Audit2-NICE.docVIP

 Acutely ill Patient in Hospital NICE clinical guideline 50 Baseline Audit Report November 2008 Clinical Educator WYCCN Secondment Contents Section Topic Page 1. Introduction 3 2. Audit 1 - Physical observations in acute hospital settings (Observations recorded within 1 hr of admission) 4-5 3. Audit 2 - Physical observations in acute hospital settings (Clear written monitoring plan) 6-7 4. Audit 3 - Identifying patients whose clinical condition is deteriorating or is at risk of deterioration (Track and trigger system) 8-9 5. Audit 4 -Identifying patients whose clinical condition is deteriorating or is at risk of deterioration (Increased frequency of observations) 10-12 6. Audit 5 - Agreed locally delivered graded response strategy in place for patients identified as being at risk of clinical deterioration 13-14 7. Audit 6 - evidence that the decision to admit to ICU was made by both the consultant caring for the patient on the ward and the consultant in critical care. 15-16 8. Audit 7- Transfer of patients from critical care areas to general wards (Out of hours) 17 9. Audit 8- Transfer of patients from critical care areas to general wards (Adverse incident form completed) 18 10. Audit 9- Care on the general ward following transfer (Structured written discharge plan) 19-20 11. Audit 10-: Care on the general ward following transfer Incorporating: (Medical diagnosis Medical/Nursing treatment plan Monitoring and investigation plan Ongoing treatment plan, drugs/therapies, nutrition plan, infection status, agreed limitations of treatment Physical and rehabilitation needs Psychological and emotional needs Specific communication / language needs) 21-25 12. Overall Audit Summary 26-27 13. Additional Findings summary 28 14. Action plan summary 29 15. Discussion 30-31 Introduction The West Yorkshire Critical Care Network (WYCCN) financed a 12-month band 7 secondment commencing July 2008, to inform and promote the