Just do it Team SCO Health Service

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 Just do it!  TeamSCO Health Service
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The Process of Change Previous Practice

• Nursing Admission Assessment identifying
• Incontinent patient
• Patients with catheters/briefs
• Does not identify incontinence type or causes
• Lack of assessment of voiding record
• Minimal involvement of Allied Health in
  continence care
• Lack of analysis of MDS data collected

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First Level Assessment Form
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Identification System

• 1st Level Assessment positive proceed to 2nd
  level
• Star() on chart/file for interventions and
• at-risk patients
• Starred at rounds, family conferences
• Star in patients toilet facility
• Regrouping of patients - targeting

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Monitor Process Change

• Expert on the Unit
• Reports
• Chart
• Rounds
• Patient input
• Weekly training session (Q A)

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Thermometer

• Focus on Goal
• Give Recognition
• Maintain Momentum

Nurse 2
Nurse 1
Level 2 IC5 Project Incontinence Assessments and
Interventions
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Where we are now

• First Level Urinary Continence Assessment
• All New Admissions
• The Second Level Urinary Continence Assessment
  (IC 5 Tool) completed when triggered by the First
  Level
• Involvement of Allied Health in assessment
  interventions as required