Patient Care - Elderly Persons
This audit tool covers accessibility issues, risk management associated with the handling elderly patients, facilities, communication approaches, dignity of care and confidentiality.
1)
Accessibility.
Yes
No
Is the hospital accessible by public transport?
Is the hospital clearly sign posted?
Are visiting times clearly understood?
Is the environment suitable for wheelchair users in all areas?
Are there suitable facilities for parents with young children?
Are the surrounding access areas of the hospital well lit at night?
Are the bathrooms and toilets suitable for those with reduced mobility or are frail?
Are there translation facilities?
Are there facilities for patients who have impairments?
Is clear information readily available?
Are patients kept informed about how long they will wait to see a health professional
2)
Risk Management - Is care organised to minimise risk to patients and staff?
Do staff wear protective clothing appropriately when dealing with spills/body fluids?
Is there hand washing after every patient contact?
Are spillages cleaned up right away?
Are the bathrooms, utility rooms and waiting areas clean?
Is the area clean and tidy?
Are the sharps disposals out of reach, regularly emptied?
Are the normal safety features in place? (sockets, hazardous materials out of reach)
Are the resuscitation trolleys subject to regular and routine checks?
Is there any evidence of equipment checks?
Is there any evidence of equipment failure?
Are visitors asked who they are?
Is the appropriate manual handling equipment available?
Are there chaperones to accompany patients undergoing physical examination?
3)
Dignity of Care
Is there provision for single sex facilities?
Are patients encouraged to wear appropriate clothing? (patient's own, use of blankets)
Do staff show respect for different patient needs? (cultural, spiritual)
Are curtains used for privacy during examinations?
Are patients asked personal questions in a private area?
Do staff listen to the patients and encourage them to ask questions?
Are messages passed onto patients?
Do staff refer to the patients by their given name?
4)
Patient Confidentiality.
Are there quiet areas and private spaces available on the ward?
Do staff ensure that patients are not discussed in public areas?
Is information clear and open to the relatives of patients?
Is information visible to the public? (computer screens, whiteboards)
5)
Facilities - This includes noise, room temperature, catering needs and information.
Is the environment therapeutic and pleasant?
Does the catering include a choice of dishes, planned meal times, menus in advance?
Are patient waiting areas well organised and is there reading material available?
Is the noise level appropriate?
Are the display areas informative and helpful?
6)
Communication - How do professionals discuss patients appropriately?
Does each member of the team contribute to the patient discussions?
Are there examples of clear communication at shift hand-overs?
Is there communication on the ward rounds between different members of the team?
Are there arrangements for continuity of nursing care - named nurse, team nurse?
Is there integrated care pathways or other multi-disciplinary care planning?
Is discharge managed effectively?