 to agedcare@hunterprimarycare.com.au

Tamworth ACE Interagency
Date: Thursday 1 December 2016
Time: 9.00am - 12.00pm
Venue: McKay House, Tribe Street, Tamworth

RSVP: 17 November 2016 to agedcare@hunterprimarycare.com.au

Armidale ACE Interagency
Date: Wednesday 30 November 2016
Time: 9.00am - 12.00pm
Venue: Ken Thompson Lodge, 86 Box Hill Drive, Armidale

RSVP: 16 November 2016 to agedcare@hunterprimarycare.com.au
 
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